McGlynn E A, Norquist G S, Wells K B, Sullivan G, Liberman R P
Inquiry. 1988 Spring;25(1):157-70.
Quality-of-care research in mental health is in the developmental stages, which affords an opportunity to take an integrative approach, building on principles from efficacy, effectiveness, quality assessment, and quality assurance research. We propose an analytic strategy for designing research on the quality of mental health services using an adaptation of the structure, process, and outcome classification scheme. As a concrete illustration of our approach, we discuss research on a particular target population-patients with chronic schizophrenia. Future research should focus on developing models of treatment, establishing criteria and standards for outcomes and processes, and gathering data on community practices.
心理健康护理质量研究正处于发展阶段，这为采用综合方法提供了契机，该方法基于疗效、效果、质量评估和质量保证研究的原则。我们提出一种分析策略，用于设计心理健康服务质量研究，采用结构、过程和结果分类方案的一种改编形式。作为我们方法的一个具体示例，我们讨论针对特定目标人群——慢性精神分裂症患者的研究。未来的研究应侧重于开发治疗模式、确立结果和过程的标准及准则，以及收集社区实践的数据。
