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跨学科实施基于测量的医疗保健在退伍军人事务医疗体系中的应用研究。

An examination of transdisciplinary implementation of measurement-based care in a Veterans Affairs Healthcare System.

机构信息

Bay Pines VA Healthcare System.

James A. Haley Veterans' Hospital.

出版信息

Psychol Serv. 2021 May;18(2):195-204. doi: 10.1037/ser0000379. Epub 2019 Jul 18.

DOI:10.1037/ser0000379
PMID:31318238
Abstract

Measurement-based care (MBC) is an effective pantheoretical practice framework that enhances mental health treatment outcome. MBC entails routine, systematic administration of standardized scales to measure patients' treatment response, inform clinical decisions, and tailor practice approaches and treatment planning to the individual needs of each patient. In 2016, the Office of Mental Health Operations and Mental Health Services in the Veterans Affairs Central Office launched the MBC in Mental Health Care Initiative. In accordance with this initiative, MBC was implemented within 2 mental health clinics at a large VA Health Care System in the southeastern United States. This program evaluation project examined the utilization of MBC measures across disciplines (i.e., psychiatry, psychology, social work) in the 2 clinics and clinicians' perspectives on MBC processes. Results suggested no significant differences between clinics in terms of rate of MBC measures administration. However, there were significant differences in the relative number of measures and the relative number of patients who were administered MBC measures across disciplines. Input from clinicians regarding their perspectives and experiences with the MBC implementation in their respective clinics were qualitatively and quantitatively evaluated, and barriers to MBC implementation were examined from the perspective of stakeholders. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

基于测量的护理(MBC)是一种有效的整体实践框架,可以增强心理健康治疗效果。MBC 需要常规、系统地使用标准化量表来衡量患者的治疗反应,为临床决策提供信息,并根据每位患者的个体需求调整实践方法和治疗计划。2016 年,退伍军人事务部中心办公室的心理健康运营办公室和心理健康服务部门发起了心理健康护理中的 MBC 倡议。根据这一倡议,MBC 在位于美国东南部的一个大型退伍军人医疗保健系统的 2 个心理健康诊所中实施。这个项目评估研究了在 2 个诊所中跨学科(即精神病学、心理学、社会工作)使用 MBC 措施的情况,以及临床医生对 MBC 流程的看法。结果表明,在 MBC 措施的管理率方面,两个诊所之间没有显著差异。然而,在跨学科的措施数量和接受 MBC 措施的患者数量方面存在显著差异。从利益相关者的角度评估了临床医生对其各自诊所 MBC 实施的看法和经验的定性和定量数据,并检查了 MBC 实施的障碍。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。

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