恢复期的医疗保健三重目标。

The Healthcare Triple Aim in the Recovery Era.

机构信息

School of Psychology, University of Ottawa, Ottawa, ON, K1N 6N5, Canada.

Department of Psychiatry, University of Toronto, Toronto, ON, Canada.

出版信息

Adm Policy Ment Health. 2020 Jul;47(4):492-496. doi: 10.1007/s10488-019-00997-0.

DOI:10.1007/s10488-019-00997-0

PMID:31754880

Abstract

Recovery is the guiding vision of mental health systems and policy. However, skepticism has emerged about whether the paradigm can achieve its sought goals. We argue that embedding recovery within a quality improvement framework, such as the Triple Aim, would increase leverage for systems change and advance recovery practice. The Triple Aim's goals of improving healthcare outcomes, quality, and costs are pertinent to mental health systems, although action is also needed to address the social determinants of health. Accordingly, we propose the recovery-oriented Triple Aim, which could be used to guide policy development and evaluation of mental health services.

摘要

康复是精神卫生系统和政策的指导愿景。然而，人们对这一模式是否能够实现其既定目标产生了怀疑。我们认为，将康复纳入质量改进框架（如三重目标）中，将增加系统变革的影响力，并推进康复实践。三重目标的目标是改善医疗保健的结果、质量和成本，这与精神卫生系统相关，尽管还需要采取行动来解决健康的社会决定因素。因此，我们提出了以康复为导向的三重目标，可用于指导精神卫生服务的政策制定和评估。