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改善心理干预效果和降低成本的研究:为了以最低成本为最多人提供最佳服务。

Research on Improving Outcomes and Reducing Costs of Psychological Interventions: Toward Delivering the Best to the Most for the Least.

机构信息

Department of Psychology, American University, Washington, DC 20016-8062, USA; email:

出版信息

Annu Rev Clin Psychol. 2020 May 7;16:125-150. doi: 10.1146/annurev-clinpsy-071519-110415. Epub 2020 Feb 10.

Abstract

Treatment and prevention efforts guided by psychological theory, research, and practice can have outcomes of greater value than the resources consumed by those efforts-and outcomes superior to those attainable by other means, often at lower costs. How can we make this hope true more often, for more of the clients who need our services, despite severe resource constraints? Routinely reporting the costs, effectiveness, and benefits of psychological interventions from client, practitioner, and societal perspectives is only a beginning. We also need to use descriptive and inferential statistics to measure, report, and analyze the cost-effectiveness and cost-benefit of our interventions to discover the strongest determinants of intervention costs and outcomes. The emerging literature on cost-inclusive research in psychology suggests that delivery systems are one primary determinant of costs and outcomes of most interventions, as are the psychological techniques applied.

摘要

在心理学理论、研究和实践的指导下进行的治疗和预防工作,其结果的价值可能超过这些工作所消耗的资源——而且通常成本更低,其结果也优于其他方法所能达到的结果。在资源严重受限的情况下,我们如何才能让这种希望更频繁地实现,让更多需要我们服务的客户受益?从客户、从业者和社会的角度定期报告心理干预的成本、效果和收益只是一个开始。我们还需要使用描述性和推断性统计来衡量、报告和分析我们干预措施的成本效益,以发现干预成本和结果的最强决定因素。心理学中关于包含成本的研究的新兴文献表明,大多数干预措施的成本和结果的主要决定因素是交付系统,所应用的心理技术也是如此。

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