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儿童和青少年精神病学中基于测量的护理的证据基础。

Evidence Base for Measurement-Based Care in Child and Adolescent Psychiatry.

机构信息

Department of Psychiatry and Behavioral Health, The Ohio State University College of Medicine, Columbus, OH, USA; Big Lots Behavioral Health Service Line, Nationwide Children's Hospital, 444 Butterfly Gardens Drive, Columbus, OH 43215, USA.

Department of Psychiatry and Behavioral Health, The Ohio State University College of Medicine, Columbus, OH, USA; Big Lots Behavioral Health Service Line, Nationwide Children's Hospital, 444 Butterfly Gardens Drive, Columbus, OH 43215, USA.

出版信息

Child Adolesc Psychiatr Clin N Am. 2020 Oct;29(4):587-599. doi: 10.1016/j.chc.2020.06.001. Epub 2020 Jul 29.

Abstract

Measurement-based care (MBC) is the routine collection of data using standardized, validated measures and use of these data to guide treatment. MBC has been implemented throughout medicine to improve patient outcomes, but its use in mental health care remains low. This article summarizes the evidence of MBC's efficacy in adults then reviews the sparser data in youth mental health care. The literature indicates that MBC must be administered immediately before or during every encounter, results must be available to and reviewed by providers immediately, results must be shared with the patient, and results must be used to guide treatment.

摘要

基于测量的医疗照护(MBC)是指使用标准化、经过验证的测量方法来定期收集数据,并利用这些数据来指导治疗。MBC 已在整个医学领域得到实施,以改善患者的治疗效果,但在精神卫生保健中的应用仍然较低。本文总结了 MBC 在成人中的疗效证据,然后回顾了在青年精神卫生保健中较为有限的数据。文献表明,MBC 必须在每次就诊前或就诊期间立即进行管理,结果必须立即提供给并由提供者进行审查,结果必须与患者分享,并且结果必须用于指导治疗。

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