Axelson Alan, Brent David
InterCare Solutions, LTD, 2370 Morrow Road, Pittsburgh, PA 15241, USA.
Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 O'Hara Street, Pittsburgh, PA 15213, USA.
Child Adolesc Psychiatr Clin N Am. 2020 Oct;29(4):743-754. doi: 10.1016/j.chc.2020.05.001. Epub 2020 Jul 8.
This article traces the organizational origins of measurement-based care and value-based care, identifying initiatives by policy makers, payors, and psychiatric organizations. The article argues that it is imperative for child psychiatry to take an active role in shaping implementation of these initiatives and identifying opportunities and issues unique to child mental health. Child psychiatry should actively support the development of well-validated measurement tools that have a value impact on quality and efficiency of care; realistically assess implementation processes and administrative burden; and be cautious to not have a negative impact on the vital processes of engagement of the practitioner, child, and family.
本文追溯了基于测量的护理和基于价值的护理的组织起源，确定了政策制定者、支付方和精神科组织所采取的举措。文章认为，儿童精神病学必须积极参与这些举措的实施，并识别儿童心理健康特有的机遇和问题。儿童精神病学应积极支持开发经过充分验证、对护理质量和效率有价值影响的测量工具；切实评估实施过程和行政负担；并谨慎行事，避免对从业者、儿童和家庭的关键参与过程产生负面影响。
