Martin-Cook Kristin, Palmer Lucy, Thornton Larry, Rush A John, Tamminga Carol A, Ibrahim Hicham M
Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA.
National University of Singapore, Singapore; Department of Psychiatry, Duke University School of Medicine, Durham, NC, USA; Department of Psychiatry, Texas Tech Health Sciences Center, Midland, TX, USA.
Neuropsychiatr Dis Treat. 2021 May 25;17:1621-1631. doi: 10.2147/NDT.S308615. eCollection 2021.
Measurement-based care (MBC) involves the systematic use of standardized measurements to inform treatment decisions. MBC can enhance clinical decision-making and quality of care by prompting personalized changes in treatment based on measured patient outcomes. MBC can also promote more precise communications between patients and clinicians around individual patient care. While commonly employed in psychiatric clinical research, the use of MBC in everyday practice can be complicated by clinic operations and variability across patients. We implemented MBC in the UT Southwestern Psychiatry Multispecialty Outpatient Clinic during the expansion of our general psychiatry clinic and subspecialty targeted programs. This article describes the top 10 lessons we learned as we confronted practical obstacles around implementing the ideals of MBC into a pre-existing, busy psychiatric clinical practice and how doing so impacts care, provider engagement, patient engagement, and research opportunity.
基于测量的护理（MBC）涉及系统地使用标准化测量方法来为治疗决策提供依据。MBC可以通过根据测量的患者结果促使治疗进行个性化调整，从而提高临床决策能力和护理质量。MBC还可以促进患者和临床医生之间围绕个体患者护理进行更精确的沟通。虽然MBC在精神科临床研究中普遍使用，但在日常实践中，诊所运营和患者个体差异可能会使MBC的应用变得复杂。在我们的普通精神科诊所和专科针对性项目扩展期间，我们在德克萨斯大学西南医学中心精神科多专科门诊实施了MBC。本文介绍了我们在将MBC理念融入现有的繁忙精神科临床实践过程中遇到实际障碍时所学到的十大经验教训，以及这样做如何影响护理、医护人员参与度、患者参与度和研究机会。
