Roy-Byrne P, Dagadakis C, Ries R, Decker K, Jones R, Bolte M A, Scher M, Brinkley J, Gallagher M, Patrick D L
Department of psychiatry and behavioral sciences, University of Washington, Seattle, USA.
Psychiatr Serv. 1995 Apr;46(4):347-52. doi: 10.1176/ps.46.4.347.
Despite the increasing demand for outcome assessment measures, no published reports have provided a standardized way to assess psychiatric inpatients that includes diagnosis and observer ratings of psychopathology. This paper reviews general principles for selecting outcome assessment measures, proposes a battery of instruments based on already available measures to assess clinical status in psychiatric inpatients, reviews methods of implementing the battery in an academic inpatient psychiatric setting, and presents preliminary data on its interrater reliability, construct validity, and range of response to acute hospitalization. Preliminary results suggest that the battery may be useful for resident and medical student education and for enhancing quality assurance and continuous quality improvement.
尽管对结果评估措施的需求不断增加，但尚无已发表的报告提供一种标准化的方法来评估精神科住院患者，其中包括诊断和精神病理学的观察者评分。本文回顾了选择结果评估措施的一般原则，基于现有措施提出了一套用于评估精神科住院患者临床状况的工具，回顾了在学术性住院精神科环境中实施该套工具的方法，并展示了其评分者间信度、结构效度以及对急性住院反应范围的初步数据。初步结果表明，该套工具可能对住院医师和医学生教育以及加强质量保证和持续质量改进有用。
