Butler S F, Docherty J P
Innovative Training Systems, Inc., Newton, MA 02158, USA.
J Ment Health Adm. 1996 Fall;23(4):479-91. doi: 10.1007/BF02521031.
This article describes a clinical management tool, the Value Accounting System, developed for use by a national organization of psychiatric treatment facilities. The system integrates patient case-mix variables with data on services provided, key administrative and clinical processes, clinical effectiveness, and cost/price. A comprehensive database links critical quality information with fiscal information, yielding a management tool that is national in scope, standardized, and versatile enough (1) to address general questions of the effectiveness and value of psychiatric services and (2) to provide an empirical base for rational, clinical management decision making. Descriptive data are presented from an attempt to establish a database and implement the system. The management and scientific potential of the Value Accounting System to improve the quality and efficiency of mental health services are discussed.
本文介绍了一种临床管理工具——价值核算系统，该系统是为一家全国性精神治疗机构组织开发的。该系统将患者病例组合变量与所提供服务的数据、关键行政和临床流程、临床疗效以及成本/价格整合在一起。一个综合数据库将关键质量信息与财务信息相链接，产生了一个具有全国范围、标准化且通用性强的管理工具，足以(1)解决精神科服务有效性和价值的一般性问题，以及(2)为合理的临床管理决策提供实证依据。文中呈现了为建立数据库并实施该系统所做尝试的描述性数据。还讨论了价值核算系统在提高心理健康服务质量和效率方面的管理及科学潜力。
