Smith G R, Fischer E P, Nordquist C R, Mosley C L, Ledbetter N S
Department of Psychiatry, Center for Outcomes Research and Effectiveness, Little Rock, AR 72204, USA.
Psychiatr Serv. 1997 Mar;48(3):364-8. doi: 10.1176/ps.48.3.364.
Outcomes management has received considerable attention in the literature on mental health services delivery. However, relatively little practical information is available on how to implement an outcomes management system in the mental health care setting. The authors review seven key issues that must be addressed in planning such a system: involving senior organizational leaders in ownership of the project, securing the support of clinicians and patients, selecting personnel to operate the system, choosing outcomes assessment instruments, developing data collection procedures, selecting techniques for data management, and using the data to improve outcomes. Ultimately, an outcomes management system is intended to generate data that can be used to stimulate discussion, to guide clinicians in tailoring treatments, and to identify efficient treatment approaches.
结果管理在心理健康服务提供的文献中受到了相当多的关注。然而，关于如何在精神卫生保健环境中实施结果管理系统的实用信息相对较少。作者回顾了在规划这样一个系统时必须解决的七个关键问题：让高级组织领导者参与项目的主导，获得临床医生和患者的支持，选择操作该系统的人员，选择结果评估工具，制定数据收集程序，选择数据管理技术，以及利用数据改善结果。最终，结果管理系统旨在生成可用于激发讨论、指导临床医生量身定制治疗方案以及识别有效治疗方法的数据。
