Walter G, Cleary M, Rey J M
Central Sydney Mental Health Services, Rivendell Unit, Concord West, NSW, Australia.
J Qual Clin Pract. 1998 Jun;18(2):109-15.
Outcome measurement is becoming an integral part of health-care delivery. The attitudes of staff towards this development are important as they may influence ratings themselves, improve the design of measures and indicate how outcome assessment should be introduced into services. In this preliminary study, we surveyed staff from Central Sydney Mental Health Services who had taken part in a Commonwealth-funded project which had required them to rate patient outcome. The major concern expressed by respondents was that rating outcome was too time-consuming. More than half were not in favor of measuring outcome routinely even if it meant providing a better service to patients. The study methodology had limitations. However, if our findings are corroborated, attention will need to be paid to staff attitudes to outcome assessment so that ratings are more reliable and valid, properly inform treatment and meaningfully influence resource allocation.
结果测量正成为医疗服务的一个重要组成部分。员工对这一发展的态度很重要，因为他们可能会影响自身的评级，改进测量方法的设计，并指明应如何将结果评估引入服务中。在这项初步研究中，我们调查了悉尼中央心理健康服务机构中参与了一个由英联邦资助项目的员工，该项目要求他们对患者结果进行评级。受访者表达的主要担忧是对结果进行评级过于耗时。超过半数的人即使这意味着能为患者提供更好的服务，也不赞成常规性地测量结果。该研究方法存在局限性。然而，如果我们的研究结果得到证实，就需要关注员工对结果评估的态度，以便评级更可靠、有效，为治疗提供恰当的依据，并切实影响资源分配。
