在早期精神病干预网络中标准化忠实于基于证据的实践
Donald Addington1, Tina Marshall1, Abram Rosenblatt1
1Department of Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada (Addington); Westat, Rockville, Maryland (Marshall, Rosenblatt, Bond, Goldman); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Goldman).
协调专科护理 (CSC) 忠实度表的变化被映射到一个标准度量. 这揭示了测量中的显著差异,影响了学习卫生系统中的数据质量.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 卫生系统科学 卫生系统科学
- 精神病治疗 精神病治疗
背景情况:
- 协调专科护理 (CSC) 是早期精神病的一个关键干预措施.
- 早期精神病干预网络 (EPINET) 是一个学习健康系统,包括101个CSC项目.
- 测量对CSC模型的忠实度对于质量改进至关重要.
研究的目的:
- 调查CSC程序中使用的不同尺度的真实度测量的变化.
- 为了评估五个忠诚度尺度与标准尺度的可比性,第一次情节精神病服务忠诚度尺度 (FEPS-FS).
主要方法:
- 确定了EPINET中使用的六个忠实度表.
- 检查的项目内容,分数和这些尺度的数据来源.
- 在FEPS-FS上映出五个选定的尺度.
主要成果:
- 在五个尺度中,FEPS-FS组件成功映射的百分比从42%到81%不等.
- 不同的忠实度表如何捕获CSC组件存在显著差异.
结论:
- 地图化准确度尺度突出了相当大的测量变化.
- 这种变化可以减少可用的忠实数据的数量和质量.
- 了解忠实度测量变化对于学习医疗保健系统提高护理质量至关重要.
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