基于测量的护理实施的考虑:专注于单独和小组执业者
Kathryn K Ridout1, Erik Vanderlip1, Andrew D Carlo1
1Permanente Medical Group and Division of Research, Kaiser Permanente Northern California, Pleasanton (Ridout); Department of Psychiatry, Oregon Health and Science University, Portland (Vanderlip); WellBe Senior Medical, Chicago (Carlo); Translational and Experimental Medicine, Neuroscience, Jazz Pharmaceuticals, Carlsbad, California (Kadriu); Experimental Therapeutics and Pathophysiology Branch, NIMH, Bethesda (Kadriu); Department of Psychiatry, University of Pennsylvania, Philadelphia (Livesey); Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston (Torous); Department of Psychiatry, Harvard Medical School, Boston (Torous); Department of Psychiatry and Behavioral Sciences, Dell Medical School, University of Texas at Austin, Austin (Alter).
基于测量的护理 (MBC) 通过使用标准化的评估来提高精神病治疗效率和患者的治疗结果. 本文回顾了MBC实施策略和证据,以鼓励在临床实践中更广泛地采用.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
背景情况:
- 基于测量的护理 (MBC) 涉及系统地评估患者报告的结果,以指导治疗.
- 证据支持MBC在提高精神病治疗效率,临床结果和患者福祉方面的作用.
- 付款人和认证机构越来越多地要求MBC和症状跟踪.
研究的目的:
- 审查美国精神病学协会关于MBC实施的资源文件.
- 突出采用MBC的理由,证据和激励因素.
- 概述策略和最佳实践,以促进在精神病学环境中采用MBC.
主要方法:
- 美国精神病学协会质量护理委员会关于MBC实施的报告的审查.
- 综合现有证据和支持MBC的理由.
- 确定用于采用MBC的付款和与实践有关的激励措施.
- 描述临床实施的实际策略.
主要成果:
- 尽管有好处,精神病学领域一直很慢地采用MBC.
- 技术进步使得在临床护理中更容易追踪症状.
- 该APA的资源文件为MBC实施提供了一个框架.
- 激励和最佳实践可以推动更广泛的MBC采用.
结论:
- 对于精神病治疗和患者的治疗结果来说,MBC提供了显著的好处.
- 解决障碍和利用激励措施对于增加MBC实施至关重要.
- 系统地采用MBC对于现代精神病学实践和报销至关重要.
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