扩大精神卫生保健中的诚信测量:目标,实践和步骤的编码系统
Eleanor G Wu1, Kimberly D Becker1, Wendy Chu1
1Department of Psychology, University of South Carolina.
概括
这项研究评估了青少年心理健康护理中的服务完整性指标,发现目标,实践和步骤可以可靠地编码. 这有助于在动态的护理环境中改善服务协调和质量.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 改善医疗保健质量 改善医疗保健质量
- 实施科学 实施科学
背景情况:
- 服务完整性,比较提供的护理与期望,对于管理服务质量至关重要.
- 现有的指标可能无法完全捕捉动态设置中的服务交付细微差别.
- 青少年心理健康系统面临服务不平等的挑战,需要强大的质量评估工具.
研究的目的:
- 测试一套扩展的服务完整度指标的可靠性.
- 评估包括目标,实践和不同对话级别和服务事件类型的不同步骤在内的指标.
- 为开发更全面的服务质量评估提供信息.
主要方法:
- 这项研究是在两个资源不足,公共资助的青年心理健康系统中进行的.
- 目标,实践和步骤被编码为78个治疗和84个临床监督事件.
- 使用弗莱斯的卡帕和类内相关系数估计了Interrater可靠性.
主要成果:
- 编码人员在监督和治疗期间检测目标,实践和步骤方面表现出可接受的可靠性.
- 步骤比实践更可靠地检测到;目标在摘录中比完整事件更可靠.
- 监督内容的编码比治疗内容更可靠.
结论:
- 一套统一的指标可以可靠地编码,以扩大在动态护理环境中服务完整性的分析.
- 与目标和监督对交付的实践进行评估,为改善护理提供了关键的见解.
- 调查结果支持加强服务协调,连续性和心理健康护理的整体质量.
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