G2TT
来源类型Research Reports
规范类型报告
ISBN9780833086563
来源IDRR-464-OSD
Measuring the Quality of Care for Psychological Health Conditions in the Military Health System: Candidate Quality Measures for Posttraumatic Stress Disorder and Major Depressive Disorder
Kimberly A. Hepner; Carol P. Roth; Coreen Farris; Elizabeth M. Sloss; Grant R. Martsolf; Harold Alan Pincus; Katherine E. Watkins; Caroline Batka; Daniel Mandel; Susan D. Hosek; et al.
发表日期2015
出版年2015
页码238
语种英语
结论

A Conceptual Framework That Includes Continuum of Care and Measure Type Is Useful to Characterize Quality Measures

  • The authors identified more than 500 measures relevant to posttraumatic stress disorder, major depressive disorder, or other psychological health conditions.
  • The authors selected measures according to two validity criteria, two feasibility criteria, one importance criterion, and whether the National Quality Forum had endorsed the measure (a proxy for importance, validity, reliability, feasibility, and usability).
  • The authors mapped the measures to the conceptual framework dimensions, which included the continuum of care and its five phases (prevention, screening, assessment, treatment, and reintegration) and the type of measure (structure, process, outcome, patient experience, and resource use).

A Large Set of Candidate Quality Measures Provides Many Options to Support Future Efforts to Assess Care for Posttraumatic Stress Disorder and Major Depressive Disorder

  • The authors identified 29 candidate measures of quality of care for PTSD and 29 for MDD. Some are condition-specific; others could apply to other psychological health conditions.
  • The candidate quality measures rely on a variety of data sources, including administrative claims data, medical record review data, and patient survey data.
  • Descriptions of each measure provide a foundation for understanding each measure's content and evaluating its potential value as a means of evaluating the quality of mental health care provided by the military health system.
摘要
  • Select a subset of high-priority, feasible quality measures to pilot-test and implement. DoD should consider focusing initial quality measurement efforts on feasible measures that assess high-priority aspects of care at the time of implementation.
  • Consider structured documentation in the medical record to facilitate capturing the data necessary to compute quality measures. Many candidate quality measures rely on important clinical details that the medical record typically documents. Integrating structured documentation into the medical record is one way to potentially increase the breadth and value of routinely captured data. Natural-language processing is another emerging technology that seeks to provide a means for higher-quality data collection without manual medical record review. Pilot-testing and evaluating new approaches to structured documentation and data retrieval are important areas of future research.
  • Develop a process for ongoing assessment of quality of care. A single effort to assess quality of care will be of limited use. Instead, assessing the quality of care for psychological health conditions should connect with ongoing quality improvement efforts, through a continuous feedback loop. As the U.S. Department of Defense continues to pursue strategies to assess the quality of care, it is essential to consider how these efforts will be sustained and what resources will be required to support ongoing quality measurement.
主题Depression ; Health Care Quality ; Military Health and Health Care ; Posttraumatic Stress Disorder
URLhttps://www.rand.org/pubs/research_reports/RR464.html
来源智库RAND Corporation (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/108117
推荐引用方式
GB/T 7714
Kimberly A. Hepner,Carol P. Roth,Coreen Farris,et al. Measuring the Quality of Care for Psychological Health Conditions in the Military Health System: Candidate Quality Measures for Posttraumatic Stress Disorder and Major Depressive Disorder. 2015.
条目包含的文件
文件名称/大小 资源类型 版本类型 开放类型 使用许可
x1495316371008.jpg(7KB)智库出版物 限制开放CC BY-NC-SA浏览
RAND_RR464.pdf(1052KB)智库出版物 限制开放CC BY-NC-SA浏览
个性服务
推荐该条目
保存到收藏夹
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Kimberly A. Hepner]的文章
[Carol P. Roth]的文章
[Coreen Farris]的文章
百度学术
百度学术中相似的文章
[Kimberly A. Hepner]的文章
[Carol P. Roth]的文章
[Coreen Farris]的文章
必应学术
必应学术中相似的文章
[Kimberly A. Hepner]的文章
[Carol P. Roth]的文章
[Coreen Farris]的文章
相关权益政策
暂无数据
收藏/分享
文件名: x1495316371008.jpg
格式: JPEG
文件名: RAND_RR464.pdf
格式: Adobe PDF

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。