The Effect of an Office-Based Strategy on Treatment Outcome and Adoption of Measurement-Based Care Into Psychiatric Treatment at a Nonprofit, Outpatient Clinic.

IF 0.2 Q4 NURSING
Deirdre O Rea, Jeannie Garber
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引用次数: 0

Abstract

Background: Measurement-based care (MBC) is a method for demonstrating performance outcomes but is rarely used in behavioral health settings despite it being an evidence-based practice. As psychiatry moves to value-based care and payment for performance, the adoption of MBC will be essential. Objective: The purpose of the study was to test proactive reporting of patient self-reported measurement tool results to providers on treatment outcomes to promote the adoption of MBC. Methods: The study entailed a mixed methods design with a pre-/post-test quantitative measurement of scores on the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 and a semistructured qualitative interview with providers following data collection. Results: Results showed, during the intervention period, statistically significant decreases in anxiety scores for all patients. Depression symptom decreases trended toward significance for female patients. After initial disregard for scores, all providers found a benefit to continued use of MBC. Conclusions: Identification and removal of barriers can assist in the adoption of evidence-based practices in healthcare. Implications for Nursing: Successful change can be accomplished with minor adjustments to an already-established workflow and a team approach to the process.

以办公室为基础的策略对治疗结果的影响,以及在非营利性门诊诊所采用以测量为基础的护理进行精神科治疗。
背景:基于测量的护理(MBC)是一种证明绩效结果的方法,但很少在行为健康环境中使用,尽管它是一种基于证据的实践。随着精神病学转向基于价值的护理和绩效付费,采用MBC将是必不可少的。目的:本研究的目的是测试患者主动报告治疗结果的自我报告测量工具结果,以促进MBC的采用。方法:本研究采用混合方法设计,对患者健康问卷-9 (PHQ-9)和广泛性焦虑障碍-7的分数进行测试前/测试后定量测量,并在数据收集后对提供者进行半结构化定性访谈。结果:结果显示,在干预期间,所有患者的焦虑得分均有统计学意义的下降。女性患者抑郁症状有明显减少的趋势。在最初无视分数之后,所有的提供者都发现继续使用MBC是有益的。结论:识别和消除障碍有助于在医疗保健中采用循证实践。对护理的启示:成功的改变可以通过对已经建立的工作流程和团队方法进行微调来完成。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
45
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