Setting Measurement-Based Care in Motion: Practical Lessons in the Implementation and Integration of Measurement-Based Care in Psychiatry Clinical Practice

被引:20
作者
Martin-Cook, Kristin [1 ]
Palmer, Lucy [1 ]
Thornton, Larry [1 ]
Rush, A. John [2 ,3 ,4 ]
Tamminga, Carol A. [1 ]
Ibrahim, Hicham M. [1 ]
机构
[1] Univ Texas Southwestern Med Ctr Dallas, Dept Psychiat, 5323 Harry Hines Blvd, Dallas, TX 75235 USA
[2] Natl Univ Singapore, Singapore, Singapore
[3] Duke Univ, Dept Psychiat, Sch Med, Durham, NC USA
[4] Texas Tech Hlth Sci Ctr, Dept Psychiat, Midland, TX USA
关键词
measurement-based care; clinic operations; quality improvement; quality care; screening; outpatient; SELF-REPORT SCALE; STAR-ASTERISK-D; PSYCHOMETRIC PROPERTIES; MEDICATION TREATMENT; DEPRESSION; DISORDER; INVENTORY; QUESTIONNAIRE; VALIDATION; VALIDITY;
D O I
10.2147/NDT.S308615
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Measurement-based care (MBC) involves the systematic use of standardized measurements to inform treatment decisions. MBC can enhance clinical decision-making and quality of care by prompting personalized changes in treatment based on measured patient outcomes. MBC can also promote more precise communications between patients and clinicians around individual patient care. While commonly employed in psychiatric clinical research, the use of MBC in everyday practice can be complicated by clinic operations and variability across patients. We implemented MBC in the UT Southwestern Psychiatry Multispecialty Outpatient Clinic during the expansion of our general psychiatry clinic and subspecialty targeted programs. This article describes the top 10 lessons we learned as we confronted practical obstacles around implementing the ideals of MBC into a pre-existing, busy psychiatric clinical practice and how doing so impacts care, provider engagement, patient engagement, and research opportunity.
引用
收藏
页码:1621 / 1631
页数:11
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