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• W2389200056 abstract "To improve quality it is necessary to measure outcome. Psychiatry is the only medical discipline in which quantified measurements of outcome are not the standard of care. There are several potential obstacles to measuring outcome in routine clinical practice, but assessment methods have recently been developed to overcome these obstacles. One such obstacle is the determination of outcome across diagnostically heterogeneous groups of patients. The concept of psychiatric vital signs is described. The vast majority of a large, diagnostically heterogeneous group of psychiatric outpatients had clinically significant anxiety or depression upon presentation for treatment. This supports the routine assessment of anxiety and depression in clinical practice because almost all patients will have these problems as part of their initial presentation. Even for those patients without depression or anxiety, the case could be made that the measurement of depression and anxiety is relevant and is analogous to measuring certain physiological statistics in medical practice such as blood pressure and body temperature regardless of the reason for the visit. Another obstacle towards utilizing measurement to evaluate quality is the difficulty in aggregating data across large numbers of patients. A Web-based system of outcome assessment is described that allows response and remission rates to be calculated in a group of patients. The tools and technology now exist to overcome the challenges posed by a measurement-based care approach towards care, and this will hopefully accelerate the incorporation of measurement into routine clinical practice and enable quality improvement efforts to be tested in a cost-effective manner." @default.
• W2389200056 created "2016-06-24" @default.
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• W2389200056 date "2010-01-01" @default.
• W2389200056 modified "2023-09-27" @default.
• W2389200056 title "How Can You Improve Quality Without Measuring Outcome? Getting From Here to There" @default.
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