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Outcomes research in mental health

机译：精神卫生方面的成果研究

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Background Outcomes research involves the secondary analysis of data collected routinely by clinical services, in order to judge the effectiveness of interventions and policy initiatives. It permits the study of large databases of patients who are representative of a€?real worlda€? practice. However, there are potential problems with this observational design. Aims To establish the strengths and limitations of outcomes research when applied in mental health. Method A systematic review was made of the application of outcomes research in mental health services research. Results Nine examples of outcomes research in mental health services were found. Those that used insurance claims data have information on large numbers of patients but use surrogate outcomes that are of questionable value to clinicians and patients. Problems arise when attempting to adjust for important confounding variables using routinely collected claims data, making results difficult to interpret. Conclusions Outcomes research is unlikely to be a quick or cheap means of establishing evidence for the effectiveness of mental health practice and policy.
机译：背景结果研究涉及对临床服务部门常规收集的数据进行二次分析，以判断干预措施和政策措施的有效性。它允许研究代表真实世界的大型患者数据库。实践。但是，这种观察设计存在潜在的问题。目的建立在心理健康研究中成果研究的优势和局限性。方法对结果研究在精神卫生服务研究中的应用进行了系统的综述。结果发现了9个精神卫生服务成果研究的例子。那些使用保险理赔数据的人拥有大量患者的信息，但所使用的替代结果对临床医生和患者而言却具有可疑的价值。尝试使用常规收集的索赔数据来调整重要的混杂变量时会出现问题，从而导致结果难以解释。结论结论研究不太可能是建立心理健康实践和政策有效性证据的快速或廉价手段。

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