John C. Fortney|Jürgen Unützer|Glenda Wrenn|Jeffrey M. Pyne|Gary Smith|Michael Schoenbaum|Henry T. Harbin
A Tipping Point for Measurement-Based Care
University of Arkansas for Medical Sciences|Morehouse School of Medicine|Central Arkansas Veterans Healthcare System|University of Washington|University of Arkansas for Medical Sciences|Morehouse School of Medicine|Central Arkansas Veterans Healthcare System|University of Washington|University of Arkansas for Medical Sciences|Morehouse School of Medicine|Central Arkansas Veterans Healthcare System|University of Washington|University of Arkansas for Medical Sciences|Morehouse School of Medicine|Central Arkansas Veterans Healthcare System|University of Washington|University of Arkansas for Medical Sciences|Morehouse School of Medicine|Central Arkansas Veterans Healthcare System|University of Washington|University of Arkansas for Medical Sciences|Morehouse School of Medicine|Central Arkansas Veterans Healthcare System|University of Washington|University of Arkansas for Medical Sciences|Morehouse School of Medicine|Central Arkansas Veterans Healthcare System|University of Washington
measurementbased care involves systematic administration symptom rating scales use results drive clinical decision making level individual patient literature review examined theoretical empirical support measurementbased carearticles identified search strategies pubmed google scholar additional citations references retrieved articles identified experts assembled focus group conducted kennedy forum consultedfiftyone relevant articles reviewed numerous brief structured symptom rating scales strong psychometric properties virtually randomized controlled trials frequent timely feedback patientreported symptoms provider medication management psychotherapy encounters significantly improved outcomes ineffective approaches included onetime screening assessing symptoms infrequently feeding back outcomes providers outside context clinical encounter addition empirical evidence efficacy mounting evidence largescale pragmatic trials clinical demonstration projects measurementbased care feasible implement large scale highly acceptable patients providersin addition primary gains measurementbased care individual patients also potential secondary tertiary gains made individual patient data aggregated specifically aggregated symptom rating scale data used professional development provider level quality improvement clinic level inform payers value mental health services delivered health care system level