Routine clinical outcomes measurement in old age psychiatry

@article{Macdonald2009RoutineCO,
  title={Routine clinical outcomes measurement in old age psychiatry},
  author={Alastair J. D. Macdonald},
  journal={International Psychogeriatrics},
  year={2009},
  volume={21},
  pages={990 - 995}
}
  • A. Macdonald
  • Published 10 August 2009
  • Medicine, Political Science
  • International Psychogeriatrics
It is puzzling that major public health systems in the developed world do not engage in the routine clinical outcomes measurement (RCOM) of their interventions. For example, the budget of the U.K. National Health Service (NHS) for 2008/9 was £81 billion, with 15 million inpatient episodes, yet a Martian's question “How much better are these patients for all this expense?” cannot be answered for any but a tiny proportion of them, and then only by local enthusiasts. It is true that death rates of… 
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Pitfalls in the Assessment, Analysis, and Interpretation of Routine Outcome Monitoring (ROM) Data: Results from an Outpatient Clinic for Integrative Mental Health
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  • Medicine
    Administration and Policy in Mental Health and Mental Health Services Research
  • 2013
TLDR
It is illustrated how problems inherent to design and analysis of ROM data prevent drawing conclusions about (comparative) treatment effectiveness, and how Subtle variations in analytic strategies influenced effect sizes substantially.
A systematic review of patient-reported outcome measurement (PROM) and provider assessment in mental health: goals, implementation, setting, measurement characteristics and barriers.
  • M. Gelkopf, Yael Mazor, D. Roe
  • Medicine
    International journal for quality in health care : journal of the International Society for Quality in Health Care
  • 2020
TLDR
Improving data input systems, sufficient training, regular feedback, measures to increase administrative and logistic support to improve implementation, acceptability, feasibility and sustainability, follow-up assessments and client attrition rate reduction efforts are only some measures needed to enhance PROM/ROM efficiency and efficacy.
Combining routine outcomes measurement and ‘Payment by Results’: will it work and is it worth it?
Summary The Department of Health in England has long encouraged the routine measurement of clinical outcomes in mental health services but has now decided to use outcome measures as part of a new…

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