Whose values are represented in value-based healthcare?

Looi, Jeffrey Cl; Bastiampillai, Tarun; Kisely, Steve; Allison, Stephen

doi:10.1177/00048674211056006

Aust N Z J Psychiatry

2021

DOI: 10.1177/00048674211056006

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Whose values are represented in value-based healthcare?

Jeffrey Cl Looi

Tarun Bastiampillai

Steve Kisely

et al.

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“…3 This has been championed by private health insurance funds (PHIFs) and managed care organisations in the United States. 4 Also inquiries such as the Productivity Commission Report on Mental Health (https:// www.pc.gov.au/inquiries/completed/mental-health#report) and the Victorian Royal Commission on Mental Health Services (https://finalreport.rcvmhs.vic.gov.au/) reviewed the efficacy of mental healthcare services. However, in the Australian context of sustained collection of outcome data, it is surprising that these major reviews of the mental health system have made relatively little to no use of either clinician or patient-reported outcome measures as quality indicators for care, especially in the private sector.…”

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confidence: 99%

Clinical update on psychiatric outcome measurement: what is the purpose, what is known and what should be done about it?

Looi

Pring

Allison

et al. 2022

Australas Psychiatry

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Objective To provide a clinical update on the purposes, evidence-base and recommendations for both clinician and patient-rated outcome measures in psychiatric practice. Conclusions Private and public sector funders have implemented outcome measurement systems in Australian mental healthcare, in order to improve cost-effectiveness. It is important to consider the ultimate aims of outcome measurement from various perspectives in evaluating the evidence-base, as there are a number of measurement dimensions to address. For individual clinicians, the purpose may be to guide treatment-planning, as well as to assess treatment and clinician efficacy. For patients, the purpose is to assess outcomes in terms of their goals for recovery, as well as to evaluate their satisfaction with the care provided, and their healthcare providers. The other orthogonal dimensions of measurement comprise, the proximal to illness measures of symptomatic severity, and the distal measures of disability, which apply to both clinician and patient outcomes. In turn, these measures may be used by healthcare funders in public or private sectors as proxy measures of the cost-effectiveness of psychiatric care provided. Clinical registries linked to service-mapping would provide better data for patients, providers and funders to assess the availability and effectiveness of psychiatric care in Australia.

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confidence: 99%

Clinical update on psychiatric outcome measurement: what is the purpose, what is known and what should be done about it?

Looi

Pring

Allison

et al. 2022

Australas Psychiatry

Self Cite

View full text Add to dashboard Cite

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Whose values are represented in value-based healthcare?

Cited by 1 publication

References 5 publications

Clinical update on psychiatric outcome measurement: what is the purpose, what is known and what should be done about it?

Clinical update on psychiatric outcome measurement: what is the purpose, what is known and what should be done about it?

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