| Description |
1 online resource |
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text txt rdacontent |
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computer c rdamedia |
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online resource cr rdacarrier |
| Bibliography |
Includes bibliographical references. |
| Note |
Print version record and CIP data provided by publisher; resource not viewed. |
| Summary |
In recent years, the number of U.S. service members treated for psychological health conditions has increased substantially. In particular, at least two psychological health conditions - posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) - have become more common, with prevalence estimates up to 20 percent for PTSD and 37 percent for MDD. Delivering quality care to service members with these conditions is a high-priority goal for the military health system (MHS). Meeting this goal requires understanding the extent to which the care the MHS provides is consistent with evidence-based clinical practice guidelines and its own standards for quality. To better understand these issues, RAND Corporation researchers developed a framework to identify and classify a set of measures for monitoring the quality of care provided by the MHS for PTSD and MDD. The goal of this project was to identify, develop, and describe a set of candidate quality measures to assess care for PTSD and MDD. To accomplish this goal, the authors performed two tasks: (1) developed a conceptual framework for assessing the quality of care for psychological health conditions and (2) identified a candidate set of measures for monitoring, assessing, and improving the quality of care for PTSD and MDD. This document describes their research approach and the candidate measure sets for PTSD and MDD that they identified. The current task did not include implementation planning but provides the foundation for future RAND work to pilot a subset of these measures. |
| Contents |
Cover; Title Page; Copyright; Preface; Contents; Figures and Tables; Summary; Acknowledgments; Abbreviations; Chapter One: Introduction; Defining and Measuring Quality of Care; How Quality Measures Are Used; Quality Improvement; Accountability; Research; Examples of Improved Performance over Time; Overview of Our Process for Quality Measure Development; Organization of the Report; Chapter Two: Framework for Classifying Measures of Psychological Health Conditions; Dimensions for the Framework; Care Continuum; Measure Type; Matrix Framework for Classifying Psychological Health Measures. |
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Chapter Three: Identification of Measures of Quality of Care for Posttraumatic Stress Disorder and Major Depressive DisorderMeasure Selection by Expert Consensus; Chapter Four: Overview of Candidate Sets of Measures of Care Quality for Posttraumatic Stress Disorder and Major Depressive Disorder; Description of Candidate Measures, by Care Continuum Phase; Description of Candidate Measures, by Measure Type; Description of Candidate Measures Using the Matrix Framework; Examination of Need for New Measures; Prevention; Reintegration; Structure Measures; Chapter Five: Summary and Recommendations. |
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Study LimitationsRecommendations; Appendixes; A. Definitions of Terms Used to Describe Quality Measures; B. Descriptions of Measures of Quality of Care for Posttraumatic Stress Disorder; C. Descriptions of Measures of Quality of Care for Major Depressive Disorder; D. Additional Rationale for Cost Measure; E. Candidate Set of Measures of Quality of Care for Posttraumatic Stress Disorder; F. Candidate Set of Measures of Quality of Care for Major Depressive Disorder; G. Sources of Measures; Bibliography. |
| Subject |
Soldiers -- Mental health services -- United States -- Evaluation.
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Post-traumatic stress disorder -- United States.
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Post-traumatic stress disorder -- Treatment -- Evaluation.
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Depression, Mental -- United States.
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Depression, Mental -- Treatment -- Evaluation.
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United States -- Armed Forces -- Medical care -- Evaluation.
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État de stress post-traumatique -- États-Unis.
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État de stress post-traumatique -- Traitement -- Évaluation.
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Dépression -- États-Unis.
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Dépression -- Traitement -- Évaluation.
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HEALTH & FITNESS -- Diseases -- General.
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MEDICAL -- Clinical Medicine.
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MEDICAL -- Diseases.
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MEDICAL -- Evidence-Based Medicine.
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MEDICAL -- Internal Medicine.
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Depression, Mental
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Post-traumatic stress disorder
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United States
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| Other Form: |
Print version: Hepner, Kimberly A. Measuring the quality of care for psychological health conditions in the military health system. Santa Monica, CA : RAND, [2015] 9780833086563 (DLC) 2015014483 |
| ISBN |
9780833086570 (electronic bk.) |
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083308657X (electronic bk.) |
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9780833086587 (electronic bk.) |
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0833086588 (electronic bk.) |
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9780833086594 (electronic bk.) |
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0833086596 (electronic bk.) |
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9780833086563 (pbk. ; alk. paper) |
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0833086561 (pbk. ; alk. paper) |
| Standard No. |
AU@ 000061154754 |
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DEBBG BV043785981 |
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DEBBG BV044051495 |
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DEBSZ 47286663X |
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GBVCP 1008663395 |
