performance measures for substance use disorders – what research is needed物质使用障碍,研究性能的措施是必要的.pdf

Garnick et al. Addiction Science Clinical Practice 2012, 7:18 /content/7/1/18 MEETING REPORT Open Access Performance measures for substance use disorders – what research is needed? 1* 1 1 2 3 Deborah W Garnick , Constance M Horgan , Andrea Acevedo , Frank McCorry and Constance Weisner Abstract In 2010, the Washington Circle convened a meeting, supported by the National Institute on Drug Abuse (NIDA) and the Substance Abuse and Mental Health Services Administration (SAMHSA), for a multidisciplinary group of experts to focus on the research gaps in performance measures for substance use disorders. This article presents recommendations in three areas: development of new performance measures; methodological and other considerations in using performance measures; and implementation research focused on using performance measures for accountability and quality improvement. Keywords: Performance measures, Research agenda, Process, Outcome, Structure, Electronic health records Introduction Given the high stakes uses of performance measures, Two decades ago, the Institute of Medicine defined qual- it is crucially important that performance measures fo- ity as “the degree to which health care services for indi- cused on substance use disorders be further developed, viduals and populations increase the likelihood of be critically examined, and be implemented in the con- desired health outcomes and are consistent with current text of a changing health care system [2]. Therefore, in professional knowledge” [1].