Patient-centered outcome measurement in psychiatry: How metrology can optimize health services and outcomes
Patient-centered outcome measurement in psychiatry: How metrology can optimize health services and outcomes
Índice
1. Introduction
2. Engaging patient partners in outcome conceptualization and prioritization in mental health
3. The application of modern measurement methods to develop, test, and use patient centered outcome measures in clinical practice
4. Patient-centered outcome service delivery and funding allocation
5. Example of designing mental health systems with the principles of metrology: Foundry
6. Conclusion
In psychiatry, there is a call for clinicians to use patient centred outcome data routinely at the point of care to help tailor treatment plans to meet the patient’s preference and needs. Given that many decisions in psychiatry are constructed from patients’ narratives, it is critical that the conceptual, empirical, and measurement structure underlying patient reported outcome measures is robust and patient-centred. Here, we argue for the systematic accruement of patient-centred data in psychiatry to meaningfully enhance the treatment of mental disorders.
Specifically, we suggest three crucial considerations for system transformation: (1) the engagement of international patient research partners to conceptualize and prioritize outcomes; (2) the application of modern test theory to develop and evaluate patient-centred outcome measures: and (3) funding allocation accountable to evidence-based services prioritized by patients.
Skye Barbic has received a Ph.D. from McGill University- Montreal, Canada in 2013. She is now an Assistant Professor in the Department of Occupational Therapy at the University of British Columbia. – Vancouver, Canada and the Research Lead for Foundry. Her research interests are in the areas of Health Measurement, Youth Mental Health, and Rasch Measurement Theory.
Stefan J. Cano is a Chartered Psychologist and Associate Fellow of the British Psychological Society. He 24 years’ experience in patient centered outcome measure development and psychometric research. Having previously worked extensively in qualitative and quantitative research projects, Stefan’s main area of interest is in developing, applying, and improving mixed methods psychometric research in clinical studies and therapeutic trials.
Karen Tee received a Ph.D. from Simon Fraser University, Burnaby, Canada. She is a Clinical Psychologist and the Director of Service Innovation for Foundry in Vancouver, Canada, and has experience in youth mental health both in clinical operations and direct service delivery for the past 25 years.
Steve Mathias received an MD from the University of British Columbia – Vancouver, Canada. He is the Executive Director for Foundry (foundrybc.ca) in Vancouver, Canada and the Head of the Department of Psychiatry at St. Paul’s Hospital. His research interests are Integrated Health, Youth Mental Health, and At-Risk Youth.
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Measurement, Metrology, Psychiatry, Rasch
