Shifting From Best Practice to Standard Practice: Implementing Measurement-Based Care in Health Systems.
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| Title: | Shifting From Best Practice to Standard Practice: Implementing Measurement-Based Care in Health Systems. |
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| Authors: | Deane, Amber E. (AUTHOR), Elmore, Joshua S. (AUTHOR), Mayes, Taryn L. (AUTHOR), Robinson, Skylar (AUTHOR), AlZubi, Yasmin (AUTHOR), Wakefield, Sarah M. (AUTHOR), Trivedi, Madhukar H. (AUTHOR) |
| Source: | Child Psychiatry & Human Development. Oct2025, Vol. 56 Issue 5, p1225-1234. 10p. |
| Subjects: | Value-based healthcare, Mental health services, Sampling methods, Health care industry, Treatment effectiveness, Medical practice |
| Geographic Terms: | United States |
| Abstract: | There is a high prevalence of untreated depression in adults and youth observed at the population level in the United States, and many who would benefit from treatment do not receive it. One proposed effort to increase access to care is the use of measurement-based care (MBC; repeated use of symptom measures for screening and treatment guidance) by primary care physicians to treat non-complex cases of depression. MBC has been shown to improve patient outcomes compared to care as usual, but there are barriers that need to be addressed at the health system level for effective implementation to occur. Herein we provide an overview of MBC and detail benefits and barriers of MBC implementation. Relevant considerations and guidance for implementing MBC are presented, and a case example of a health system implementing MBC is included. Though issues of reimbursement, limited human and technological resources, and resistance to systemic change are barriers to implementing MBC, effective strategies exist to overcome these barriers. In addition to helping health systems align with changes to value-based care models, effective implementation of MBC can likely improve patient outcomes and result in net financial benefits. [ABSTRACT FROM AUTHOR] |
| Copyright of Child Psychiatry & Human Development is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | There is a high prevalence of untreated depression in adults and youth observed at the population level in the United States, and many who would benefit from treatment do not receive it. One proposed effort to increase access to care is the use of measurement-based care (MBC; repeated use of symptom measures for screening and treatment guidance) by primary care physicians to treat non-complex cases of depression. MBC has been shown to improve patient outcomes compared to care as usual, but there are barriers that need to be addressed at the health system level for effective implementation to occur. Herein we provide an overview of MBC and detail benefits and barriers of MBC implementation. Relevant considerations and guidance for implementing MBC are presented, and a case example of a health system implementing MBC is included. Though issues of reimbursement, limited human and technological resources, and resistance to systemic change are barriers to implementing MBC, effective strategies exist to overcome these barriers. In addition to helping health systems align with changes to value-based care models, effective implementation of MBC can likely improve patient outcomes and result in net financial benefits. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 0009398X |
| DOI: | 10.1007/s10578-024-01715-0 |
