Measuring the Quality of Care for Psychological Health Conditions in the Military Health System: Candidate Quality Measures for Posttraumatic Stress Disorder and Major Depressive Disorder.

摘要

In recent years, the number of U.S. service members treated for psychological health (PH) conditions has increased substantially. In particular, at least two PH conditions, posttraumatic stress disorder (PTSD) and major depressive disorder (MDD), have prevalence estimates ranging from 4 to 20 percent for PTSD and 5 to 37 percent for MDD (Institute of Medicine [IOM], 2013, p. 21; Ramchand, Schell, et al., 2010; Schell and Marshall, 2008). 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. However, there is currently no MHS-wide system in place to evaluate quality of care for PH conditions, to assess whether the care is improving patient outcomes, or to identify potential areas for improvement.