outcome measures in medical settings

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outcome measures in medical settings

Post by bigbearbailie » Tue Oct 09, 2018 1:18 pm

Hey guys,

I work in recently reorganised physical health service as a qualified CP. We are an outpatient service open to lots of different specialities including diabetes, cardiology, respiratory medicine, maxfacs, ENT etc. My service is currently in the position of negotiating with commissioners what measures we use to report to them to essentially evaluate our value. there has been decommissioning of services in the area over recent years so its important to me to highlight just what we do.

Initially when the service was reconfigured we were asked to report the PHQ-9, GAD-7 and Core-34 as these were measures the commissioners were used to. My understanding is that they are open to alternatives and I'm trying to find ways of capturing what we do that. it had been suggested that we could use something as straight forward as a distress thermometer pre and post and something else that is being trialled locally is the goal based outcome measures that offered a more tailored and (in my eyes) recovery focused perspective.

I wonder if anyone working in physical health might be able to share what they use as standard? If anyone in other settings has found something useful I'd love to hear about it. and anyone had more general thoughts about demonstrating the value of psychology in a digestible way to non-psychologists



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Re: outcome measures in medical settings

Post by MarkM » Tue Oct 09, 2018 8:58 pm

The ones I could think of off the top of my head are:

* Work and Social Adjustment Scale (WSAS) - asks how much XYZ (diagnosis, problem, etc.) affects different areas of a person's life.

* Hospital Anxiety and Depression Scale (HADS) - as it says on the tin, see below:
https://en.wikipedia.org/wiki/Hospital_ ... sion_Scale

Review: (Click me)

* If you also work with older people, the HADS might still be an option (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5628437/ , 65-80 year olds in Sweden), but there's also the Geriatric Depression Scale ( https://patient.info/doctor/geriatric-d ... -scale-gds name's a bit iffy but it's not a bad measure).

ETA: What I like about the WSAS is that it is fairly easy to present to others, so that might work for you. And it doesn't take long. However, I think sometimes it doesn't pick up minor changes. The HADS is fairly straight-forward, too, and a bit more sensitive to change in my experience.
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