Gilbody, S M, House, A O and Sheldon, T (2002) Routine administration of Health Related Quality of Life (HRQoL) and needs assessment instruments to improve psychological outcome: a systematic review. Psychological Medicine. pp. 1345-1356. ISSN 0033-2917Full text available as:
Background. Routine administration of Health Related Quality of Life (HRQoL) and needs assessment instruments has been advocated as part of clinical care to aid the recognition of psychosocial problems, to inform clinical decision making, to monitor therapeutic response and to facilitate patient-doctor communication. However, their adoption is not without cost and the benefit of their use is unclear. Method. A systematic review was conducted. We sought experimental studies that examined the addition of routinely administered measures of HRQoL to care in both psychiatric and non-psychiatric settings. We searched the following databases: MEDLINE, EMBASE, CINAHL, PsycLIT and Cochrane Controlled Trials Register (to 2000). Data were extracted independently and a narrative synthesis of results was presented. Results. Nine randomized and quasi-randomized studies conducted in non-psychiatric settings were found. All the instruments used included an assessment of mental well-being, with specific questions relating to depression and anxiety. The routine feedback of these instruments had little impact on the recognition of mental disorders or on longer term psychosocial functioning. While clinicians welcomed the information these instruments imparted, their results were rarely incorporated into routine clinical decision making. No studies were found that examined the value of routine assessment and feedback of HRQoL or patient needs in specialist psychiatric care settings. Conclusions. Routine HRQoL measurement is a costly exercise and there is no robust evidence to suggest that it is of benefit in improving psychosocial outcomes of patients managed in non-psychiatric settings. Major policy initiatives to increase the routine collection and use of outcome measures in psychiatric settings are unevaluated.
|Copyright, Publisher and Additional Information:||© 2000 Cambridge University Press|
|Keywords:||PRIMARY-CARE PATIENTS, OF-LIFE, FUNCTIONAL STATUS, MENTAL-ILLNESS, UNTREATED ANXIETY, MEDICAL OUTCOMES, SURVEY SF-36, VALIDITY, RELIABILITY, PHYSICIANS|
|Academic Units:||The University of York > Hull York Medical School (York)|
|Depositing User:||Repository Assistant|
|Date Deposited:||25 May 2006|
|Last Modified:||17 Oct 2013 14:31|