The selective promotion of clinical services which have proven effectiveness is a movement that is gaining momentum within healthcare. Outcome evaluation in treatment services for alcohol dependency is given as an example of the methodological issues associated with the establishment of clinical efficacy. It is argued that the adoption of clear protocols for assessment, treatment and outcome are a prerequisite of the process. There are costs associated with in-house follow-up studies but the benefits of feedback are evident for patients and for staff providing their care. Although exposing service providers (and commissioners) to the possibility of negative feedback, outcome evaluation in the treatment of alcohol dependency should be an integral part of provision. The principle of systematic assessment of efficacy applies to healthcare provision generally and should include management, teaching, purchasing and policymaking.

译文

选择性推广已证明有效的临床服务是一项在医疗保健领域正获得发展的运动。酒精依赖治疗服务的结果评估是与建立临床疗效相关的方法论问题的一个例子。有人认为,采用明确的评估,治疗和结果方案是该过程的先决条件。内部跟踪研究会产生一定的成本,但是反馈的好处对于患者和提供护理的工作人员来说是显而易见的。尽管使服务提供者(和专员)面临负面反馈的可能性,但治疗酒精依赖的结果评估应成为规定的组成部分。对效力进行系统评估的原则通常适用于医疗保健服务,应包括管理,教学,购买和决策。

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