In recent years, there has been a strong movement toward « evidence-based medicine, » which has significantly affected approaches to the delivery of mental health care.
The author highlights the cultural and socioeconomic context in which this trend has emerged.
He also notes the resulting controversy over the emphasis on randomized controlled trials (RCTs).
Although he does not reject the important role of such trials, he reviews some of their limitations and offers a rationale for the equally important role of naturalistic outcome studies.
He concludes by introducing subsequent articles in the journal issue that describe a computerized, online approach for evaluating the effectiveness of mental health care delivery.
This system, originally developed in the United Kingdom, has been adapted for use by The Menninger Clinic.
Mots-clés Pascal : Santé mentale, Organisation santé, Evaluation, Efficacité traitement, Critère décision, Rationnel irrationnel, Environnement social, Milieu culturel, Economie santé, Changement social, Système informatique, Article synthèse, Royaume Uni, Europe, Homme
Mots-clés Pascal anglais : Mental health, Public health organization, Evaluation, Treatment efficiency, Decision criterion, Rational irrational, Social environment, Cultural environment, Health economy, Social change, Computer system, Review, United Kingdom, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0398511
Code Inist : 002B18B05. Création : 22/03/2000.