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  1. Translating ethical principles into outcome measures for mental health service research.

    Article - En anglais


    Mental health service research continues to use only outcome measures that are available rather than develop measures that are important.

    This paper argues that it is necessary to select and then define a set of ethical principles that can be operationalized and validated as outcome measures to provide a wider balance of information for health policy and clinical service decisions.


    The method used is to adopt a five stage procedure :

    • (i) to select ethical principles most directly relevant for mental health services and their evaluation at the local level ;

    • (ii) to propose definitions of these principles ;

    • (iii) to validate these definitions ;

    • (iv) to translate the defined principles into operationalized outcome measures ;

    • and (v) to use these outcome measures in mental health services research, within the context of evidence-based medicine.


    We address steps (i) and (ii) of this five-stage procedure.

    Nine principles are selected and defined : autonomy, continuity, effectiveness, accessibility, comprehensiveness, equity, accountability, coordination and efficiency.

    These principles can together be referred to as the three ACEs.


    Of these nine principles, only two (effectiveness and efficiency) have so far been fully translated into quantitative outcome measures, upon which the evidence-based medicine approach depends. (...)

    Mots-clés Pascal : Santé mentale, Recherche appliquée, Critère, Ethique, Evaluation, Efficacité traitement, Politique sanitaire, Prise décision, Validation, Europe, Homme

    Mots-clés Pascal anglais : Mental health, Applied research, Criterion, Ethics, Evaluation, Treatment efficiency, Health policy, Decision making, Validation, Europe, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0398543

    Code Inist : 002B18H05A. Création : 22/03/2000.