Implementing evidence-based practices for youth in an HMO: the roles of external ratings and market share.

摘要

A qualitative study of child clinicians in a non-profit HMO examined implementation of evidence-based practices (EBPs) for anxiety and oppositional defiant disorders using interviews and focus groups with 33 clinicians (97% of participants), and ethnography of emails and meetings. Analysis showed statistical measures of access and service-key elements of rating organizations' report cards difficult. EBPs were secondary to access and service targets. "Research" and statistics Rating organizations should include outcome and fidelity metrics to align market share pressures with children's health.