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

Hamilton, John, Daleiden, Eric and Dopson, Sue (2011) Implementing evidence based practices for youth in an HMO: The roles of external ratings and market share. Administration and Policy in Mental Health, 38 (3). pp. 203-210.

Abstract

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"- were central in creating "pressure" making transition to EBPs difficult. EBPs were secondary to access and service targets. "Research" and "statistics" were perceived as unrealistic, "literature" as lacking authority. Rating organizations should include outcome and fidelity metrics to align market share pressures with children's health.

Item Type: Article
Keywords: Anxiety; attention deficit disruptive behavior disorder; child health services; evidence based medicine; health maintenance organizations; health plan implementation; health plan implementation methods; health services accessibility; marketing health services; nonprofit; organizations; pilot projects; qualitative research
Subject(s): Organisational behaviour
Centre: Faculty of Organisational Behaviour
Date Deposited: 27 Mar 2012 19:43
Last Modified: 23 Oct 2015 14:07
URI: http://eureka.sbs.ox.ac.uk/id/eprint/3068

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