This comprehensive yet practical handbook consolidates information needed by health psychologists working alongside other healthcare professionals. It facilitates the progression of the learner from the classroom to the clinical setting by focusing on the translation of science to practice using practical examples. The Handbook is divided into four major parts. Part I highlights practical issues faced by health psychologists in a medical setting (how to motivate patients, consultation-liaison, assessment and screening, brief psychotherapies, ethical issues, etc.) Part II concentrates on treating unhealthy behaviors (alcohol and nicotine use, noncompliance, overeating/obesity, physical inactivity, stress). Part III considers behavioral aspects of medical problems (pain management, hypertension, diabetes, cancer, sexual dysfunction, HIV/AIDS, irritable bowel syndrome, insomnia). And Part IV takes up special issues relevant to practice and research in the field (minority issues, women’s issues, working with geriatric populations, public health approaches to health psychology and behavioral medicine). The Handbook will prove to be an invaluable resource for those already working in the field of health psychology as well as for those in training.
Chapter 28: Evaluating Outcomes in Health Care Settings
Evaluating Outcomes in Health Care Settings
During this era of managed care and increased consumer awareness, there is an ever-increasing demand from different entities (e.g., federal agencies, third-party reimbursements, consumer advocate groups) to ask for evidence of professional service effectiveness. This demand is amplified by the dramatic cost increases in providing quality health care (Relman, 1988). In turn, public and private organizations are beginning to incorporate evaluation components into different service delivery programs (Brown & Reed, 2002). This change is especially evident in health care settings that serve a wide range of populations with different health problems (Fink, 1993).
One way of directly addressing professional accountability is through the systematic evaluation of the services delivered. This systematic evaluation of different service ...