精神保健福祉における学際的多職種連携によるチームケアの効果測定

Despite great interests on interdisciplinary collaborative team care (ICTC) in psychiatric care, a limited number of studies regarding the practice of ICTC and its evaluation has been reported in Japan. There is little consistency in the selection of the outcome variables and the methods of measurement, so that the effectiveness of ICTC has not been clearly shown. The purpose of this article is to emphasize the needs for systematic evaluation of ICTC in psychiatric care, as well as to identify some methodological essentials for the evaluation research on the management innovation. Use of more a scientific research design, such as an experimental design with controlling of extraneous variables or an extensive qualitative research, and more adequate outcome variables and the instruments should be considered for the future research. The future diffusion of ICTC as a new health care model in Japan can depend on the researchers who recognize the importance of the evidence-based management, like as the evidence-based medicine, present scientific evidences on improved health care and reduced costs as the outcome of ICTC, and provide a guideline for the health care organizations to evaluate their practice of ICTC. Despite great interests on interdisciplinary collaborative team care (ICTC) in psychiatric care, a limited number of studies regarding the practice of ICTC and its evaluation has been reported in Japan. There is little consistency in the selection of the outcome variables and the methods of measurement, so that the effectiveness of ICTC has not been clearly shown. The purpose of this article is to emphasize the needs for systematic evaluation of ICTC in psychiatric care, as well as to identify some methodological essentials for the evaluation research on the management innovation. Use of more a scientific research design, such as an experimental design with controlling of extraneous variables or an extensive qualitative research, and more adequate outcome variables and the instruments should be considered for the future research. The future diffusion of ICTC as a new health care model in Japan can depend on the researchers who recognize the importance of the evidence-based management, like as the evidence-based medicine, present scientific evidences on improved health care and reduced costs as the outcome of ICTC, and provide a guideline for the health care organizations to evaluate their practice of ICTC.