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An introduction to measurement-based care: Scientific literature and implementation in military and Veteran care systems.

Measurement-based care (MBC) is an evidence-based practice in which patient-reported process and outcome data are routinely and systematically collected to track treatment progress. MBC uses such data to identify when patients are not progressing as expected. In this way, MBC supports clinicians in...

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Published in:Journal of Military, Veteran & Family Health Vol. 12; no. 1; pp. 105 - 110
Main Authors: Fikretoglu, Deniz, Garber, Bryan
Format: Journal Article
Published: University of Toronto Press Jan2026
Online Access:View this record in EBSCOhost
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      jtl: Journal of Military, Veteran & Family Health
      issn: 23687924
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      dt: Jan2026
      vid: 12
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      pub: University of Toronto Press
      place: North York, Ontario
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        191304652
        187937204
        10.3138/jmvfh-2025-0003
        191304652
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        atl: An introduction to measurement-based care: Scientific literature and implementation in military and Veteran care systems.
      aug:
        au:
          Fikretoglu, Deniz
          Garber, Bryan
        affil: Toronto Research Centre, Defence Research and Development Canada, Toronto, Ontario, Canada
      sug:
        subj:
          Military Health Services
          Veterans Health Services
          Patient-Reported Outcomes
          Outcome Assessment
          Treatment Outcomes
          Quality Improvement
          Mental Health Services
          Implementation Science
          Quality of Health Care
          Health Resource Utilization
          Medical Practice, Evidence-Based
          United States Department of Veterans Affairs
          Program Implementation
          Self Report
      ab:
        Measurement-based care (MBC) is an evidence-based practice in which patient-reported process and outcome data are routinely and systematically collected to track treatment progress. MBC uses such data to identify when patients are not progressing as expected. In this way, MBC supports clinicians in refining mental health treatment as needed. When implemented consistently, MBC improves patient outcomes. However, the uptake of MBC in military and Veteran mental health care systems has been less than optimal. The authors present their point of view that the challenges in successfully implementing MBC can be traced to two key issues, under-specification of MBC and limitations in implementation science, and they propose several solutions to address these issues in future research on MBC. Lay Summary: When mental health clinicians frequently ask for their patient's perspective and consider this perspective in developing and modifying treatment plans, patient outcomes are improved. The authors discuss the reasons why this approach is not yet widely used and suggest ways to encourage greater use of this approach among patients and clinicians.
        Les soins fondés sur des mesures (SFM) désignent une pratique fondée sur des données probantes dans le cadre de laquelle les données sur les processus et les résultats déclarés par les patients sont recueillis régulièrement et systématiquement afin de suivre l'évolution du traitement. Ils font appel à ces données pour déterminer les situations dans lesquelles les patient.e.s n'évoluent pas comme prévu. Ainsi, les SFM aident les clinicien.ne.s à peaufiner les traitements en santé mentale, lorsque la situation l'indique. Lorsqu'ils sont mis en oeuvre systématiquement, les SFM améliorent les résultats cliniques. Cependant, leur mise en pratique au sein des systèmes de santé mentale des militaires et des vétéran.e.s s'est révélée moins qu'optimale. Les auteurs exposent qu'à leur avis, les difficultés liées à une mise en oeuvre fructueuse des SFM peuvent être attribuables à deux problèmes clés, soit la sous-spécification des SFM et les limites à la science de la mise en oeuvre, et ils proposent plusieurs solutions pour corriger ces problèmes dans de prochaines recherches sur les SFM.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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