What does 'clinical significance' mean in the context of the Health of the Nation Outcome Scales?
Philip Burgess, Tom Trauer, Tim Coombs, Rod McKay, Jane Pirkis
AUSTRALASIAN PSYCHIATRY | INFORMA HEALTHCARE | Published : 2009
OBJECTIVE: The aim of this paper was to improve understanding of what 'clinical significance' means in relation to the Health of the Nation Outcome Scales (HoNOS) and its older persons and child/adolescent equivalents (the HoNOS65+ and HoNOSCA). METHOD: An anonymous, web-based survey was completed by 94 outcome measurement experts, most of whom had clinical responsibilities. Respondents were asked to indicate for acute inpatient and ambulatory settings: the rating on each item which represented a clinically significant problem; the relative importance of each item in determining overall clinical severity; and the items which would not be expected to improve between admission and review, admi..View full abstract
This work was funded by the Mental Health Reform Branch of the Australian Government's Department of Health and Ageing.