caa a22 4500 445320818 CHVBK 20180317142703.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1007/s10488-011-0343-2 doi (NATIONALLICENCE)springer-10.1007/s10488-011-0343-2 Implementing Evidence-Based Practices for Youth in an HMO: The Roles of External Ratings and Market Share [Elektronische Daten] [John Hamilton, Eric Daleiden, Sue Dopson] 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. Springer Science+Business Media, LLC, 2011 Implementation nationallicence Evidence-based practice nationallicence HMO nationallicence Hamilton John The Permanente Medical Group, 2345 Fair Oaks Boulevard, 95825, Sacramento, CA, USA aut Daleiden Eric Kismetrics LLC, Satellite Beach, USA aut Dopson Sue Rhodes Trust Professor of Organisational Behaviour, Said Business School, University of Oxford, Oxford, United Kingdom aut Administration and Policy in Mental Health and Mental Health Services Research Springer US; http://www.springer-ny.com 38/3(2011-05-01), 203-210 0894-587X 38:3<203 2011 38 10488 https://doi.org/10.1007/s10488-011-0343-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10488-011-0343-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hamilton John The Permanente Medical Group, 2345 Fair Oaks Boulevard, 95825, Sacramento, CA, USA aut NATIONALLICENCE 700 1- Daleiden Eric Kismetrics LLC, Satellite Beach, USA aut NATIONALLICENCE 700 1- Dopson Sue Rhodes Trust Professor of Organisational Behaviour, Said Business School, University of Oxford, Oxford, United Kingdom aut NATIONALLICENCE 773 0- Administration and Policy in Mental Health and Mental Health Services Research Springer US; http://www.springer-ny.com 38/3(2011-05-01), 203-210 0894-587X 38:3<203 2011 38 10488 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer