caa a22 4500 445320974 CHVBK 20180317142703.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s10488-010-0301-4 doi (NATIONALLICENCE)springer-10.1007/s10488-010-0301-4 Luchins Daniel Jesse Brown VAMC, 820 South Damen Ave. 116A, 60612, Chicago, IL, USA aut Demand Characteristics and Quality Improvement: Who is Fooling Whom? [Elektronische Daten] [Daniel Luchins] Since some of the data used for quality assurance purposes (i.e. rating scales) requires the active participation of clinicians, administrators use various mandates or incentives to insure its collection. However, although improving clinician compliance these measures may bias clinician responses. It is suggested that the concept of ‘demand characteristics' originally developed by Orne to describe how non-specific aspects of the experimental setting shape what the human subject does may be applicable. For example a measure that might increase clinician compliance with completing GAF ratings on an inpatient unit might also influence the scores to make them coincide with the expectation that all patients are very ill when admitted and improved when discharged. Why such a phenomenon would be difficult to detect and what it might say about the relationship between managers and those they manage is also explored. Department of Veteran Affairs, 2010 Quality assurance nationallicence Rating scales nationallicence Demand characteristics nationallicence Administration nationallicence Administration and Policy in Mental Health and Mental Health Services Research Springer US; http://www.springer-ny.com 38/2(2011-03-01), 117-119 0894-587X 38:2<117 2011 38 10488 https://doi.org/10.1007/s10488-010-0301-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10488-010-0301-4 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Luchins Daniel Jesse Brown VAMC, 820 South Damen Ave. 116A, 60612, Chicago, IL, USA aut NATIONALLICENCE 773 0- Administration and Policy in Mental Health and Mental Health Services Research Springer US; http://www.springer-ny.com 38/2(2011-03-01), 117-119 0894-587X 38:2<117 2011 38 10488 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer