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Published in: International Journal of Mental Health Systems 1/2010

Open Access 01-12-2010 | Research

A preliminary taxonomy and a standard knowledge base for mental-health system indicators in Spain

Authors: Luis Salvador-Carulla, José Alberto Salinas-Pérez, Manuel Martín, Mont-serrat Grané, Karina Gibert, Miquel Roca, Antonio Bulbena, the GClin-SEP group

Published in: International Journal of Mental Health Systems | Issue 1/2010

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Abstract

Background

There are many sources of information for mental health indicators but we lack a comprehensive classification and hierarchy to improve their use in mental health planning. This study aims at developing a preliminary taxonomy and its related knowledge base of mental health indicators usable in Spain.

Methods

A qualitative method with two experts panels was used to develop a framing document, a preliminary taxonomy with a conceptual map of health indicators, and a knowledge base consisting of key documents, glossary and database of indicators with an evaluation of their relevance for Spain.

Results

A total of 661 indicators were identified and organised hierarchically in 4 domains (Context, Resources, Use and Results), 12 subdomains and 56 types. Among these the expert panels identified 200 indicators of relevance for the Spanish system.

Conclusions

The classification and hierarchical ordering of the mental health indicators, the evaluation according to their level of relevance and their incorporation into a knowledge base are crucial for the development of a basic list of indicators for use in mental health planning.
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Literature
2.
go back to reference Garrido-Cumbrera M, Almenara-Barrios J, López-Lara E, Peralta-Sáez JL, García-Gutierrez JC, Salvador-Carulla L: Development and spatial representation of synthetic indexes of outpatient mental health care in Andalusia (Spain). Epidemiol Psichiatr Soc. 2008, 17 (3): 192-200.CrossRefPubMed Garrido-Cumbrera M, Almenara-Barrios J, López-Lara E, Peralta-Sáez JL, García-Gutierrez JC, Salvador-Carulla L: Development and spatial representation of synthetic indexes of outpatient mental health care in Andalusia (Spain). Epidemiol Psichiatr Soc. 2008, 17 (3): 192-200.CrossRefPubMed
3.
go back to reference Salvador-Carulla L, Haro JM, Ayuso-Mateos JL: A framework for evidence based mental health care and policy. Acta Psychiatr Scand. 2006, 111 (Suppl 432): 5-11. 10.1111/j.1600-0447.2006.00914.x.CrossRef Salvador-Carulla L, Haro JM, Ayuso-Mateos JL: A framework for evidence based mental health care and policy. Acta Psychiatr Scand. 2006, 111 (Suppl 432): 5-11. 10.1111/j.1600-0447.2006.00914.x.CrossRef
4.
go back to reference Salvador-Carulla L, Bulbena A, Vázquez-Barquero JL, Muñoz PE, Gómez-Beneyto M, Torres González F: La salud mental en España: Cenicienta en el País de las Maravillas. Invertir para la Salud. Prioridades en salud pública. Informe SESPAS 2002. Edited by: Cabasés JM, Villalbí JR, Aibar C. 2002, Valencia, Escuela Valenciana de Estudios para la salud y Generalitat Valenciana, 301-326. Salvador-Carulla L, Bulbena A, Vázquez-Barquero JL, Muñoz PE, Gómez-Beneyto M, Torres González F: La salud mental en España: Cenicienta en el País de las Maravillas. Invertir para la Salud. Prioridades en salud pública. Informe SESPAS 2002. Edited by: Cabasés JM, Villalbí JR, Aibar C. 2002, Valencia, Escuela Valenciana de Estudios para la salud y Generalitat Valenciana, 301-326.
5.
go back to reference World Health Organisation: Mental health systems in selected low- and middle income countries: a WHO-AIMS cross-national analysis. 2009, Geneva: WHO World Health Organisation: Mental health systems in selected low- and middle income countries: a WHO-AIMS cross-national analysis. 2009, Geneva: WHO
6.
go back to reference Jenkins R, Gulbinat W, Manderscheid R, Baingana F, Whiteford H, Khandelwal S, Minoletti A, Mubbashar MH, Srinivasa Murthy R, Parameshvara Deva M, Mak L, Baba A, Townsend C, Harrison M, Mohit A: The mental health country profile: background, design and use of a systematic method of appraisal. Int Rev Psychiatry. 2004, 16 (1-2): 31-47. 10.1080/09540260310001635087.CrossRefPubMed Jenkins R, Gulbinat W, Manderscheid R, Baingana F, Whiteford H, Khandelwal S, Minoletti A, Mubbashar MH, Srinivasa Murthy R, Parameshvara Deva M, Mak L, Baba A, Townsend C, Harrison M, Mohit A: The mental health country profile: background, design and use of a systematic method of appraisal. Int Rev Psychiatry. 2004, 16 (1-2): 31-47. 10.1080/09540260310001635087.CrossRefPubMed
7.
go back to reference Ministerio de Sanidad y Consumo: Estrategia en Salud Mental del Sistema Nacional de Salud. 2007, Madrid, Ministerio de Sanidad y Consumo Ministerio de Sanidad y Consumo: Estrategia en Salud Mental del Sistema Nacional de Salud. 2007, Madrid, Ministerio de Sanidad y Consumo
8.
go back to reference Salvador-Carulla L, Montero I, Torres-González F: Información para una planificación de salud mental basada en la evidencia: Introducción. Monografías de Psiquiatría. 2008, 20 (1): 1-3. Salvador-Carulla L, Montero I, Torres-González F: Información para una planificación de salud mental basada en la evidencia: Introducción. Monografías de Psiquiatría. 2008, 20 (1): 1-3.
9.
go back to reference Salvador-Carulla L: The economics of mental health in Spain. An unsolved issue?. Gac Sanit. 2007, 21 (4): 314-315. 10.1157/13108504.CrossRefPubMed Salvador-Carulla L: The economics of mental health in Spain. An unsolved issue?. Gac Sanit. 2007, 21 (4): 314-315. 10.1157/13108504.CrossRefPubMed
10.
go back to reference Villanueva JA, Martínez L: Toward a Health Care Technology Management Knowledge Base. Health Care Exchanges. 2009, 16 (20): 127-129. full_text. Villanueva JA, Martínez L: Toward a Health Care Technology Management Knowledge Base. Health Care Exchanges. 2009, 16 (20): 127-129. full_text.
11.
go back to reference Goffman E: Frame analysis: an essay on the organization of experience. 1986, Boston: Northeastern University Press Goffman E: Frame analysis: an essay on the organization of experience. 1986, Boston: Northeastern University Press
12.
go back to reference Snow DA, Rochford EB, Worden SK, Benford RD: Frame alignment processes, micromobilization, and movement participation. Am Sociol Rev. 1986, 51: 464-481. 10.2307/2095581.CrossRef Snow DA, Rochford EB, Worden SK, Benford RD: Frame alignment processes, micromobilization, and movement participation. Am Sociol Rev. 1986, 51: 464-481. 10.2307/2095581.CrossRef
13.
go back to reference Viitanen E, Wiili-Peltola E, Tampsi-Jarvala T, Lehto J: First-line nurse managers in university hospitals--captives to their own professional culture?. J Nurs Manag. 2007, 15: 114-122. 10.1111/j.1365-2934.2006.00656.x.CrossRefPubMed Viitanen E, Wiili-Peltola E, Tampsi-Jarvala T, Lehto J: First-line nurse managers in university hospitals--captives to their own professional culture?. J Nurs Manag. 2007, 15: 114-122. 10.1111/j.1365-2934.2006.00656.x.CrossRefPubMed
14.
go back to reference Bartunek JM, Murnighan JK: The nominal group technique: Expanding the basic procedure and underlying assumptions. Group and Organ Stud. 1984, 9: 417-432. 10.1177/105960118400900307.CrossRef Bartunek JM, Murnighan JK: The nominal group technique: Expanding the basic procedure and underlying assumptions. Group and Organ Stud. 1984, 9: 417-432. 10.1177/105960118400900307.CrossRef
15.
go back to reference Gallagher M, Hares T, Spencer J, Bradshaw C, Webb I: The nominal group technique: a research tool for general practice?. Fam Pract. 1993, 10: 76-81. 10.1093/fampra/10.1.76.CrossRefPubMed Gallagher M, Hares T, Spencer J, Bradshaw C, Webb I: The nominal group technique: a research tool for general practice?. Fam Pract. 1993, 10: 76-81. 10.1093/fampra/10.1.76.CrossRefPubMed
16.
go back to reference Alonso F, Walsh CO, Salvador-Carulla L, the eVITAL group: Methodology for the development of a taxonomy and toolkit to evaluate health-related habits and lifestyle (eVITAL). BMC Res Notes. 2010, 3 (1): 83-10.1186/1756-0500-3-83.PubMedCentralCrossRefPubMed Alonso F, Walsh CO, Salvador-Carulla L, the eVITAL group: Methodology for the development of a taxonomy and toolkit to evaluate health-related habits and lifestyle (eVITAL). BMC Res Notes. 2010, 3 (1): 83-10.1186/1756-0500-3-83.PubMedCentralCrossRefPubMed
17.
go back to reference Grandes G, Sanchez A, Cortada JM, Balague L, Calderon C, Arrazola A, Vergara I, Millan E: Is integration of healthy lifestyle promotion into primary care feasible? Discussion and consensus sessions between clinicians and researchers. BMC Health Serv Res. 2008, 8: 213-PubMedCentralCrossRefPubMed Grandes G, Sanchez A, Cortada JM, Balague L, Calderon C, Arrazola A, Vergara I, Millan E: Is integration of healthy lifestyle promotion into primary care feasible? Discussion and consensus sessions between clinicians and researchers. BMC Health Serv Res. 2008, 8: 213-PubMedCentralCrossRefPubMed
18.
go back to reference Organización Mundial de la Salud: Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud. 2001, Madrid, Ministerio de Trabajo y Asuntos Sociales. Secretaria de Asuntos Sociales. Instituto de Migraciones y Servicios Sociales (IMSERSO) Organización Mundial de la Salud: Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud. 2001, Madrid, Ministerio de Trabajo y Asuntos Sociales. Secretaria de Asuntos Sociales. Instituto de Migraciones y Servicios Sociales (IMSERSO)
19.
go back to reference Salvador-Carulla L, Romero C, Martínez A, Haro JM, Bustillo G, Ferreira A, Gaite L, Johnson S, PSICOST Group: Assessment instruments: standardization of the European Service Mapping Schedule (ESMS) in Spain. Acta Psychiat Scand. 2000, 102 (Supl 405): 24-32. 10.1111/j.0902-4441.2000.t01-1-acp28-05.x.CrossRef Salvador-Carulla L, Romero C, Martínez A, Haro JM, Bustillo G, Ferreira A, Gaite L, Johnson S, PSICOST Group: Assessment instruments: standardization of the European Service Mapping Schedule (ESMS) in Spain. Acta Psychiat Scand. 2000, 102 (Supl 405): 24-32. 10.1111/j.0902-4441.2000.t01-1-acp28-05.x.CrossRef
21.
go back to reference Hanney SR, Gonzalez-Block MA: Editorial Evidence-informed health policy: are we beginning to get there at last?. Health Res Policy Syst. 2009, 7 (1): 30-10.1186/1478-4505-7-30.PubMedCentralCrossRefPubMed Hanney SR, Gonzalez-Block MA: Editorial Evidence-informed health policy: are we beginning to get there at last?. Health Res Policy Syst. 2009, 7 (1): 30-10.1186/1478-4505-7-30.PubMedCentralCrossRefPubMed
22.
go back to reference Lewin S, Oxman AD, Lavis JN, Fretheim A, Garcia Marti S, Munabi-Babigumira S: SUPPORT tools for evidence-informed policymaking in health 11: Finding and using evidence about local conditions. Health Res Policy Syst. 2009, 16 (7 Suppl 1): S11-10.1186/1478-4505-7-S1-S11.CrossRef Lewin S, Oxman AD, Lavis JN, Fretheim A, Garcia Marti S, Munabi-Babigumira S: SUPPORT tools for evidence-informed policymaking in health 11: Finding and using evidence about local conditions. Health Res Policy Syst. 2009, 16 (7 Suppl 1): S11-10.1186/1478-4505-7-S1-S11.CrossRef
23.
go back to reference Surján G, Szilágyi É, Kóvats T: A pilot ontological model of public health indicators. ComputBiol Med. 2006, 36: 802-816. 10.1016/j.compbiomed.2005.07.003.CrossRef Surján G, Szilágyi É, Kóvats T: A pilot ontological model of public health indicators. ComputBiol Med. 2006, 36: 802-816. 10.1016/j.compbiomed.2005.07.003.CrossRef
24.
25.
go back to reference Salvador-Carulla L, Costa-Font J, Cabases J, McDaid D, Alonso J: Evaluating mental health care and policy in Spain. J Ment Health Policy Econ. 2010, 13 (2): 73-86.PubMed Salvador-Carulla L, Costa-Font J, Cabases J, McDaid D, Alonso J: Evaluating mental health care and policy in Spain. J Ment Health Policy Econ. 2010, 13 (2): 73-86.PubMed
26.
go back to reference Leginski WA, Croze C, Driggers J, Dumpman S, Geertsen D, Kamis-Gould E, Namerow MJ, Patton R, Wilson NZ, Wurster CR: Data Standards for Mental Health Decision Support Systems. A Report of the Task Force to Revise the Data Content and System Guidelines of the Mental Health Statistics Improvement Program. 1989, Washington DC: U.S. Department of Health and Human Services Leginski WA, Croze C, Driggers J, Dumpman S, Geertsen D, Kamis-Gould E, Namerow MJ, Patton R, Wilson NZ, Wurster CR: Data Standards for Mental Health Decision Support Systems. A Report of the Task Force to Revise the Data Content and System Guidelines of the Mental Health Statistics Improvement Program. 1989, Washington DC: U.S. Department of Health and Human Services
27.
go back to reference Aron L, Honberg R, Duckworth K, Kimball A, Edgar E, Carolla B, Fitzpatrick M: Grading the States 2009: A report on America's health care system for adults with serious mental illness. 2009, Arlington, VA: National Alliance on Mental Illness Aron L, Honberg R, Duckworth K, Kimball A, Edgar E, Carolla B, Fitzpatrick M: Grading the States 2009: A report on America's health care system for adults with serious mental illness. 2009, Arlington, VA: National Alliance on Mental Illness
28.
go back to reference Garcia-Armesto S, Medeiros H, Wei L: Information availability for measuring and comparing quality of mental health care across OECD countries. OECD Health Technical Papers NO. 20. 2008, Paris: Organisation for Economic Co-operation and Development, full_text.CrossRef Garcia-Armesto S, Medeiros H, Wei L: Information availability for measuring and comparing quality of mental health care across OECD countries. OECD Health Technical Papers NO. 20. 2008, Paris: Organisation for Economic Co-operation and Development, full_text.CrossRef
29.
go back to reference Salvador-Carulla L, Gonzalez-Caballero JL: Assessment instruments in mental health: description and metric properties. Mental Health Outcome Measures. Edited by: Thornicroft G, Tansella M. 2010, London: The Royal College of Psychiatrists, 28-62. 3 Salvador-Carulla L, Gonzalez-Caballero JL: Assessment instruments in mental health: description and metric properties. Mental Health Outcome Measures. Edited by: Thornicroft G, Tansella M. 2010, London: The Royal College of Psychiatrists, 28-62. 3
Metadata
Title
A preliminary taxonomy and a standard knowledge base for mental-health system indicators in Spain
Authors
Luis Salvador-Carulla
José Alberto Salinas-Pérez
Manuel Martín
Mont-serrat Grané
Karina Gibert
Miquel Roca
Antonio Bulbena
the GClin-SEP group
Publication date
01-12-2010
Publisher
BioMed Central
Published in
International Journal of Mental Health Systems / Issue 1/2010
Electronic ISSN: 1752-4458
DOI
https://doi.org/10.1186/1752-4458-4-29

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