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Published in: Administration and Policy in Mental Health and Mental Health Services Research 3/2015

01-05-2015 | Original Article

Measuring the Quality of Mental Health Care: Consensus Perspectives from Selected Industrialized Countries

Authors: Sharat G. Parameswaran, Brigitta Spaeth-Rublee, Harold Alan Pincus

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 3/2015

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Abstract

This international initiative sought to develop a consensus framework of mental health quality measures. The 656 quality measures identified via literature review were narrowed to 36 measurement concepts. A modified Delphi process was used to rate these for validity, importance, and feasibility. The highest rated concepts for validity and importance included 7-day follow-up after inpatient discharge, involuntary/compulsory hospitalization, seclusion, death rates, medication adherence, medication errors, and restraint. Importance and validity scores were correlated, with importance scores higher than validity scores. Further work is needed to develop and implement a core set of measures for international comparison of mental health quality.
Literature
go back to reference Brook, R. H. (1994). The RAND/UCLA appropriateness method. In K. A. McCormick, S. A. Moore & R. A. Siegel (Eds.), Clinical practice guideline development. Methodology perspectives. (pp. 59–70). Rockville, Maryland: US Department of Health and Human Services. Brook, R. H. (1994). The RAND/UCLA appropriateness method. In K. A. McCormick, S. A. Moore & R. A. Siegel (Eds.), Clinical practice guideline development. Methodology perspectives. (pp. 59–70). Rockville, Maryland: US Department of Health and Human Services.
go back to reference Donabedian, A. (1980). Explorations in Quality Assessment and Monitoring, Volume I: The Definition of Quality and Approaches to its Assessment. Ann Arbor, MI: Health Administration Press. Donabedian, A. (1980). Explorations in Quality Assessment and Monitoring, Volume I: The Definition of Quality and Approaches to its Assessment. Ann Arbor, MI: Health Administration Press.
go back to reference Fisher, C. E., Spaeth-Rublee, B., Pincus, H. A., & IIMHL Clinical Leaders Group. (2013). Developing mental health-care quality indicators: toward a common framework. International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care/ISQua, 25(1), 75–80. doi:10.1093/intqhc/mzs074.CrossRef Fisher, C. E., Spaeth-Rublee, B., Pincus, H. A., & IIMHL Clinical Leaders Group. (2013). Developing mental health-care quality indicators: toward a common framework. International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care/ISQua, 25(1), 75–80. doi:10.​1093/​intqhc/​mzs074.CrossRef
go back to reference Hermann, R. C. (2005). Improving mental healthcare: a guide to measurement-based quality improvement. Washington, DC: American Psychiatric Publishing. Hermann, R. C. (2005). Improving mental healthcare: a guide to measurement-based quality improvement. Washington, DC: American Psychiatric Publishing.
go back to reference Hermann, R. C., Mattke, S., Somekh, D., Silfverhielm, H., Goldner, E., Glover, G., et al. (2006). Quality indicators for international benchmarking of mental health care. International Journal for Quality in Health Care, 18(Suppl 1), 31–38. doi:10.1093/intqhc/mzl025.CrossRefPubMed Hermann, R. C., Mattke, S., Somekh, D., Silfverhielm, H., Goldner, E., Glover, G., et al. (2006). Quality indicators for international benchmarking of mental health care. International Journal for Quality in Health Care, 18(Suppl 1), 31–38. doi:10.​1093/​intqhc/​mzl025.CrossRefPubMed
go back to reference Saxena, S., Lora, A., Morris, J., Berrino, A., Esparza, P., Barrett, T., et al. (2011). Mental health services in 42 low- and middle-income countries: a WHO-AIMS cross-national analysis. Psychiatric Services, 62(2), 123–125. doi:10.1176/appi.ps.62.2.123.CrossRefPubMed Saxena, S., Lora, A., Morris, J., Berrino, A., Esparza, P., Barrett, T., et al. (2011). Mental health services in 42 low- and middle-income countries: a WHO-AIMS cross-national analysis. Psychiatric Services, 62(2), 123–125. doi:10.​1176/​appi.​ps.​62.​2.​123.CrossRefPubMed
go back to reference Saxena, S., Lora, A., van Ommeren, M., Barrett, T., Morris, J., & Saraceno, B. (2007). WHO’s assessment instrument for mental health systems: collecting essential information for policy and service delivery. Psychiatric Services, 58(6), 816–821. doi:10.1176/appi.ps.58.6.816.CrossRefPubMed Saxena, S., Lora, A., van Ommeren, M., Barrett, T., Morris, J., & Saraceno, B. (2007). WHO’s assessment instrument for mental health systems: collecting essential information for policy and service delivery. Psychiatric Services, 58(6), 816–821. doi:10.​1176/​appi.​ps.​58.​6.​816.CrossRefPubMed
go back to reference Shekelle, P. G., MacLean, C. H., Morton, S. C., & Wenger, N. S. (2001). Assessing care of vulnerable elders: methods for developing quality indicators. Annals of Internal Medicine, 135(8 Pt 2), 647–652.CrossRefPubMed Shekelle, P. G., MacLean, C. H., Morton, S. C., & Wenger, N. S. (2001). Assessing care of vulnerable elders: methods for developing quality indicators. Annals of Internal Medicine, 135(8 Pt 2), 647–652.CrossRefPubMed
go back to reference Spaeth-Rublee, B., Pincus, H. A., Huynh, P. T., & IIMHL Clinical Leaders Group. (2010). Measuring quality of mental health care: a review of initiatives and programs in selected countries. Canadian journal of psychiatry. Revue canadienne de psychiatrie, 55(9), 539-548. Spaeth-Rublee, B., Pincus, H. A., Huynh, P. T., & IIMHL Clinical Leaders Group. (2010). Measuring quality of mental health care: a review of initiatives and programs in selected countries. Canadian journal of psychiatry. Revue canadienne de psychiatrie, 55(9), 539-548.
go back to reference U.S. Institute of Medicine. (2001). Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academies Press. U.S. Institute of Medicine. (2001). Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academies Press.
go back to reference U.S. Institute of Medicine. (2006). Improving the quality of health care for mental and substance-use conditions. Washington, DC: National Academies Press. U.S. Institute of Medicine. (2006). Improving the quality of health care for mental and substance-use conditions. Washington, DC: National Academies Press.
Metadata
Title
Measuring the Quality of Mental Health Care: Consensus Perspectives from Selected Industrialized Countries
Authors
Sharat G. Parameswaran
Brigitta Spaeth-Rublee
Harold Alan Pincus
Publication date
01-05-2015
Publisher
Springer US
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 3/2015
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-014-0569-x

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