Process Measures for the Assessment and Improvement of Quality of Care for Schizophrenia
| Autor: | Jeffrey Chan, R. Heather Palmer, Greta Lagodmos, Molly T. Finnerty, Terri Teller, Britt J. Myrhol, Richard C. Hermann, Scott E. Provost |
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| Rok vydání: | 2002 |
| Předmět: |
Psychiatric Status Rating Scales
Gerontology Operationalization Psychometrics business.industry media_common.quotation_subject Psychological intervention Combined Modality Therapy Mental health Community Mental Health Services Psychiatry and Mental health Outcome and Process Assessment Health Care Health care Critical Pathways Schizophrenia Humans Medicine Schizophrenic Psychology Quality (business) business Psychosocial Reliability (statistics) Quality of Health Care media_common |
| Zdroj: | Schizophrenia Bulletin. 28:95-104 |
| ISSN: | 1745-1701 0586-7614 |
| Popis: | The development of process measures for the assessment and improvement of care for schizophrenia is at an early stage. As part of a national inventory of mental health quality measures, we identified 42 process measures developed to assess the quality of schizophrenia care. A greater proportion of measures assessed pharmacotherapy than assessed psychosocial interventions or other clinical processes, such as assessment, continuity, or coordination. Twenty-five measures (60%) were based on research evidence linking measure conformance with improved patient outcomes, while 17 (40%) were based on clinical consensus or opinion. Only 12 measures (29%) were fully operationalized. Few were tested for validity or reliability. A number of demonstration projects currently under way should expand the pool of well-developed and tested measures. Further research and consensus development will be needed to identify common measurement priorities, reduce the data collection burden, enhance the interpretability of results, and allow for comparisons of clinical practice across facilities and health care systems. |
| Databáze: | OpenAIRE |
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