Quality Measures for Mental Health Care: Results from a National Inventory
| Autor: | J Chan, C Jakubiak, D Yang, Scott E. Provost, R H Palmer, T Teller, H S Leff, Richard C. Hermann |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Adult
Mental Health Services medicine.medical_specialty Quality management media_common.quotation_subject United States Agency for Healthcare Research and Quality 0504 sociology Environmental health Health care Humans Medicine Quality (business) Child Aged Quality Indicators Health Care media_common Marketing of Health Services business.industry Health Policy Public health 05 social sciences Health services research Reproducibility of Results 050401 social sciences methods 050301 education Mental health United States Outcome and Process Assessment Health Care Health promotion Models Organizational Needs assessment Health Services Research business 0503 education Needs Assessment |
| Zdroj: | Medical Care Research and Review. 57:136-154 |
| ISSN: | 1552-6801 1077-5587 |
| Popis: | The National Inventory of Mental Health Quality Measures was funded by the Agency for Healthcare Research and Quality to (1) inventory process measures for assessing the quality of mental health care; (2) identify clinical, administrative, and quality domains where measures have been developed; and (3) identify areas where further research and development is needed. Among the 86 measures identified, most evaluated treatment of major mental disorders, for example, schizophrenia (24 percent) and major depression (21 percent). A small proportion focused on children (8 percent) or the elderly (9 percent). Domains of quality included treatment appropriateness (65 percent), continuity (26 percent), access (26 percent), coordination (13 percent), detection (12 percent), and prevention (6 percent). Few measures were evaluated for reliability (12 percent) or validity (3 percent). Measures imposing a lower burden were more likely to be in use (σ 2 = 4.41, p = .036). Further measures are needed to assess care for several priority clinical and demographic groups. Research should focus on measure validity, reliability, and implementation costs. In order to foster quality improvement activities and use of common measures and specifications for mental health care, the inventory of quality measures will be made available at www.challiance.org/cqaimh. |
| Databáze: | OpenAIRE |
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