A discrete choice experiment to identify the most efficient quality indicators for the supervision of psychiatric hospitals
| Autor: | Ian Leistikow, Maurice P. Zeegers, Pieter van Dijk, Brigitte A. B. Essers, Alfons G. H. Kessels, Ron Schellings |
|---|---|
| Přispěvatelé: | Genetica & Celbiologie, Complexe Genetica, RS: CAPHRI - R5 - Optimising Patient Care, MUMC+: KIO Kemta (9), RS: CAPHRI - R2 - Creating Value-Based Health Care, RS: NUTRIM - R3 - Respiratory & Age-related Health, Health Care Governance (HCG) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Hospitals
Psychiatric medicine.medical_specialty Consensus Risk-based supervision Health informatics Health administration 03 medical and health sciences 0302 clinical medicine SDG 3 - Good Health and Well-being Multidisciplinary approach Health care medicine Humans Indicators Quality and safety 030212 general & internal medicine Psychiatry Netherlands Quality Indicators Health Care Risk assessment business.industry 030503 health policy & services Health Policy Public health Nursing research lcsh:Public aspects of medicine lcsh:RA1-1270 Mental health care Integrated care Discrete choice experiment 0305 other medical science business Health care regulatory agencies Research Article |
| Zdroj: | BMC Health Services Research BMC Health Services Research, 20(1):192. BioMed Central Ltd BMC Health Services Research, 20(1):192. BioMed Central Ltd. BMC Health Services Research, Vol 20, Iss 1, Pp 1-6 (2020) |
| ISSN: | 1472-6963 |
| Popis: | Background In the Netherlands, health care is regulated by the Health and Youth Care Inspectorate. Forty-six indicators are used to prioritize supervision of psychiatric hospitals. The objective of this study is to define a smaller set of weighted indicators which reflects a consensus among inspectors about which aspects are most important for risk assessment. Methods The set of 46 indicators, complemented with missing information, was reduced to six indicators by means of interviews, group discussions and ranking among the inspectors. These indicators were used as attributes in a discrete choice experiment (DCE) to define their weights. Results Twenty-six inspectors defined the top four indicators suitable for the risk assessment of psychiatric hospitals. These are: the policy on prevention of compulsory treatment; the policy on dysfunctional professionals; the quality of internal research after a serious incident; and the implementation of multidisciplinary guidelines on suicidal behaviour. These indicators share the same importance with regard to risk assessment. The screening of somatic symptoms and the policy on integrated care are important indicators too, but less relevant. Conclusion Through a DCE, we reduced the amount of information for risk assessment of psychiatric hospitals to six weighted indicators. Inspectors can use these indicators to prioritize their inspections. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
| Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |