Quality indicators for mental healthcare in the Danube region: results from a pilot feasibility study.
Mental healthcare
Mental healthcare reform
Quality
Quality assurance
Quality indicator
Journal
European archives of psychiatry and clinical neuroscience
ISSN: 1433-8491
Titre abrégé: Eur Arch Psychiatry Clin Neurosci
Pays: Germany
ID NLM: 9103030
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
received:
31
10
2019
accepted:
30
03
2020
pubmed:
10
4
2020
medline:
23
2
2022
entrez:
10
4
2020
Statut:
ppublish
Résumé
Quality indicators are vital for monitoring the transformation of institution-based mental health services towards the provision of person-centered mental healthcare. While several mental healthcare quality indicators have been identified as relevant and valid, their actual usability and utility for routine monitoring healthcare quality over time is significantly determined by the availability and trustworthiness of the underlying data. In this feasibility study, quality indicators that have been systematically identified for use in the Danube region countries of Bulgaria, the Czech Republic, Hungary, and Serbia were measured on the basis of existing mental healthcare data in the four countries. Data were collected retrospectively by means of the best available, most standardized, trustworthy, and up-to-date data in each country. Out of 21 proposed quality indicators, 18 could be measured in Hungary, 17 could be measured in Bulgaria and in the Czech Republic, and 8 could be measured in Serbia. The results demonstrate that a majority of quality indicators can be measured in most of the countries by means of already existing data, thereby demonstrating the feasibility of quality measurement and regular quality monitoring. However, data availability and usability are scattered across countries and care sectors, which leads to variations in the quality of the quality indicators themselves. Making the planning and outputs of national mental healthcare reforms more transparent and evidence-based requires (trans-)national standardization of healthcare quality data, their routine availability and standardized assessment, and the regular reporting of quality indicators.
Identifiants
pubmed: 32270290
doi: 10.1007/s00406-020-01124-z
pii: 10.1007/s00406-020-01124-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1017-1025Subventions
Organisme : World Health Organization
ID : 001
Pays : International
Organisme : German Ministry for Education and Research (BMBF)
ID : ID 01DS17020
Informations de copyright
© 2020. Springer-Verlag GmbH Germany, part of Springer Nature.
Références
ANQ-Nationaler Verein für Qualitätsentwicklung in Spitälern und Kliniken (2019) Psychiatrie. https://www.anq.ch/de/fachbereiche/psychiatrie/ . Accessed 26 June 2019
Armesto SG, Medeiros H, Wie L. Information availability for measuring and comparing quality of mental health care across OECD countries. DELSA/ELSA/WD/HTP(2008)2. https://www.oecd.org/health/health-systems/41243838.pdf . Accessed 6 Aug 2008
Bitter I, Kurimay T (2012) State of psychiatry in Hungary. Int Rev Psychiatry 24(4):307–313
doi: 10.3109/09540261.2012.694856
Dimova A, Rohova M, Moutafova E, Atanasova E, Koeva S, Panteli D, van Ginneken E (2012) Bulgaria: Health system review. Health Syst Transit 14(3):1–186. https://www.euro.who.int/__data/assets/pdf_file/0006/169314/E96624.pdf . Accessed 2 July 2018
Dobiášová K, Tušková E, Hanušová P, Angelovská O, Ježková M (2016) The development of mental health policies in the Czech Republic and Slovak Republic since 1989. Cent Eur J Public Policy 10:35–46
doi: 10.1515/cejpp-2016-0022
Großimlinghaus I, Falkai P, Gaebel W, Janssen B, Reich-Erkelenz D, Wobrock T, Zielasek J (2013) Entwicklungsprozess der DGPPN-Qualitätsindikatoren. Nervenarzt 84:350–365
doi: 10.1007/s00115-012-3705-4
Großimlinghaus I, Falkai P, Gaebel W, Hasan A, Jänner M, Janssen B, Reich-Erkelenz D, Grüber L, Böttcher V, Wobrock T, Zielasek J (2015) Erhebung von Qualitätsindikatoren anhand von Routinedaten. Darstellung eines Machbarkeitstests in zehn Fachkliniken für Psychiatrie und Psychotherapie. Nervenarzt 86:1393–1399
doi: 10.1007/s00115-015-4357-y
Hermann R, Mattke S (2004) Selecting indicators for the quality of mental health care at the health systems level in OECD countries. OECD Health Technical Papers, No. 17, OECD Publishing. https://doi.org/10.1787/388745076135
Höschl C, Winkler P, Pec O (2012) The state of psychiatry in the Czech Republic. Int Rev Psychiatry 24(4):278–285
doi: 10.3109/09540261.2012.688730
IQTiG (2017) Aktualisierung und Erweiterung des QS-Verfahrens Versorgung von volljährigen Patienten und Patientinnen mit Schizophrenie, schizotypen und wahnhaften Störungen. Abschlussbericht. Stand: 22. Dezember 2017. https://iqtig.org/downloads/berichte/2017/IQTIG_QS-Verfahren-Schizophrenie_Abschlussbericht_2017-12-22.pdf . Accessed 23 June 2019
JCAHO-Joint Commission on Accreditation of Healthcare Organizations (1989) Characteristics of clinical indicators. Qual Rev Bull 163:6401–6406
Kilbourne A, Beck K, Spaeth-Rublee B, Ramanuj P, O’Brien RW, Tomoyasu N, Pincus HA (2018) Measuring and improving the quality of mental health care: a global perspective. World Psychiatry. 17:30–38
doi: 10.1002/wps.20482
Krupchanka D, Winkler P (2016) State of mental healthcare systems in Eastern Europe: do we really understand what is going on? B J Psych Int 13(4):96–99
Lecic Tosevski D, Pejovic Milovancevic M, Popovic Deusic S (2007) Reform of mental health care in Serbia: ten steps plus one. World Psychiatry 6:115–117
pubmed: 18235870
pmcid: 2219903
Lehmann I, Chisholm D, Hinkov H, Höschl C, Kapócs G, Kurimay T, Lecic-Tosevski D, Nakov V, Winkler P, Réthelyi JM, Zielasek J, Gaebel W (2018) Development of quality indicators for mental healthcare in the Danube region. Psychiatr Danubina 30:197–206
doi: 10.24869/spsih.2018.197
MacDonald AJD, Fugard AJB (2015) Routine mental health outcome measurement in the UK. Int Rev Psychiatry 27(4):306–319
doi: 10.3109/09540261.2015.1015505
Mainz J (2003) Defining and classifying clinical indicators for quality improvement. Int J Qual Health Care 15(6):523–530
doi: 10.1093/intqhc/mzg081
Ministry of Health of the Czech Republic (2013) Psychiatric care reform strategy. MHCR, Prague
Ministry of Health, Republic of Serbia (2007) Strategy for development of mental health care. Republic of Serbia, Ministry of Health
Mitchell J (2018) Mental health quality indicators: background and secondary definitions. Scottish Government. https://www.gov.scot/binaries/content/documents/govscot/publications/factsheet/2018/09/mental-health-quality-indicators-background-secondary-definitions/documents/00540532-pdf/00540532-pdf/govscot%3Adocument/00540532.pdf . Accessed 16 Oct 2019
Pincus HA, Hudson Scholle S, Spaeth-Rublee B, Hepner KA, Brown J (2016) Quality measures for mental health and substance use: gaps, opportunities, and challenges. Health Affairs 35:1000–1008
Reiter A, Fischer B, Kötting J, Geraedts M, Jäckel WH, Barlag H, Döbler K (2018) QUALIFY: instrument for the assessment of quality indicators. Version 1.0 (English). Düsseldorf, BQS gGmbH. Retrieved on 3rd August 2018. https://www.researchgate.net/publication/267256474_QUALIFY_Instrument_for_the_Assessment_of_Quality_Indicators
Spaeth-Rublee B, Pincus HA, Huynh PT, IIMHL Clinical Leaders Group (2010) Measuring quality of mental health care: a review of initiatives and programs in selected countries. Can J Psychiatry 55:539–548
doi: 10.1177/070674371005500902
WHO (1997) Quality Assurance in Mental Health Care – Checklists and Glossaries. Division of Mental Health and Prevention of Substance Abuse, 1 and 2. http://apps.who.int/iris/handle/10665/66931 . Accessed 7 April 2020
WHO (2013) Mental Health Action Plan 2013—2020. Geneva: World Health Organization https://www.who.int/mental_health/publications/action_plan/en/ . Accessed 26 June 2018
WHO Regional Office for Europe (2013) European Mental Health Action Plan 2013–2020. Copenhagen: World Health Organization https://www.euro.who.int/__data/assets/pdf_file/0020/280604/WHO-Europe-Mental-Health-Acion-Plan-2013-2020.pdf . Accessed 3 Jan 2018
WHO (2018) Mental Health Atlas 2017. https://www.who.int/mental_health/evidence/atlas/mental_health_atlas_2017/en/ . Accessed 20 June 2018
Winkler P, Koeser L, Kondrátová L, Broulíková HM, Páv M, Kališová L et al (2018) Cost-effectiveness of care for people with psychosis in the community and psychiatric hospitals in the Czech Republic: an economic analysis. Lancet Psychiatry 5(12):1023–1031
doi: 10.1016/S2215-0366(18)30388-2
Winkler P, Krupchanka D, Roberts T, Kondratova L, Machů V, Höschl C, Sartorius N, Van Voren R, Aizberg O, Bitter I, Cerga-Pashoja A (2017) A blind spot on the global mental health map: a scoping review of 25 years' development of mental health care for people with severe mental illnesses in central and eastern Europe. Lancet Psychiatry 4(8):634–642
doi: 10.1016/S2215-0366(17)30135-9
Winkler P, Mladá K, Krupchanka D, Agius M, Ray MK, Höschl C (2016) Long-term hospitalizations for schizophrenia in the Czech Republic 1998–2012. Schizophr Res 175(1–3):180–185
doi: 10.1016/j.schres.2016.04.008