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The development of quality indicators in mental healthcare: a discrete choice experiment

BACKGROUND: Health care regulatory agencies perform audits or inspections to judge the quality and safety of health care. This judgment is based on the assessment of a large set of health care indicators as accepted by the profession. However, there is a lack of knowledge about the influence of thes...

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Autores principales: Schellings, Ron, Essers, Brigitte AB, Kessels, Alfons G, Brunner, Florian, van de Ven, Tijmen, Robben, Paul BM
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3508823/
https://www.ncbi.nlm.nih.gov/pubmed/22870879
http://dx.doi.org/10.1186/1471-244X-12-103
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author Schellings, Ron
Essers, Brigitte AB
Kessels, Alfons G
Brunner, Florian
van de Ven, Tijmen
Robben, Paul BM
author_facet Schellings, Ron
Essers, Brigitte AB
Kessels, Alfons G
Brunner, Florian
van de Ven, Tijmen
Robben, Paul BM
author_sort Schellings, Ron
collection PubMed
description BACKGROUND: Health care regulatory agencies perform audits or inspections to judge the quality and safety of health care. This judgment is based on the assessment of a large set of health care indicators as accepted by the profession. However, there is a lack of knowledge about the influence of these indicators and whether a smaller number would be sufficient for a quality assessment or audit procedure. METHODS: A discrete choice experiment (DCE) was performed for the assessment of quality of care regarding the management of patients with schizophrenia and drug dependency in psychiatric institutes. Based on multidisciplinary guidelines for the treatment of schizophrenia and a visit of (co)inspectors of the Dutch Healthcare Inspectorate at all 33 integrated mental hospitals a set of 51 indicators were assessed in a subsequent interview. With the analysis of the results, 6 attributes were selected for the DCE as quality indicators. RESULTS: Seventy-six percent of all health services (co)inspectors (n = 33) involved in the inspection of mental health services, participated in the experiment. Respondents considered an operational elaborate treatment plan the most important indicator for the assessment of quality of care in a psychiatric institute, followed by a general care program, treatment outcome measurement, and involvement in treatment of patients and relatives. Pharmacotherapy and governance responsibility were valued as less important indicators. CONCLUSIONS: The results of this DCE show that there is a prioritisation in the six selected quality indicators. This might help health services (co) inspectors to enhance the efficiency and transparency of the quality of care assessment for patients with schizophrenia and/or drug dependency in psychiatric institutes.
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spelling pubmed-35088232012-11-29 The development of quality indicators in mental healthcare: a discrete choice experiment Schellings, Ron Essers, Brigitte AB Kessels, Alfons G Brunner, Florian van de Ven, Tijmen Robben, Paul BM BMC Psychiatry Research Article BACKGROUND: Health care regulatory agencies perform audits or inspections to judge the quality and safety of health care. This judgment is based on the assessment of a large set of health care indicators as accepted by the profession. However, there is a lack of knowledge about the influence of these indicators and whether a smaller number would be sufficient for a quality assessment or audit procedure. METHODS: A discrete choice experiment (DCE) was performed for the assessment of quality of care regarding the management of patients with schizophrenia and drug dependency in psychiatric institutes. Based on multidisciplinary guidelines for the treatment of schizophrenia and a visit of (co)inspectors of the Dutch Healthcare Inspectorate at all 33 integrated mental hospitals a set of 51 indicators were assessed in a subsequent interview. With the analysis of the results, 6 attributes were selected for the DCE as quality indicators. RESULTS: Seventy-six percent of all health services (co)inspectors (n = 33) involved in the inspection of mental health services, participated in the experiment. Respondents considered an operational elaborate treatment plan the most important indicator for the assessment of quality of care in a psychiatric institute, followed by a general care program, treatment outcome measurement, and involvement in treatment of patients and relatives. Pharmacotherapy and governance responsibility were valued as less important indicators. CONCLUSIONS: The results of this DCE show that there is a prioritisation in the six selected quality indicators. This might help health services (co) inspectors to enhance the efficiency and transparency of the quality of care assessment for patients with schizophrenia and/or drug dependency in psychiatric institutes. BioMed Central 2012-08-07 /pmc/articles/PMC3508823/ /pubmed/22870879 http://dx.doi.org/10.1186/1471-244X-12-103 Text en Copyright ©2012 Schellings et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Schellings, Ron
Essers, Brigitte AB
Kessels, Alfons G
Brunner, Florian
van de Ven, Tijmen
Robben, Paul BM
The development of quality indicators in mental healthcare: a discrete choice experiment
title The development of quality indicators in mental healthcare: a discrete choice experiment
title_full The development of quality indicators in mental healthcare: a discrete choice experiment
title_fullStr The development of quality indicators in mental healthcare: a discrete choice experiment
title_full_unstemmed The development of quality indicators in mental healthcare: a discrete choice experiment
title_short The development of quality indicators in mental healthcare: a discrete choice experiment
title_sort development of quality indicators in mental healthcare: a discrete choice experiment
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3508823/
https://www.ncbi.nlm.nih.gov/pubmed/22870879
http://dx.doi.org/10.1186/1471-244X-12-103
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