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Int J Qual Health Care · Sep 2006
Quality indicators for international benchmarking of mental health care.
- Richard C Hermann, Soeren Mattke, David Somekh, Helena Silfverhielm, Elliot Goldner, Gyles Glover, Jane Pirkis, Jan Mainz, and Jeffrey A Chan.
- Tufts-New England Medical Center, Center for Quality Assessment & Improvement in Mental Health (CQAIMH), 750 Washington Street, NEMC# 345, Boston, MA, 02111, USA. rhermann@cqaimh
- Int J Qual Health Care. 2006 Sep 1; 18 Suppl 1: 31-8.
ObjectiveTo identify quality measures for international benchmarking of mental health care that assess important processes and outcomes of care, are scientifically sound, and are feasible to construct from preexisting data.DesignAn international expert panel employed a consensus development process to select important, sound, and feasible measures based on a framework that balances these priorities with the additional goal of assessing the breadth of mental health care across key dimensions.ParticipantsSix countries and one international organization nominated seven panelists consisting of mental health administrators, clinicians, and services researchers with expertise in quality of care, epidemiology, public health, and public policy. Measures. Measures with a final median score of at least 7.0 for both importance and soundness, and data availability rated as 'possible' or better in at least half of participating countries, were included in the final set. Measures with median scores =3.0 or data availability rated as 'unlikely' were excluded. Measures with intermediate scores were subject to further discussion by the panel, leading to their adoption or rejection on a case-by-case basis.ResultsFrom an initial set of 134 candidate measures, the panel identified 12 measures that achieved moderate to high scores on desired attributes.ConclusionsAlthough limited, the proposed measure set provides a starting point for international benchmarking of mental health care. It addresses known quality problems and achieves some breadth across diverse dimensions of mental health care.
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