| Quality measures for primary mental healthcare: a multistakeholder, multijurisdictional Canadian consensus. | |
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MedLine Citation:
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PMID: 20702436 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: To develop quality measures using a consensus-based, multistakeholder process to improve delivery of mental health services within primary healthcare settings. METHODS: A three-stage consensus model culminating in a two-round, modified Delphi postal survey ranking quality measures according to 'actionability,' relevance and overall importance. PARTICIPANTS: More than 800 people from all 10 provinces and three territories in Canada participated in the study, representing consumers/advocates, clinicians, academics and government decision-makers from regional, provincial and federal levels. A small group with expertise in First Nations and rural-setting health issues was also included, as well as international experts. RESULTS: The top overall pan-Canadian measure was 'Education about Depression.' 'Actionability' was a key criterion for many of the top 30 measures. Fifty per cent of these measures focused on three major themes: depression, self-harm and access to a broader spectrum of treatment (such as outreach services and psychotherapy). Additional themes included the need for greater collaboration, respectful treatment of patients and families, and improved evaluation of patients. One-way ANOVA results indicated statistically significant differences (p <0.05) between academics, clinicians, consumers and decision-makers on approximately 5% of quality measure ratings. The majority (85% of the 5%) of these differences involved consumer stakeholders. CONCLUSION: A small set of specific consensus measures were identified through a rigorous, evidence-informed process. These measures can be used for system-wide changes or at the individual practice level. Although these measures have been developed within a Canadian context, the methodology utilised and the measures selected can be adapted elsewhere. |
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Authors:
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Paul Waraich; Renée Sarojini Saklikar; Denise Aubé; Wayne Jones; David Haslam; Karen Hamill |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-08-10 |
Journal Detail:
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Title: Quality & safety in health care Volume: 19 ISSN: 1475-3901 ISO Abbreviation: Qual Saf Health Care Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-12-03 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101136980 Medline TA: Qual Saf Health Care Country: England |
Other Details:
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Languages: eng Pagination: 519-25 Citation Subset: H |
Affiliation:
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Faculty of Health Sciences, Simon Fraser University, Centre for Applied Research in Mental Health & Addiction, Vancouver, Canada. paul.waraich@gmail.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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