Document Detail

Service quality and clinical outcomes: an example from mental health rehabilitation services in England.
MedLine Citation:
PMID:  23060623     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Current health policy assumes better quality services lead to better outcomes.
AIMS: To investigate the relationship between quality of mental health rehabilitation services in England, local deprivation, service user characteristics and clinical outcomes.
METHOD: Standardised tools were used to assess the quality of mental health rehabilitation units and service users' autonomy, quality of life, experiences of care and ratings of the therapeutic milieu. Multiple level modelling investigated relationships between service quality, service user characteristics and outcomes.
RESULTS: A total of 52/60 (87%) National Health Service trusts participated, comprising 133 units and 739 service users. All aspects of service quality were positively associated with service users' autonomy, experiences of care and therapeutic milieu, but there was no association with quality of life.
CONCLUSIONS: Quality of care is linked to better clinical outcomes in people with complex and longer-term mental health problems. Thus, investing in quality is likely to show real clinical gains.
Helen Killaspy; Louise Marston; Rumana Z Omar; Nicholas Green; Isobel Harrison; Melanie Lean; Frank Holloway; Tom Craig; Gerard Leavey; Michael King
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-10-11
Journal Detail:
Title:  The British journal of psychiatry : the journal of mental science     Volume:  202     ISSN:  1472-1465     ISO Abbreviation:  Br J Psychiatry     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-03     Completed Date:  2013-06-11     Revised Date:  2014-03-14    
Medline Journal Info:
Nlm Unique ID:  0342367     Medline TA:  Br J Psychiatry     Country:  England    
Other Details:
Languages:  eng     Pagination:  28-34     Citation Subset:  IM    
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MeSH Terms
Cross-Sectional Studies
England / epidemiology
Health Policy
Health Services Needs and Demand
Long-Term Care / standards*
Mental Disorders / epidemiology,  rehabilitation*
Mental Health Services / standards*
Multilevel Analysis
Outcome Assessment (Health Care) / statistics & numerical data
Patient Satisfaction
Personal Autonomy
Quality Indicators, Health Care
Quality of Health Care / standards*
Quality of Life
Rehabilitation Centers / manpower,  standards*
Social Participation
State Medicine / standards
Grant Support
RP-PG-0707-10093//Department of Health; //Department of Health
Comment In:
Br J Psychiatry. 2013 Apr;202(4):309   [PMID:  23549944 ]
Br J Psychiatry. 2013 Apr;202(4):309   [PMID:  23549945 ]

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