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. 2013 Feb;25(1):75-80.
doi: 10.1093/intqhc/mzs074. Epub 2012 Nov 21.

Developing mental health-care quality indicators: toward a common framework

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Developing mental health-care quality indicators: toward a common framework

Carl Erik Fisher et al. Int J Qual Health Care. 2013 Feb.

Abstract

Objective: Inconsistent performance measurement schemes hinder attempts to make international comparisons about mental health-care quality. This report describes a project undertaken by an international collaborative group that aims to develop a common framework of measures that will allow for international comparisons of mental health system performance.

Design: Representatives from each country submitted reports of quality measurement initiatives in mental health. Indicators were reviewed, and all measurable indicators were compiled and organized. Sample Twenty-nine programs from 11 countries and two cross-national programs submitted reports.

Methods: Indicators were evaluated according to measurable inclusion criteria.

Results: These methods yielded 656 total measures that were organized into 17 domains and 80 subdomains.

Conclusions: No single program contained indicators in all domains, highlighting the need for a comprehensive, shared scheme for international measurement. By collecting and organizing measures through an inductive compilation of existing programs, the present study has generated a maximally inclusive basis for the creation of a common framework of international mental health quality indicators.

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