Identifying value-based quality indicators for general hospital psychiatry - 19/11/18
, Petra J. Caarls b, Jeroen D.H. van Wijngaarden e, André I. Wierdsma b, Jeroen G. Lijmer c, Annette D. Boenink d, Witte J.G. Hoogendijk b, Jeroen A. van Waarde a, Jan J.V. Busschbach bAbstract |
Objective |
To define generic quality indicators for general hospital psychiatry from the perspectives of patients, professionals (physicians, nurses, and managers), and payers (health insurance companies).
Methods |
Quality variables were identified by reviewing the relevant literature. A working.
group consisting of patients', professionals' and payers' representatives was mandated by their respective umbrella organizations. The working group prioritized the quality variables that were identified. Core values were defined and subsequently linked to preliminary quality indicators. These were tested for feasibility in ten hospitals in a four-week period. Stakeholder consultation took place by means of two invitational conferences and two written commentary rounds.
Results |
Forty-one quality variables were identified from the literature. After prioritization, seven core values were defined and translated to 22 preliminary indicators. Overall, the feasibility study showed high relevance scores and good implementability of the preliminary quality indicators. A final set of twenty-two quality indicators (17 structure, 3 process and 2 outcome indicators) was then established using a consensus-based approach.
Conclusion |
Consensus on a quality framework for general hospital psychiatry was built by incorporating the perspectives of relevant stakeholders. Results of the feasibility study suggest broad support and good implementability of the final quality indicators.
Structural indicators were broadly defined, and process and outcome indicators are generic to facilitate quality measurement across settings. The quality indicator set can now be used to facilitate quality and outcome assessment, stimulate standardization of services, and help demonstrate (cost-) effectiveness.
Le texte complet de cet article est disponible en PDF.Keywords : Medical psychiatry, Psychosomatic medicine, Consultation psychiatry
Plan
| ☆ | Author group: Esther Brusse MD PhD (neurologist, Erasmus MC), Jako Burgers MD PhD (general practitioner), Marjon Diepenhorst MD (medical advisor, representative of health care insurers), Annemarie Kamevaar (representative of psychiatric patients' associations), Leonie Klompe MD (geriatrician Catharina hospital), prof. Joris van der Klundert PhD (Erasmus University, institute of Health Policy and Management), Gert Ouwersloot (clinical psychologist Bravis hospital), Irene Post (patients' representative), Abel Thijs MD PhD (internist VUMC), Hanneke Veldhuijzen (nurse specialist in training Erasmus MC), Bas Verwey MD PhD (psychiatrist, Rijnstate hospital), Paul Bouvy MD PhD (psychiatrist Erasmus MC), Trea Broersma MD (psychiatrist Martini hospital), Marc Doorakkkers MD (psychiatrist Maxima Medical Centre), Ine Klijn MD PhD (psychiatrist UMC Utrecht), Robert Ploeger MD (psychiatrist Zorggroep Twente), Joris van der Vlugt MD (psychiatrist Maasstad hospital), Jeroen van Zanten MD PhD (psychiatrist Ter Gooi hospitals). |
Vol 55
P. 27-37 - novembre 2018 Retour au numéro
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