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the development of quality indicators in mental healthcare a discrete choice experiment质量指标的发展精神卫生保健离散选择试验
Schellings et al. BMC Psychiatry 2012, 12:103
/1471-244X/12/103
RESEARCH ARTICLE Open Access
The development of quality indicators in mental
healthcare: a discrete choice experiment
1 2* 2,3 4 1
Ron Schellings , Brigitte AB Essers , Alfons G Kessels , Florian Brunner , Tijmen van de Ven
and Paul BM Robben1,5
Abstract
Background: Health care regulatory agencies perform audits or inspections to judge the quality and safety of
health care. This judgment is based on the assessment of a large set of health care indicators as accepted by the
profession. However, there is a lack of knowledge about the influence of these indicators and whether a smaller
number would be sufficient for a quality assessment or audit procedure.
Methods: A discrete choice experiment (DCE) was performed for the assessment of quality of care regarding the
management of patients with schizophrenia and drug dependency in psychiatric institutes. Based on
multidisciplinary guidelines for the treatment of schizophrenia and a visit of (co)inspectors of the Dutch Healthcare
Inspectorate at all 33 integrated mental hospitals a set of 51 indicators were assessed in a subsequent interview.
With the analysis of the results, 6 attributes were selected for the DCE as quality indicators.
Results: Seventy-six percent of all health services (co)inspectors (n = 33) involved in the inspection of mental health
services, participated in the experiment. Respondents considered an operational elaborate treatment plan the most
important indicator for the assessment of quality of care in a psychiatric institute, followed by a general care
program, treatment outcome measurement, and involvement in treatment of patients and relatives.
Pharmacotherap
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