Original scientific paper

https://doi.org/10.24869/psyd.2018.197

DEVELOPMENT OF QUALITY INDICATORS FOR MENTAL HEALTHCARE IN THE DANUBE REGION

Isabell Lehmann ; Isabell Lehmann
Dan Chisholm ; WHO Regional Office for Europe, Copenhagen, Denmark
Hristo Hinkov ; NCPHA-National Center of Public Health and Analyses, Sofia, Bulgaria
Cyril Höschl ; National Institute of Mental Health, Klecany, Czech Republic
Gábor Kapócs ; Buda Family Centred Mental Health Centre, Department of Psychiatry and Psychiatric Rehabilitation, Teaching Department of Semmelweis University, Saint John Hospital, Budapest, Hungary; Institut for Behavioral Sciences, Semmelweis University, Budapest, Hun
Tamás Kurimay ; Buda Family Centred Mental Health Centre, Department of Psychiatry and Psychiatric Rehabilitation, Teaching Department of Semmelweis University, Saint John Hospital, Budapest, Hungary
Dusica Lecic-Tosevski ; Serbian Academy of Sciences and Arts, Institute of Mental Health, Belgrade, Serbia
Vladimir Nakov ; NCPHA-National Center of Public Health and Analyses, Sofia, Bulgaria
János M. Réthelyi ; Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary
Petr Winkler ; Department of Social Psychiatry, National Institute of Mental Health, Klecany, Czech Republic
Jürgen Zielasek ; LVR-Institute for Healthcare Research, Cologne, Germany
Wolfgang Gaebel ; LVR-Institute for Healthcare Research, Cologne, Germany; LVR-Klinikum, Department of Psychiatry, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany

Abstract

Background: Quality indicators are quality assurance instruments for the evaluation of mental healthcare systems. Quality
indicators can be used to measure the effectiveness of mental healthcare structure and process reforms. This project aims to develop
quality indicators for mental healthcare systems in Bulgaria, the Czech Republic, Hungary and Serbia to provide monitoring
instruments for the transformation of mental healthcare systems in these countries.
Methods: Quality indicators for mental healthcare systems were developed in a systematic, multidisciplinary approach. A
systematic literature study was conducted to identify quality indicators that are used internationally in mental healthcare. Retrieved
quality indicators were systematically selected by means of defined inclusion and exclusion criteria. Quality indicators were
subsequently rated in a two-stage Delphi study for relevance, validity and feasibility (data availability and data collection effort).
The Delphi panel included 22 individuals in the first round, and 18 individuals in the second and final round.
Results: Overall, mental healthcare quality indicators were rated higher in relevance than in validity (Mean relevance=7.6,
SD=0.8; Mean validity=7.1, SD=0.7). There was no statistically significant difference in scores between the four countries for
relevance (X2(3)=3.581, p=0.310) and validity (X2(3)=1.145, p=0.766). For data availability, the appraisal of “YES” (data are
available) ranged from 6% for “assisted housing” to 94% for “total beds for mental healthcare per 100,000 population” and
“availability of mental health service facilities”.
Conclusion: Quality indicators were developed in a systematic and multidisciplinary development process. There was a broad
consensus among mental healthcare experts from the participating countries in terms of relevance and validity of the proposed
quality indicators. In a next step, the feasibility of these twenty-two indicators will be evaluated in a pilot study in the participating
countries.

Keywords

mental healthcare, psychiatry; quality indicator; quality assurance; quality management; health system performance; Danube region

Hrčak ID:

202198

URI

https://hrcak.srce.hr/202198

Publication date:

26.6.2018.

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