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

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

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.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Advisory Committees
  • Congresses as Topic
  • Consensus*
  • Humans
  • Internationality*
  • Mental Health Services / standards*
  • Quality Indicators, Health Care*