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Published on: February 16, 2011
Developing mental health-care quality indicators: toward a common framework
Carl Erik Fisher1, Brigitta Spaeth-Rublee, Harold Alan Pincus
1Department of Psychiatry, Columbia University and the New York State Psychiatric Institute, New York, NY, USA.
Summary
Developing a unified framework for mental health quality indicators is crucial for international comparisons. This study compiled 656 measures across 17 domains to create a comprehensive basis for a shared system.
Area of Science:
- Health Services Research
- International Health
- Mental Health Services
Background:
- Inconsistent performance measurement schemes impede international comparisons of mental health-care quality.
- A standardized approach is needed to evaluate and compare global mental health system performance.
Purpose of the Study:
- To develop a common framework of measures for international comparisons of mental health system performance.
- To address the limitations of existing, disparate quality measurement initiatives.
Main Methods:
- An international collaborative group compiled quality measurement initiatives from 11 countries.
- Reports from 29 programs and two cross-national programs were analyzed.
- Measurable indicators were systematically reviewed, compiled, and organized into domains and subdomains.
Main Results:
- A total of 656 measures were identified and organized.
- These measures were structured into 17 distinct domains and 80 subdomains.
- No single existing program encompassed all identified quality indicator domains.
Conclusions:
- A comprehensive, shared scheme for international mental health quality measurement is necessary.
- This study provides an inclusive foundation for creating such a framework by organizing existing measures.
- The developed framework facilitates international benchmarking of mental health system performance.
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