ACT Health, Department of Psychological Medicine, Australian National University, Canberra, Australia.
Curr Opin Psychiatry. 2009 Nov;22(6):610-8. doi: 10.1097/YCO.0b013e3283318eb8.
This study outlines the broad approach taken in Australia to improve the quality of mental health services, including the use of performance and outcome measures along with a range of other linked quality initiatives.
The investment of Australia in a strategic national approach to mental health reform with a range of nationally coordinated quality initiatives has provided a firm foundation for continuing to engage governments, healthcare organizations and clinicians in the ongoing quest for quality and outcome measurement and improvement.
Australia has adopted a strategic national approach to quality and outcome measurement and improvement of mental health services despite having a federated health system involving nine governments and tiered care across public and private sectors. A range of interconnected initiatives including national plans, standards and guidelines, performance indicators and outcomes measures and benchmarking and reporting processes are the key components of this nationally coordinated system.
本研究概述了澳大利亚为提高精神卫生服务质量而采取的广泛方法,包括使用绩效和结果衡量指标以及一系列其他相关质量举措。
澳大利亚对精神卫生改革进行了战略性的国家投资,采取了一系列全国协调的质量举措,为继续使政府、医疗保健组织和临床医生参与到对质量和结果的持续追求以及衡量和改进奠定了坚实的基础。
尽管澳大利亚的卫生系统是由九个政府组成的联邦制,并且公共和私营部门之间存在分层护理,但澳大利亚仍采用了战略性的国家方法来衡量和改进精神卫生服务的质量。一系列相互关联的举措,包括国家计划、标准和指南、绩效指标和结果衡量以及基准和报告流程,是这一全国协调系统的关键组成部分。