Department of Psychiatry, Columbia University, New York, New York, USA.
Can J Psychiatry. 2010 Sep;55(9):539-48. doi: 10.1177/070674371005500902.
This review article presents a systematic review of grey literature describing current initiatives that assess the quality of mental health care in 12 countries, as collected by the International Initiative for Mental Health Leadership.There have been increased efforts in many countries to develop and implement mental health indicator schemes to measure and monitor the quality of mental health care at the national and subnational level. Most mental health indicator sets are part of larger health policy initiatives at the national and (or) provincial or state level, with indicators and domains regularly reviewed and revised. The indicator sets described in health care quality initiatives vary widely in their scope, intended use, and degree of development, and they often cut across a broad range of domains, reflecting not only a country's specific health system and how it is organized and structured but also the implementation of such schemes (that is, collection and analysis of data) and the sociopolitical realities that determine mental health priorities.
这篇综述文章系统地回顾了描述当前在 12 个国家评估精神卫生保健质量的灰色文献,这些文献是由国际精神卫生领导力倡议收集的。许多国家都加大了力度,制定和实施精神卫生指标计划,以衡量和监测国家和(或)州一级的精神卫生保健质量。大多数精神卫生指标集是国家和(或)省级或州级更广泛卫生政策倡议的一部分,指标和领域定期审查和修订。描述的医疗保健质量举措中的指标集在其范围、预期用途和发展程度上差异很大,它们通常跨越广泛的领域,不仅反映了一个国家特定的卫生系统及其组织和结构方式,还反映了这些计划的实施(即数据的收集和分析)以及决定精神卫生优先事项的社会政治现实。