Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich-Heine University, Düsseldorf, Germany.
Eur Psychiatry. 2012 Feb;27(2):87-113. doi: 10.1016/j.eurpsy.2011.12.001. Epub 2012 Jan 20.
The main aim of this guidance of the European Psychiatric Association is to provide evidence-based recommendations on the quality of mental health services in Europe. The recommendations were derived from a systematic search of the best available evidence in the scientific literature, supplemented by information from documents retrieved upon reviewing the identified articles. While most recommendations could be based on empirical studies (although of varying quality), some had to be based on expert opinion alone, but were deemed necessary as well. Another limitation was that the wide variety of service models and service traditions for the mentally ill worldwide often made generalisations difficult. In spite of these limitations, we arrived at 30 recommendations covering structure, process and outcome quality both on a generic and a setting-specific level. Operationalisations for each recommendation with measures to be considered as denominators and numerators are given as well to suggest quality indicators for future benchmarking across European countries. Further pan-European research will need to show whether the implementation of this guidance will lead to improved quality of mental healthcare, and may help to develop useful country-specific cutoffs for the suggested quality indicators.
本欧洲精神病学协会指南的主要目的是提供关于欧洲精神卫生服务质量的循证建议。建议源自对科学文献中最佳可用证据的系统搜索，并辅以在审查已确定文章时检索到的文件中的信息。虽然大多数建议可以基于经验研究（尽管质量不同），但有些建议必须仅基于专家意见，但也认为有必要。另一个限制是，全世界精神疾病的服务模式和服务传统种类繁多，通常难以进行概括。尽管存在这些限制，但我们还是提出了 30 条建议，涵盖了通用和特定环境层面的结构、过程和结果质量。还提供了每个建议的操作化定义，以及要考虑的作为分母和分子的措施，以建议未来在欧洲各国进行基准测试的质量指标。进一步的泛欧研究将需要表明实施本指南是否会提高精神保健的质量，并可能有助于为建议的质量指标制定有用的特定国家的截止值。
