Großimlinghaus I, Falkai P, Gaebel W, Janssen B, Reich-Erkelenz D, Wobrock T, Zielasek J
Klinik und Poliklinik für Psychiatrie und Psychotherapie, LVR-Klinikum Düsseldorf, Medizinische Fakultät, Heinrich-Heine-Universität, Bergische Landstr. 2, 40629 Düsseldorf, Deutschland.
Nervenarzt. 2013 Mar;84(3):350-65. doi: 10.1007/s00115-012-3705-4.
Valid and feasible quality indicators can measure healthcare quality and show potential for improvement in care. The German Association for Psychiatry and Psychotherapy (DGPPN) has developed trans-sectoral quality indicator sets for four mental disorders with high prevalence (alcohol dependence, dementia, depression and schizophrenia).
The DGPPN followed a structured multistage process and used guideline recommendations and the results of systematic evidence searches as the basis for the development of these quality indicators. This was followed by a structured consensus process for all quality indicators.
Four evidence and consensus-based, diagnosis-specific and trans-sectoral quality indicator sets have been developed.
It is possible to develop quality indicators on the basis of guideline recommendations. The implementation of the DGPPN quality indicators will play a crucial role in order to evaluate their utility and feasibility as quality measures for German mental healthcare.
有效且可行的质量指标能够衡量医疗保健质量,并显示出护理改进的潜力。德国精神病学与心理治疗协会(DGPPN)针对四种高患病率的精神障碍(酒精依赖、痴呆、抑郁症和精神分裂症)制定了跨部门质量指标集。
DGPPN遵循结构化的多阶段流程,并将指南建议和系统证据检索结果作为制定这些质量指标的基础。随后对所有质量指标进行结构化的共识达成过程。
已制定出四个基于证据和共识、针对特定诊断且跨部门的质量指标集。
基于指南建议制定质量指标是可行的。DGPPN质量指标的实施对于评估其作为德国精神卫生保健质量衡量标准的效用和可行性将发挥关键作用。