Department of Psychology, University of Cádiz, Asociación Científica Psicost, Spain.
Department of Psychology, Universidad Loyola Andalucía, Seville, Asociación Científica Psicost, Spain.
Eur Psychiatry. 2019 Sep;61:97-110. doi: 10.1016/j.eurpsy.2019.07.003. Epub 2019 Aug 17.
Evidence-informed planning and interpretation of research results both require standardised description of local care delivery context. Such context analysis descriptions should be comparable across regions and countries to allow benchmarking and organizational learning, and for research findings to be interpreted in context. The European Service Mapping Schedule (ESMS) is a classification of adult mental health services that was later adapted for the assessment of health and social systems research (Description and Evaluation of Services and DirectoriEs - DESDE). The aim of the study was to review the diffusion and use of the ESMS/DESDE system in health and social care and its impact in health policy and decision-making.
We conducted a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (1997-2018).
Out of 155 papers mentioning ESMS/DESDE, 71 have used it for service research and planning. The classification has been translated into eight languages and has been used by seven international research networks. Since 2000, it has originated 11 instruments for health system research with extensive analysis of their metric properties. The ESMS/DESDE coding system has been used in 585 catchment areas in 34 countries for description of services delivery at local, regional and national levels.
The ESMS/DESDE system provides a common terminology, a classification of care services, and a set of tools allowing a variety of aims to be addressed in healthcare and health systems research. It facilitates comparisons across and within countries for evidence-informed planning.
证据导向的规划和研究结果的解释都需要对当地医疗服务提供情况进行标准化描述。这种情况分析描述应在各地区和国家之间具有可比性，以实现基准比较和组织学习，并能在背景下解释研究结果。欧洲服务映射时间表（ESMS）是一种成人心理健康服务分类，后来被改编用于评估健康和社会系统研究（服务和目录描述与评估-DESDE）。本研究旨在回顾 ESMS/DESDE 系统在卫生和社会保健中的传播和使用情况及其对卫生政策和决策的影响。
我们按照系统评价和荟萃分析的首选报告项目（PRISMA）指南（1997-2018 年）进行了系统回顾。
在提到 ESMS/DESDE 的 155 篇论文中，有 71 篇论文将其用于服务研究和规划。该分类已被翻译成八种语言，并被七个国际研究网络使用。自 2000 年以来，它已经产生了 11 种用于卫生系统研究的工具，对其计量特性进行了广泛分析。ESMS/DESDE 编码系统已在 34 个国家的 585 个流域地区用于描述地方、区域和国家各级的服务提供情况。
ESMS/DESDE 系统提供了一个通用术语、一种护理服务分类和一套工具，可用于解决医疗保健和卫生系统研究中的各种目标。它有助于在国家之间和国家内部进行循证规划的比较。
