Department of Psychiatry and Psychotherapy, Medical Faculty, LVR-Klinikum Düsseldorf, Heinrich-Heine-University, Bergische Landstraße 2, 40629, Düsseldorf, Germany.
WHO Collaborating Centre on Quality Assurance and Empowerment in Mental Health, Düsseldorf, Germany.
Eur Arch Psychiatry Clin Neurosci. 2021 Sep;271(6):1017-1025. doi: 10.1007/s00406-020-01124-z. Epub 2020 Apr 8.
Quality indicators are vital for monitoring the transformation of institution-based mental health services towards the provision of person-centered mental healthcare. While several mental healthcare quality indicators have been identified as relevant and valid, their actual usability and utility for routine monitoring healthcare quality over time is significantly determined by the availability and trustworthiness of the underlying data. In this feasibility study, quality indicators that have been systematically identified for use in the Danube region countries of Bulgaria, the Czech Republic, Hungary, and Serbia were measured on the basis of existing mental healthcare data in the four countries. Data were collected retrospectively by means of the best available, most standardized, trustworthy, and up-to-date data in each country. Out of 21 proposed quality indicators, 18 could be measured in Hungary, 17 could be measured in Bulgaria and in the Czech Republic, and 8 could be measured in Serbia. The results demonstrate that a majority of quality indicators can be measured in most of the countries by means of already existing data, thereby demonstrating the feasibility of quality measurement and regular quality monitoring. However, data availability and usability are scattered across countries and care sectors, which leads to variations in the quality of the quality indicators themselves. Making the planning and outputs of national mental healthcare reforms more transparent and evidence-based requires (trans-)national standardization of healthcare quality data, their routine availability and standardized assessment, and the regular reporting of quality indicators.
质量指标对于监测机构心理健康服务向以患者为中心的心理健康护理的转变至关重要。虽然已经确定了一些与心理健康相关的质量指标，但它们在实际中的可用性和实用性，以及它们在常规监测医疗保健质量方面的效用，在很大程度上取决于基础数据的可用性和可信度。在这项可行性研究中，在所研究的四个国家（保加利亚、捷克共和国、匈牙利和塞尔维亚），基于现有的心理健康护理数据，对已系统确定可在多瑙河流域国家使用的质量指标进行了测量。数据通过各国现有数据中最佳、最标准化、最可信和最新的数据进行回顾性收集。在所提出的 21 个质量指标中，18 个可以在匈牙利进行测量，17 个可以在保加利亚和捷克共和国进行测量，8 个可以在塞尔维亚进行测量。结果表明，大多数质量指标可以通过现有的数据在大多数国家进行测量，从而证明了质量测量和常规质量监测的可行性。然而，数据的可用性和可用性在各国和各护理部门之间存在差异，这导致质量指标本身的质量存在差异。要使国家心理健康保健改革的规划和成果更加透明和基于证据，需要（跨国）标准化医疗保健质量数据、其常规可用性和标准化评估，以及定期报告质量指标。
