Quality measures for primary mental healthcare: a multistakeholder, multijurisdictional Canadian consensus
Objective To develop quality measures using a consensus-based, multistakeholder process to improve delivery of mental health services within primary healthcare settings. Methods A three-stage consensus model culminating in a two-round, modified Delphi postal survey ranking quality measures according...
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fthighwire:oai:open-archive.highwire.org:qhc:19/6/519 2023-05-15T16:16:52+02:00 Quality measures for primary mental healthcare: a multistakeholder, multijurisdictional Canadian consensus Waraich, Paul Saklikar, Renée Sarojini Aubé, Denise Jones, Wayne Haslam, David Hamill, Karen 2010-12-01 00:00:00.0 text/html http://qualitysafety.bmj.com/cgi/content/short/19/6/519 https://doi.org/10.1136/qshc.2008.027839 en eng British Medical Journal Publishing Group http://qualitysafety.bmj.com/cgi/content/short/19/6/519 http://dx.doi.org/10.1136/qshc.2008.027839 Copyright (C) 2010, BMJ Publishing Group Ltd Original research TEXT 2010 fthighwire https://doi.org/10.1136/qshc.2008.027839 2012-06-19T01:18:31Z Objective To develop quality measures using a consensus-based, multistakeholder process to improve delivery of mental health services within primary healthcare settings. Methods A three-stage consensus model culminating in a two-round, modified Delphi postal survey ranking quality measures according to ‘actionability,’ relevance and overall importance. Participants More than 800 people from all 10 provinces and three territories in Canada participated in the study, representing consumers/advocates, clinicians, academics and government decision-makers from regional, provincial and federal levels. A small group with expertise in First Nations and rural-setting health issues was also included, as well as international experts. Results The top overall pan-Canadian measure was ‘Education about Depression.’ ‘Actionability’ was a key criterion for many of the top 30 measures. Fifty per cent of these measures focused on three major themes: depression, self-harm and access to a broader spectrum of treatment (such as outreach services and psychotherapy). Additional themes included the need for greater collaboration, respectful treatment of patients and families, and improved evaluation of patients. One-way ANOVA results indicated statistically significant differences (p <0.05) between academics, clinicians, consumers and decision-makers on approximately 5% of quality measure ratings. The majority (85% of the 5%) of these differences involved consumer stakeholders. Conclusion A small set of specific consensus measures were identified through a rigorous, evidence-informed process. These measures can be used for system-wide changes or at the individual practice level. Although these measures have been developed within a Canadian context, the methodology utilised and the measures selected can be adapted elsewhere. Text First Nations HighWire Press (Stanford University) Canada BMJ Quality & Safety 19 6 519 525 |
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Original research Waraich, Paul Saklikar, Renée Sarojini Aubé, Denise Jones, Wayne Haslam, David Hamill, Karen Quality measures for primary mental healthcare: a multistakeholder, multijurisdictional Canadian consensus |
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Original research |
description |
Objective To develop quality measures using a consensus-based, multistakeholder process to improve delivery of mental health services within primary healthcare settings. Methods A three-stage consensus model culminating in a two-round, modified Delphi postal survey ranking quality measures according to ‘actionability,’ relevance and overall importance. Participants More than 800 people from all 10 provinces and three territories in Canada participated in the study, representing consumers/advocates, clinicians, academics and government decision-makers from regional, provincial and federal levels. A small group with expertise in First Nations and rural-setting health issues was also included, as well as international experts. Results The top overall pan-Canadian measure was ‘Education about Depression.’ ‘Actionability’ was a key criterion for many of the top 30 measures. Fifty per cent of these measures focused on three major themes: depression, self-harm and access to a broader spectrum of treatment (such as outreach services and psychotherapy). Additional themes included the need for greater collaboration, respectful treatment of patients and families, and improved evaluation of patients. One-way ANOVA results indicated statistically significant differences (p <0.05) between academics, clinicians, consumers and decision-makers on approximately 5% of quality measure ratings. The majority (85% of the 5%) of these differences involved consumer stakeholders. Conclusion A small set of specific consensus measures were identified through a rigorous, evidence-informed process. These measures can be used for system-wide changes or at the individual practice level. Although these measures have been developed within a Canadian context, the methodology utilised and the measures selected can be adapted elsewhere. |
format |
Text |
author |
Waraich, Paul Saklikar, Renée Sarojini Aubé, Denise Jones, Wayne Haslam, David Hamill, Karen |
author_facet |
Waraich, Paul Saklikar, Renée Sarojini Aubé, Denise Jones, Wayne Haslam, David Hamill, Karen |
author_sort |
Waraich, Paul |
title |
Quality measures for primary mental healthcare: a multistakeholder, multijurisdictional Canadian consensus |
title_short |
Quality measures for primary mental healthcare: a multistakeholder, multijurisdictional Canadian consensus |
title_full |
Quality measures for primary mental healthcare: a multistakeholder, multijurisdictional Canadian consensus |
title_fullStr |
Quality measures for primary mental healthcare: a multistakeholder, multijurisdictional Canadian consensus |
title_full_unstemmed |
Quality measures for primary mental healthcare: a multistakeholder, multijurisdictional Canadian consensus |
title_sort |
quality measures for primary mental healthcare: a multistakeholder, multijurisdictional canadian consensus |
publisher |
British Medical Journal Publishing Group |
publishDate |
2010 |
url |
http://qualitysafety.bmj.com/cgi/content/short/19/6/519 https://doi.org/10.1136/qshc.2008.027839 |
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Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
http://qualitysafety.bmj.com/cgi/content/short/19/6/519 http://dx.doi.org/10.1136/qshc.2008.027839 |
op_rights |
Copyright (C) 2010, BMJ Publishing Group Ltd |
op_doi |
https://doi.org/10.1136/qshc.2008.027839 |
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BMJ Quality & Safety |
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19 |
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6 |
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519 |
op_container_end_page |
525 |
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1766002724146511872 |