Quality Indicators in Community Mental Health Services: A Scoping Review.

Q4 Medicine
Vishnu Mangalamchery, M Vaseel, N A Uvais
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引用次数: 0

Abstract

Objective: To explore quality indicators in community mental health services.

Evidence Review: The PubMed and Scopus electronic databases were searched using the keywords ("quality indicators" OR "quality measurement" OR "quality standards") AND ("community mental health" OR "community mental health services" OR "community mental health care"). No date limits were imposed, and studies were restricted to those available in English. A total of 10 studies were reviewed, comprising original research and review articles. Inclusion criteria encompassed studies investigating quality of community mental health services irrespective of study design or intervention type.

Findings: Findings revealed patient-level quality indicators (access to health care services, continuity of care, regular contact with health care providers, coordination of care, continuity of care, communication among staff, and the need for regular staff), staff-level quality indicators (minimal staff turnover, implementation of clinical and treatment guidelines, staff behavior, and regular training of staff), community-level quality indicators (comprehensiveness of support services, the level of community's understanding of mental health, involvement of local communities, and employment rates of people with mental health disorders), and structural-level quality indicators (physical facilities and their conditions, the availability of specialized treatments, and having a diverse range of services).

Conclusions and Relevance: The findings highlight the importance of assessing and improving the quality of mental health services. A thorough evaluation requires a multilevel strategy that considers various indicators, including community, staff, patient, and structural factors. By addressing these diverse variables, mental health services can enhance the quality of care provided, ultimately improving the mental health outcomes of the populations they serve.

Prim Care Companion CNS Disord 2025;27(2):24r03859.

Author affiliations are listed at the end of this article.

社区精神卫生服务的质量指标:范围审查。
目的:探讨社区精神卫生服务质量指标。证据审查:使用关键词(“质量指标”或“质量测量”或“质量标准”)和(“社区精神卫生”或“社区精神卫生服务”或“社区精神卫生保健”)检索PubMed和Scopus电子数据库。没有日期限制,研究报告也仅限于英文版本。共审查了10项研究,包括原始研究和评论文章。纳入标准包括调查社区精神卫生服务质量的研究,而不考虑研究设计或干预类型。发现:调查结果揭示了患者层面的质量指标(获得保健服务的机会、护理的连续性、与保健提供者的定期联系、护理的协调、护理的连续性、工作人员之间的沟通以及对常规工作人员的需求)、工作人员层面的质量指标(人员流失率最低、临床和治疗指南的执行情况、工作人员行为以及对工作人员的定期培训)、社区层面的质量指标(支助服务的全面性、社区对精神健康的了解程度、当地社区的参与程度、精神健康障碍患者的就业率),以及结构层面的质量指标(物理设施及其条件、获得专门治疗的情况,以及提供各种服务)。结论和相关性:研究结果强调了评估和提高精神卫生服务质量的重要性。全面的评估需要多层战略,考虑各种指标,包括社区、工作人员、患者和结构因素。通过处理这些不同的变量,精神卫生服务可以提高所提供护理的质量,最终改善其所服务人群的精神卫生结果。中枢神经系统疾病诊治[j]; 2015;27(2):24r03859。本文末尾列出了作者所属单位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.50
自引率
0.00%
发文量
300
期刊介绍: Founded in 1998, The Primary Care Companion for CNS Disorders (ISSN 2155-7780), formerly The Primary Care Companion to The Journal of Clinical Psychiatry, is an international, peer-reviewed, online-only journal, and its articles are indexed by the National Library of Medicine. PCC seeks to advance the clinical expertise of primary care physicians and other health care professionals who treat patients with mental and neurologic illnesses. PCC publishes research from disciplines such as medicine, nursing, pharmacy, and psychology, especially as it pertains to integrated delivery systems and interdisciplinary collaboration. PCC focuses on providing information of direct clinical utility and giving a voice to clinician researchers. Practice-based research from individuals and groups with clinical expertise is particularly welcome. Pertinent manuscript types include: -Original research -Systematic reviews -Meta-analyses -Case reports and series -Commenting letters to the editor Articles published in PCC typically cover attention-deficit/hyperactivity disorder, depression, bipolar disorder, anxiety, addiction, sleep disorders, pain, Alzheimer’s disease, multiple sclerosis, and Parkinson’s disease.
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