The past decade has witnessed remarkable growth in the field of
quality measurement in health care. Today's patients want to know
that the care they receive is safe, effective, and accessible.
This compelling monograph combines -- for the first time -- the
reports from two American Psychiatric Association task forces on
quality in psychiatric care (March 1999, which focused on adults,
and October 2001, which focused on children and adolescents),
offering a clinical framework for quality measurement that provides
sample indicators of quality for health plans, facilities, and
systems of care.
Using similar formats and definitions, each task force
considered a matrix of priority areas of care, including specific
patient populations (e.g., elderly, seriously and persistently
mentally ill, developmentally disabled people) and diagnostic
categories (e.g., depressive disorder, schizophrenia, substance use
disorders). Each then examined important aspects of patient care
and constructed a quality framework that included dimensions of
access, quality (appropriateness of care), perception of care
(satisfaction), outcome, and -- for the children's report --
prevention.
Each task force also considered relevant methodological issues:
cultural, linguistic, and ethnic differences; data collection and
tracking; confidentiality of data; risk adjustment; use of rating
scales and standardized instruments; and designation of
standards.
Sample recommended goals include - For adults: patients with
serious and persistent mental illness should have access to newer
generations of antipsychotic medications as these become available;
patients should achieve a significant reduction in symptom.- For
children and adolescents: the mental health status of children and
adolescents should be assessed annually; children with severe or
persistent mental illness whose care involves multiple
child-serving systems, caregivers, and service providers should
have their care coordinated
Sample indicators include - For adults: utilization of new
antipsychotics for patients with the diagnosis of schizophrenia;
reduction in frequency of panic attacks in patients with the
diagnosis of panic disorder- For children and adolescents: high
levels of satisfaction of adolescents using mental health services
or substance abuse services; reduction in a family's stress level
and impact of illness
As the initial step in what must be an evolving effort by
clinicians to define, measure, report, and improve the care that
patients and their families receive, this monograph is essential
reading for those who provide and receive care, accredit and
regulate care, and purchase and administer clinical services.
Purchasers of mental health care want clear, reliable,
meaningful, and comparable information on what care is provided and
with what results. APA convened these two task forces to lend its
professional expertise to that issue, to advise on how to develop
clinically based, patient focused quality indicators that use
existing and ongoing research and clinical consensus in selecting
potential indicators.
General
Imprint: |
American Psychiatric Publishing Inc
|
Country of origin: |
United States |
Release date: |
July 2002 |
First published: |
May 2002 |
Authors: |
American Psychiatric Association
|
Dimensions: |
229 x 152 x 13mm (L x W x T) |
Format: |
Paperback
|
Pages: |
222 |
Edition: |
1st ed |
ISBN-13: |
978-0-89042-291-5 |
Categories: |
Books
Promotions
|
LSN: |
0-89042-291-5 |
Barcode: |
9780890422915 |
Is the information for this product incomplete, wrong or inappropriate?
Let us know about it.
Does this product have an incorrect or missing image?
Send us a new image.
Is this product missing categories?
Add more categories.
Review This Product
No reviews yet - be the first to create one!