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Development of a set of schizophrenia quality indicators for integrated care

Published online by Cambridge University Press:  11 April 2011

Stefan Weinmann ,
Christiane Roick ,
Luise Martin ,
Stefan Willich  and
Thomas Becker
Stefan Weinmann*
Affiliation:
Institute for Social Medicine, Epidemiology and Health Economics, Charité University Medicine Berlin, Berlin (Germany)
Christiane Roick
Affiliation:
Federal Association of Local Health Funds (AOK-BV), Berlin (Germany)
Luise Martin
Affiliation:
Institute for Social Medicine, Epidemiology and Health Economics, Charité University Medicine Berlin, Berlin (Germany)
Stefan Willich
Affiliation:
Institute for Social Medicine, Epidemiology and Health Economics, Charité University Medicine Berlin, Berlin (Germany)
Thomas Becker
Affiliation:
Department of Psychiatry and Psychotherapy II, University of Ilm. Günzburg (Germany)
*
Address for correspondence: Dr. S. Weinmann, Institute for Social Medicine, Epidemiology and Health Economics, Charitè University Medicine Berlin, Luisenstr. 57 D-10117 Berlin (Germany). Fax: ++49-(0)30-450529902 E-mail: [email protected]
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Extract

Aim – We aimed at developing a prioritized set of quality indicators for schizophrenia care to be used for continuous quality monitoring. They should be evidence-based and rely on routine data. Methods – A systematic literature search was performed to identify papers on validated quality indicators published between 1990 to April 2008 in MEDLINE, the Cochrane databases, EMBASE and PsycINFO. Databases of relevant national and international organizations were searched. Indicators were described with respect to meaningfulness, feasibility and actionability. A workshop with relevant stakeholders evaluated the measures through a structured consensus process. Results – We identified 78 indicators through literature search and selected 22 quality indicators. Furthermore, 12 structural and case-mix indicators were choosen. Only five quality indicators were rated “essential indicators” (priority 1), 14 were rated “additional first choice” (priority 2), and three were rated as “additional second choice” (priority 3). Only four indicators assessed outcome quality. In the majority of indicators the evidence base supporting the indicator recommendation was weak. None of the selected indicators was validated in experimental studies. Conclusions – Evidence and validation base played only a subordinate role for indicator prioritisation by stakeholders indicating that there are discrepancies between clinical questions and requirements in schizophrenia care and scientific research.

Declaration of Interest: Stefan Weinmann and Thomas Becker received an unrestricted grant from the Federal Association of Local Health Funds (AOK-BV) for the whole project. Christiane Roick is an employee of the AOK-BV. All authors declare that there are no other financing arrangements or payments that might be considered a conflict of interests related to the present paper.

Keywords

schizophreniaquality indicatorsoutcome assessmentmental health
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 19 , Issue 1 , March 2010 , pp. 52 - 62
Copyright
Copyright © Cambridge University Press 2010

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