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Vieta E, Menchón Magriña JM, Bernardo Arroyo M, Pérez Sola V, Moreno Ruiz C, Arango López C, Bobes García J, Martín Carrasco M, Palao Vidal D, González-Pinto Arrillaga A. Basic quality indicators for clinical care of patients with major depression, schizophrenia, and bipolar disorder. SPANISH JOURNAL OF PSYCHIATRY AND MENTAL HEALTH 2024; 17:103-109. [PMID: 37852877 DOI: 10.1016/j.rpsm.2023.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 03/08/2023] [Accepted: 03/16/2023] [Indexed: 10/20/2023]
Abstract
OBJECTIVE To identify a set of indicators to monitor the quality of care for patients with major depression, schizophrenia, or bipolar disorder. METHODS A group of 10 experts selected the most automatically applicable indicators from a total of 98 identified in a previous study. Five online sessions and 5 discussion meetings were performed to select the indicators that met theoretical feasibility criteria automatically. Subsequently, feasibility was tested in a pilot study conducted in two hospitals of the Spanish Health Service. RESULTS After evaluating its measurement possibilities in the Spanish Health Service, and the fulfillment of all the quality premises defined, 16 indicators were selected. Three were indicators of major depression, 5 of schizophrenia, 3 of bipolar disorder, and 5 indicators common to all three pathologies. They included measures related to patient safety, maintenance and follow-up of treatment, therapeutic adherence, and adequacy of hospital admissions. After the pilot study, 5 indicators demonstrated potential in the automatic generation of results, with 3 of them related to treatments (clozapine in schizophrenia, lithium for bipolar disorder, and valproate in women of childbearing age). CONCLUSIONS Indicators support the monitoring of the quality of treatment of patients with major depression, schizophrenia, or bipolar disorder. Based on this proposal, each care setting can draw up a balanced scorecard adjusted to its priorities and care objectives, which will allow for comparison between centers.
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Affiliation(s)
- Eduard Vieta
- Hospital Clínic, Bipolar and Depressive Disorders Unit, Neurosciences Institute, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Spain
| | | | | | - Víctor Pérez Sola
- Neuropsychiatry and Addcitions Institute, Hospital del Mar, CIBERSAM, ISCIII, IMIM (Hospital del Mar Institute of Medicine Research), Psychiatry Department, Autonomous University of Barcelona, Barcelona, Spain
| | - Carmen Moreno Ruiz
- Department of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, IiSGM, CIBERSAM, School of Medicine, Complutense University of Madrid, Madrid, Spain
| | - Celso Arango López
- Department of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, IiSGM, CIBERSAM, School of Medicine, Complutense University of Madrid, Madrid, Spain
| | - Julio Bobes García
- Hospital Universitario Central de Asturias (HUCA), ISPA, INEUROPA, CIBERSAM, ISCIII, University of Oviedo, Oviedo, Spain
| | | | - Diego Palao Vidal
- Hospital Universitario Parc Taulí-Mental Health, I3PT-INc Translational Neuroscience Unit, Autonomous University of Barcelona, CIBERSAM, ISCIII, Sabadell, Barcelona, Spain
| | - Ana González-Pinto Arrillaga
- Department of Psychiatry, BIOARABA, Hospital Universitario de Álava-Santiago, CIBERSAM, ISCIII, University of the Basque Country, Vitoria-Gasteiz, Spain.
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Crespo-Facorro B. Upholding rights through fostering equity and quality in mental health care. SPANISH JOURNAL OF PSYCHIATRY AND MENTAL HEALTH 2024; 17:57-58. [PMID: 38719397 DOI: 10.1016/j.sjpmh.2024.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2024] [Accepted: 04/16/2024] [Indexed: 05/26/2024]
Affiliation(s)
- Benedicto Crespo-Facorro
- Centre for Biomedical Research in the Mental Health Network (CIBERSAM), Madrid, Spain; Hospital Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS)-CSIC, Sevilla, Spain; Department of Psychiatry, University of Sevilla, Sevilla, Spain.
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Gómez-Durán EL, Méndez-Tomás RM, Martin-Fumadó C. From capacity modification to support measures in people with disabilities. REVISTA DE PSIQUIATRIA Y SALUD MENTAL 2022; 15:216-217. [PMID: 36167644 DOI: 10.1016/j.rpsmen.2022.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Accepted: 12/13/2021] [Indexed: 12/31/2022]
Affiliation(s)
- Esperanza L Gómez-Durán
- Facultad de Medicina, Universitat Internacional de Catalunya, Barcelona, Spain; Clínica Galatea, Fundación Galatea, Barcelona, Spain.
| | | | - Carles Martin-Fumadó
- Facultad de Medicina, Universitat Internacional de Catalunya, Barcelona, Spain; Área de Praxis, Servicio de Responsabilidad Profesional, Colegio de Médicos de Barcelona, Consejo de Colegios de Médicos de Catalunya, Barcelona, Spain; Cátedra de Responsabilidad Profesional Médica y Medicina Legal, Universitat Autònoma de Barcelona, Barcelona, Spain
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