Quality assessment of primary care for common mental disorders in isolated communities: Taking advantage of health records.

Details

Ressource 1Download: BIB_AC26CFD7F0BD.P001.pdf (410.07 [Ko])
State: Public
Version: Final published version
Serval ID
serval:BIB_AC26CFD7F0BD
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Quality assessment of primary care for common mental disorders in isolated communities: Taking advantage of health records.
Journal
Rural and Remote Health
Author(s)
Lessard L., Fournier L., Gauthier J., Morin D.
ISSN
1445-6354 (Electronic)
ISSN-L
1445-6354
Publication state
Published
Issued date
07/2015
Peer-reviewed
Oui
Volume
15
Number
3
Pages
3224
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
INTRODUCTION: This article is part of a research study on the organization of primary health care (PHC) for mental health in two of Quebec's remote regions. It introduces a methodological approach based on information found in health records, for assessing the quality of PHC offered to people suffering from depression or anxiety disorders.
METHODS: Quality indicators were identified from evidence and case studies were reconstructed using data collected in health records over a 2-year observation period. Data collection was developed using a three-step iterative process: (1) feasibility analysis, (2) development of a data collection tool, and (3) application of the data collection method. The adaptation of quality-of-care indicators to remote regions was appraised according to their relevance, measurability and construct validity in this context.
RESULTS: As a result of this process, 18 quality indicators were shown to be relevant, measurable and valid for establishing a critical quality appraisal of four recommended dimensions of PHC clinical processes: recognition, assessment, treatment and follow-up.
CONCLUSIONS: There is not only an interest in the use of health records to assess the quality of PHC for mental health in remote regions but also a scientific value for the rigorous and meticulous methodological approach developed in this study. From the perspective of stakeholders in the PHC system of care in remote areas, quality indicators are credible and provide potential for transferability to other contexts. This study brings information that has the potential to identify gaps in and implement solutions adapted to the context.
Keywords
Depressive Disorder/therapy, Electronic Health Records, Feasibility Studies, Health Services Research, Humans, Mental Disorders/therapy, Mental Health Services/standards, Organizational Case Studies, Outcome and Process Assessment (Health Care), Primary Health Care/standards, Primary Health Care/utilization, Quality Indicators, Health Care/statistics & numerical data, Quebec, Rural Population
Pubmed
Web of science
Create date
17/10/2014 9:43
Last modification date
20/08/2019 15:16
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