Quality of care and its determinants in longer term mental health facilities across Europe; a cross-sectional analysis

BMC Psychiatry

Research Article

Graça Cardoso¹  José Miguel Caldas de Almeida¹  Paulette Brangier²  Jorge A. Cervilla²  Mirjam Schuster³  Matthias Schützwohl³  Georgi Onchev⁴  Spiridon Alexiev⁴  Andrzej Kiejna⁵  Tomasz Adamowski⁵  Lucie Kalisova⁶  Jiri Raboch⁶  Roberto Mezzina⁷  Pina Ridente⁷  Helen Killaspy⁸  Michael King⁸  Tatiana L. Taylor⁸  Sarah White⁹  Penny Turton⁹  Christine Wright⁹  Ellen Visser^1,10  Durk Wiersma^1,10  Dimitris Ploumpidis^1,11  Fragiskos Gonidakis^1,11 

[1] CEDOC and Mental Health Department, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Campo Mártires da Pátria 130, 1169-056, Lisbon, Portugal;CIBERSAM, Department of Psychiatry, Universidad de Granada, Avenida de Madrid 11, 18012, Granada, Spain;Department of Psychiatry and Psychotherapy, University Hospital, Technische Universitaet Dresden, Fetscherstrasse 74, 01307, Dresden, Germany;Department of Psychiatry, Medical University Sofia, St Georgi Sofiisky str. L, 1431, Sofia, Bulgaria;Department of Psychiatry, Wroclaw Medical University, Pasteura 10, 50-367, Wroclaw, Poland;Department of Psychiatry, lst Faculty of Medicine, Charles University, Ke Karlovu 11, 128 00, Prague 2, Czech Republic;Dipartimento di Salute Mentale, Via Sai, 1-3, 34127, Trieste, Italy;Division of Psychiatry, University College London, Maple House, 149 Tottenham Court Road, London, UK;Population Health Research Institute, St George’s University London, Cranmer Terrace, London, UK;University Medical Centre, Hanzeplein1, 9700 RB, Groningen, Netherlands;University Mental Health Research Institute, Soranou Tou Efessiou 2, 11527, Athens, Greece;

关键词: Mental Health Service;    Mental Health Care;    Service User;    Maximum Length;    Domain Score;   

DOI  :  10.1186/s12888-016-0737-5

 received in 2015-03-27, accepted in 2016-02-04,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThe Quality Indicator for Rehabilitative Care (QuIRC) is an international, standardised quality tool for the evaluation of mental health facilities that provide longer term care. Completed by the service manager, it comprises 145 items that assess seven domains of care: living environment; treatments and interventions; therapeutic environment; self-management and autonomy; social interface; human rights; and recovery based practice. We used the QuIRC to investigate associations between characteristics of longer term mental health facilities across Europe and the quality of care they delivered to service patients.MethodsQuIRC assessments were completed for 213 longer term mental health units in ten countries that were at various stages of deinstitutionalisation of their mental health services. Associations between QuIRC domain scores and unit descriptive variables were explored using simple and multiple linear regression that took into account clustering at the unit and country level.ResultsWe found wide variation in QuIRC domain scores between individual units, but across countries, fewer than a quarter scored below 50 % on any domains. The quality of care was higher in units that were smaller, of mixed sex, that had a defined expected maximum length of stay and in which not all patients were severely disabled.ConclusionsThis is the first time longer term mental health units across a number of European countries have been compared using a standardised measure. Further use of the QuIRC will allow greater understanding of the quality of care in these units across Europe and provide an opportunity to monitor pan-European quality standards of care for this vulnerable patient group.

【 授权许可】

CC BY   
© Killaspy et al. 2016