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

Détails

Ressource 1Télécharger: BIB_AC26CFD7F0BD.P001.pdf (410.07 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_AC26CFD7F0BD
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Quality assessment of primary care for common mental disorders in isolated communities: Taking advantage of health records.
Périodique
Rural and Remote Health
Auteur(s)
Lessard L., Fournier L., Gauthier J., Morin D.
ISSN
1445-6354 (Electronic)
ISSN-L
1445-6354
Statut éditorial
Publié
Date de publication
07/2015
Peer-reviewed
Oui
Volume
15
Numéro
3
Pages
3224
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Création de la notice
17/10/2014 9:43
Dernière modification de la notice
20/08/2019 15:16
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