Improving the quality of mental health care
Improving the quality of mental health care
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DOI：
10.1093/intqhc/mzp048
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发表时间：
2009-12-01
影响因子：
2.6
通讯作者：
Drew, N.
中科院分区：
文献类型：
--
作者：
Funk, M.;Lund, C.;Drew, N.
目标。制定提高中低收入国家精神卫生保健质量的国际指南。一个小组根据全面的文献审查、与来自46个国家的100多名专家的咨询和对国际最佳做法的分析，提出了建议。建议采取五管齐下的方法来提高精神卫生保健的质量。提高质量要求政策和立法与实现高质量的心理健康结果相一致。必须将关键合作伙伴纳入质量改进过程。资金可以是促进高质量的重要工具，但需要正确调整，以实现政策目标和促进循证干预。需要认真制定认证程序和质量标准，并为执行这些程序分配资源。最后，必须将质量改进纳入到日常服务管理和交付中。通过系统地提高质量，有可能确保在每个国家的限制范围内提供尽可能最佳的干预措施，并以最佳方式促进精神障碍患者的权利和福祉。改进质量不是奢侈品，而是确保向所有有需要的人提供尽可能最好的服务的不可或缺的一部分。
Objective. To develop international guidance for improving the quality of mental health care in low- and middle-income countries.Design. A panel developed recommendations based on a comprehensive literature review, consultation with over 100 experts from 46 countries and an analysis of international best practices.Recommendations. A 5-pronged approach to improving the quality of mental health care is recommended. Quality improvement requires the alignment of policy and legislation with the attainment of good quality mental health outcomes. Key partners must be brought into the quality improvement process. Funding can be an important tool for promoting good quality but needs to be correctly aligned to meet policy objectives and to promote evidence-based interventions. Accreditation procedures and quality standards need to be carefully developed and resources allocated for their implementation. Finally, quality improvement must be brought into routine service management and delivery.Conclusions. Through a systematic approach to quality improvement, it is possible to ensure that the best possible interventions are provided within the constraints of each country and that the rights and well-being of people with mental disorders is optimally promoted. Quality improvement is not a luxury but an integral part of ensuring that the best possible services are provided to all who need them.