[Adjustment and alteration of the quality indicators in the Basic Set (GGZ) for use in child and adolescent psychiatry]
Publication year
2013Source
Tijdschrift voor Psychiatrie, 55, 1, (2013), pp. 21-31ISSN
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Publication type
Article / Letter to editor
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Organization
Psychiatry
Cognitive Neuroscience
IQ Healthcare
Journal title
Tijdschrift voor Psychiatrie
Volume
vol. 55
Issue
iss. 1
Page start
p. 21
Page end
p. 31
Subject
DCN PAC - Perception action and control; DCN PAC - Perception action and control NCEBP 9 - Mental health; NCEBP 3: Implementation Science; NCEBP 9: Mental healthAbstract
BACKGROUND: Transparency by means of quality indicators is regarded as a method for monitoring and improving the quality of care. In the Dutch mental health service (GGZ) a generic basic set of indicators has been developed, but it is not clear whether the set is suitable for use in child and adolescent psychiatry. AIM: To assess whether the GGZ Basic Set of performance indicators for 2007-2008 was suitable for use in a child and adolescent psychiatric setting and to detect any omissions in that set. METHOD: A heterogeneous national group of eight health professionals and five 'stakeholders' in child and adolescent mental health judged the existing Basic Set by means of a Delphi procedure consisting of two written rounds and a panel discussion. The experts assessed potential indicators with regard to necessity, validity, clarity and applicability to child and adolescent psychiatry using a scale of 0 to 9. Indicators scoring more than 7 were considered to be appropriate. RESULTS: Only two of the 54 indicators were considered appropriate. A lower cut-off point would leave 16 indicators, of which 10 related to the outcome of treatment. One of the nine proposed innovative indicators was added. CONCLUSION: Very few of the indicators in the Basic Set were considered to be suitable for use in child and adolescent psychiatry. Respondents expressed a preference for a limited number of indicators that emphasised the opinion of the patient and of parents rather than the outcomes of treatment.
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