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

2016-02-11Artigo científico Acesso aberto
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dc.contributor.authorKillaspy, Helen
dc.contributor.authorCardoso, Graça
dc.contributor.authorCardoso, Graca
dc.contributor.authorWhite, Sarah
dc.contributor.authorWright, Christine
dc.contributor.authorCaldas de Almeida, José Miguel
dc.contributor.authorJM, Caldas-de-Almeida
dc.contributor.authorTurton, Penny
dc.contributor.authorTaylor, Tatiana L.
dc.contributor.authorSchützwohl, Matthias
dc.contributor.authorSchuster, Mirjam
dc.contributor.authorCervilla, Jorge A.
dc.contributor.authorBrangier, Paulette
dc.contributor.authorRaboch, Jiri
dc.contributor.authorKalisova, Lucie
dc.contributor.authorOnchev, Georgi
dc.contributor.authorAlexiev, Spiridon
dc.contributor.authorMezzina, Roberto
dc.contributor.authorRidente, Pina
dc.contributor.authorWiersma, Durk
dc.contributor.authorVisser, Ellen
dc.contributor.authorKiejna, Andrzej
dc.contributor.authorAdamowski, Tomasz
dc.contributor.authorPloumpidis, Dimitris
dc.contributor.authorGonidakis, Fragiskos
dc.contributor.authorKing, Michael
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionCentro de Estudos de Doenças Crónicas (CEDOC)
dc.contributor.pblBioMed Central (BMC)
dc.date.accessioned2017-12-11T23:12:12Z
dc.date.available2017-12-11T23:12:12Z
dc.date.issued2016-02-11
dc.description.abstractBackground: The 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. Methods: QuIRC 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. Results: We 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. Conclusions: This 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.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent455485
dc.identifier.doi10.1186/s12888-016-0737-5
dc.identifier.issn1471-244X
dc.identifier.otherPURE: 1784883
dc.identifier.otherPURE UUID: 2b5f87c8-91f8-49da-bb8a-23255aff2cda
dc.identifier.otherScopus: 84957655227
dc.identifier.otherWOS: 000369790900001
dc.identifier.otherPubMed: 26868834
dc.identifier.urihttp://www.scopus.com/inward/record.url?scp=84957655227&partnerID=8YFLogxK
dc.identifier.urlhttps://www.scopus.com/pages/publications/84957655227
dc.language.isoeng
dc.peerreviewedyes
dc.subjectPsychiatry and Mental health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleQuality of care and its determinants in longer term mental health facilities across Europe; a cross-sectional analysisen
dc.typejournal article
degois.publication.issue1
degois.publication.titleBMC Psychiatry
degois.publication.volume16
dspace.entity.typePublication
person.familyNameCardoso
person.familyNamecaldas de almeida
person.givenNameGraça
person.givenNamejosé miguel
person.identifier.ciencia-id9F16-E03A-E150
person.identifier.ciencia-idA217-C270-9BA2
person.identifier.orcid0000-0003-1756-0197
person.identifier.orcid0000-0003-1902-6772
person.identifier.scopus-author-id7005057979
person.identifier.scopus-author-id6506787166
rcaap.rightsopenAccess
relation.isAuthorOfPublication1dadf86e-5bf3-44d4-a3a3-894f3558dba8
relation.isAuthorOfPublicationb48afbbc-5703-4b0f-8c88-6beb5432d327
relation.isAuthorOfPublication.latestForDiscoveryb48afbbc-5703-4b0f-8c88-6beb5432d327

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