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Indicadores em saúde mental : aplicabilidade e uso em Portugal
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Resumo(s)
Resumo - Introdução: Os problemas de saúde mental são cada vez mais prevalentes e foco de maior atenção e preocupação por parte da população. De forma a responder a esse crescendo de necessidades, há um aumento de iniciativas e medidas por parte dos serviços e profissionais de saúde, sendo a elaboração de indicadores que promovam as boas práticas clínicas e a melhoria em saúde dos utentes, uma prioridade definida pelos especialistas.
Objetivo: Analisar a literatura mais recente, abordar especialistas e atingir um acordo quanto a possíveis indicadores a implementar no país e possivelmente num sistema de pagamento por desempenho, realizando um trabalho que possa apoiar e inspirar trabalhos e políticas futuras.
Metodologia: Neste trabalho foi realizado uma revisão literária que fundamentou um painel Delphi, com duas rondas, para obtenção de consenso quanto a indicadores viáveis para o Serviço Nacional de Saúde, assim como um sistema de pagamento por desempenho.
Resultados: Após revisão da literatura foram compilados 99 indicadores de quatro fontes oficiais. Destes 99 indicadores, 13 passaram à segunda ronda, pelo que apenas 6 obtiveram o consenso final pretendido entre os especialistas.
Conclusão: Os resultados obtidos refletem a visão de um grupo de especialistas, num determinado tempo e com um conjunto específico de informação, pelo que não é possível extrapolar os mesmos. Contudo, estes resultados apontam para o consenso na relevância, viabilidade e acionabilidade de 6 indicadores aplicáveis em saúde mental, que pela revisão da literatura, são fundamentais para melhorar a resposta dos serviços, desempenho dos profissionais e saúde das populações.
Abstract - Introduction: Mental health problems have significantly risen, becoming a subject of greater attention and concern for the population. To meet these growing needs, health services and professionals are implementing several initiatives and measures in which, one of the priorities identified by experts is the development of indicators that promote better clinical practices and lead to improved patient health. Objective: The objective of this study is to analyze recent literature, engage with experts, and achieve a consensus on possible indicators to be implemented nationwide, and potentialy integrate a pay-for-performance system. The aim is to support and serve as source of inspiration for future work and policies. Methodology: This study includes a literature review to provide a foundation for a Delphi panel consisting of two rounds, aiming to achieve consensus on viable indicators for the national health service and their compatibility with a pay-for-performance system. Results: Upon conducting the literature review, a compilation of 99 indicators was obtained based on information from four authoritative sources. Out of these 99 indicators, only 13 were shortlisted for the second round, eventually leading to a final consensus on six indicators among experts. Conclusion: The findings obtained reflect the views of a specific group of experts at a particular point in time, with specific information, and should not be generalized. Nevertheless, these results indicate a consensus concerning the significance, feasibility, and actionability of six indicators pertinent to mental health. As emphasized by the literature review, these indicators are crucial in enhancing service response, professional performance, and overall population health.
Abstract - Introduction: Mental health problems have significantly risen, becoming a subject of greater attention and concern for the population. To meet these growing needs, health services and professionals are implementing several initiatives and measures in which, one of the priorities identified by experts is the development of indicators that promote better clinical practices and lead to improved patient health. Objective: The objective of this study is to analyze recent literature, engage with experts, and achieve a consensus on possible indicators to be implemented nationwide, and potentialy integrate a pay-for-performance system. The aim is to support and serve as source of inspiration for future work and policies. Methodology: This study includes a literature review to provide a foundation for a Delphi panel consisting of two rounds, aiming to achieve consensus on viable indicators for the national health service and their compatibility with a pay-for-performance system. Results: Upon conducting the literature review, a compilation of 99 indicators was obtained based on information from four authoritative sources. Out of these 99 indicators, only 13 were shortlisted for the second round, eventually leading to a final consensus on six indicators among experts. Conclusion: The findings obtained reflect the views of a specific group of experts at a particular point in time, with specific information, and should not be generalized. Nevertheless, these results indicate a consensus concerning the significance, feasibility, and actionability of six indicators pertinent to mental health. As emphasized by the literature review, these indicators are crucial in enhancing service response, professional performance, and overall population health.
Descrição
Palavras-chave
Saúde Mental Indicadores Avaliação Desempenho Mental Health Indicators Evaluation Performance