ArticleGeneral hospital psychiatry
Implementing composite quality metrics for bipolar disorder: towards a more comprehensive approach to quality measurement.
Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.
- Methods to derive composite indicators used for quality and safety measurement and monitoring in healthcare: a scoping review.Frontiers in health services · 2026Pooled it
- Methods used to develop quality of care standards and indicators for mental health across the WHO European region: a rapid systematic review.BMJ open quality · 2025Pooled it
- Protocol: Adaptive Implementation of Effective Programs Trial (ADEPT): cluster randomized SMART trial comparing a standard versus enhanced implementation strategy to improve outcomes of a mood disorders program.Implementation science : IS · 2014Trial
- Randomized controlled trial to assess reduction of cardiovascular disease risk in patients with bipolar disorder: the Self-Management Addressing Heart Risk Trial (SMAHRT).The Journal of clinical psychiatry · 2013Trial
- Estimating racial and ethnic healthcare quality disparities using exploratory item response theory and latent class item response theory models.Journal of the Royal Statistical Society. Series A, (Statistics in Society) · 2025Article
- Racial-Ethnic Disparities in Quality of Care Among Medicaid Beneficiaries With Schizophrenia.Psychiatric services (Washington, D.C.) · 2024Article
- Composite measures of quality of health care: Evidence mapping of methodology and reporting.PloS one · 2022Article
- A nationwide study on concordance with multimodal treatment guidelines in bipolar disorder.International journal of bipolar disorders · 2018Article
- Association Between Quality Measures and Mortality in Individuals With Co-Occurring Mental Health and Substance Use Disorders.Journal of substance abuse treatment · 2016Article
- Randomized controlled trial of a health plan-level mood disorders psychosocial intervention for solo or small practices.BMC psychology · 2014Article
- Performance measures for substance use disorders--what research is needed?Addiction science & clinical practice · 2012Article
Corrections and comments
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Authors and funding
7 authors at 6 institutions in 1 country.
Funding
Abstract
objectiveWe implemented a set of processes of care measures for bipolar disorder that reflect psychosocial, patient preference and continuum of care approaches to mental health, and examined whether veterans with bipolar disorder receive care concordant with these practices.
methodData from medical record reviews were used to assess key processes of care for 433 VA mental health outpatients with bipolar disorder. Both composite and individual processes of care measures were operationalized.
resultsBased on composite measures, 17% had documented assessment of psychiatric symptoms (e.g., psychotic, hallucinatory), 28% had documented patient treatment preferences (e.g., reasons for treatment discontinuation), 56% had documented substance abuse and psychiatric comorbidity assessment, and 62% had documentation of adequate cardiometabolic assessment. No-show visits were followed up 20% of the time, and monitoring of weight gain was noted in only 54% of the patient charts. In multivariate analyses, history of homelessness (OR=1.61; 95% CI=1.05-2.46) and nonwhite race (OR=1.74; 95%CI=1.02-2.98) were associated with documentation of psychiatric symptoms and comorbidities, respectively.
conclusionsOnly half of patients diagnosed with bipolar disorder received care in accordance with clinical practice guidelines. High-quality treatment of bipolar disorder includes not only adherence to treatment guidelines but also patient-centered care processes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.