Evidence map›Paper›PMID 29352529›Full record

ArticleWorld psychiatry : official journal of the World Psychiatric Association (WPA)2018

Measuring and improving the quality of mental health care: a global perspective.

Amy M Kilbourne, Kathryn Beck, Brigitta Spaeth-Rublee, Parashar Ramanuj, Robert W O'Brien, Naomi Tomoyasu, Harold Alan Pincus

Abstract read
In one paragraph

Article in World psychiatry : official journal of the World Psychiatric Association (WPA), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 185 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
185citing papers in PubMed, 12 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

185 citing papers in PubMed, 12 syntheses or guidelines pooled it.

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  19. Status of Quality Improvement Curricula in Psychiatry Residency Programs Across Canada.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
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125 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Amy M KilbourneHealth Services Research and Development Service, Veterans Health Administration, US Department of Veterans Affairs, Washington, DC, USA.
Kathryn BeckDepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA.
Brigitta Spaeth-RubleeDepartment of Behavioral Health Services and Policy Research, New York State Psychiatric Institute, New York, NY, USA.
Parashar RamanujRAND Europe, Cambridge, UK.
Robert W O'BrienHealth Services Research and Development Service, Veterans Health Administration, US Department of Veterans Affairs, Washington, DC, USA.
Naomi TomoyasuHealth Services Research and Development Service, Veterans Health Administration, US Department of Veterans Affairs, Washington, DC, USA.
Harold Alan PincusDepartment of Psychiatry and Irving Institute for Clinical and Translational Research, Columbia University and New York-Presbyterian Hospital, New York, NY, USA.

Funding

Clinical and Translational Science AwardUL1TR000040 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$26.2M
Improving Mental Health Outcomes: Buidling an Adaptive Implementation StrategyR01MH099898 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KILBOURNE, AMY M · 2014 to 2017
$1.9M
NCATS NIH HHS UL1 TR000040NIMH NIH HHS R01 MH099898
6 · The paper itself

Abstract

Mental disorders are common worldwide, yet the quality of care for these disorders has not increased to the same extent as that for physical conditions. In this paper, we present a framework for promoting quality measurement as a tool for improving quality of mental health care. We identify key barriers to this effort, including lack of standardized information technology-based data sources, limited scientific evidence for mental health quality measures, lack of provider training and support, and cultural barriers to integrating mental health care within general health environments. We describe several innovations that are underway worldwide which can mitigate these barriers. Based on these experiences, we offer several recommendations for improving quality of mental health care. Health care payers and providers will need a portfolio of validated measures of patient-centered outcomes across a spectrum of conditions. Common data elements will have to be developed and embedded within existing electronic health records and other information technology tools. Mental health outcomes will need to be assessed more routinely, and measurement-based care should become part of the overall culture of the mental health care system. Health care systems will need a valid way to stratify quality measures, in order to address potential gaps among subpopulations and identify groups in most need of quality improvement. Much more attention should be devoted to workforce training in and capacity for quality improvement. The field of mental health quality improvement is a team sport, requiring coordination across different providers, involvement of consumer advocates, and leveraging of resources and incentives from health care payers and systems.

Indexed as

electronic health recordshealth care systemshealth informaticshealth policyMental disorderspatient-centered outcomesquality measurementquality of care

Identifiers

PMID29352529
PMCPMC5775149

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.