Evidence map›Paper›PMID 37833745›Full record

ArticleInternational journal of mental health systems2023

Assessing the quality of the care offer for people with personality disorders in Italy: the QUADIM project. A multicentre research based on the database of use of Mental Health services.

Michele Sanza, Matteo Monzio Compagnoni, Giulia Caggiu, Liliana Allevi, Angelo Barbato, Jeannette Campa, Flavia Carle, Barbara D'avanzo, Teresa Di Fiandra, Lucia Ferrara and 8 more

Open access · goldAbstract read
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In one paragraph

Article in International journal of mental health systems, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
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

4 citing papers in PubMed, 8 citations in OpenAlex.

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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

18 authors at 10 institutions in 1 country.

Michele SanzaDepartment of Mental Health and Addiction Disorders Forlì-Cesena, AUSL Romagna, Cesena, Italy.
Matteo Monzio CompagnoniUnit of Biostatistics, Epidemiology and Public Health, Department of Statistics and Quantitative Methods, University of Milano-Bicocca, Milan, Italy. matteo.monziocompagnoni@unimib.it.ORCID http://orcid.org/0000-0002-2105-4572
Giulia CaggiuUnit of Biostatistics, Epidemiology and Public Health, Department of Statistics and Quantitative Methods, University of Milano-Bicocca, Milan, Italy.ORCID http://orcid.org/0000-0002-6631-5393
Liliana AlleviDepartment of Mental Health and Addiction Services, ASST Lecco, Lecco, Italy.
Angelo BarbatoDepartment of Health Policy, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milano, Italy.ORCID http://orcid.org/0000-0001-7142-700X
Jeannette CampaAddiction Unit, AUSL Romagna, Cesena, Italy.
Flavia CarleNational Centre for Healthcare Research and Pharmacoepidemiology, University of Milano-Bicocca, Milan, Italy.ORCID http://orcid.org/0000-0002-2422-6528
Barbara D'avanzoDepartment of Health Policy, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milano, Italy.ORCID http://orcid.org/0000-0002-0361-7263
Teresa Di FiandraPsychologist, previously General Directorate for Health Prevention, Ministry of Health, Rome, Italy.ORCID http://orcid.org/0000-0003-1124-0600
Lucia FerraraCentre of Research on Health and Social Care Management, CERGAS SDA Bocconi School of Management (Bocconi University, Milan, Italy.ORCID http://orcid.org/0000-0001-6955-8983
Andrea GaddiniAgency for Public Health, Lazio Region, Rome, Italy.
Alessio SaponaroGeneral Directorate of Health and Social Policies, Emilia-Romagna Region, Bologna, Italy.
Salvatore ScondottoNational Centre for Healthcare Research and Pharmacoepidemiology, University of Milano-Bicocca, Milan, Italy.ORCID http://orcid.org/0000-0001-7620-3080
Valeria D TozziCentre of Research on Health and Social Care Management, CERGAS SDA Bocconi School of Management (Bocconi University, Milan, Italy.ORCID http://orcid.org/0000-0002-0660-7853
Stefano LorussoDepartment of Health Planning, Italian Health Ministry, Rome, Italy.
Cristina GiordaniDepartment of Health Planning, Italian Health Ministry, Rome, Italy.
Giovanni CorraoUnit of Biostatistics, Epidemiology and Public Health, Department of Statistics and Quantitative Methods, University of Milano-Bicocca, Milan, Italy.ORCID http://orcid.org/0000-0002-1034-8444
Antonio LoraNational Centre for Healthcare Research and Pharmacoepidemiology, University of Milano-Bicocca, Milan, Italy.ORCID http://orcid.org/0000-0002-6806-5199
Aziende Socio Sanitarie Territoriali di LeccoMinistero della Salute · ITAzienda-Unita' Sanitaria Locale Di Cesena · ITBocconi University · ITMario Negri Institute for Pharmacological Research · ITUniversity of Milano-Bicocca · ITAgenzia Regionale per la Protezione Ambientale del Piemonte · ITAgenzia Sanitaria e Sociale Regionale · ITMarche Polytechnic University · ITRegione Siciliana · IT

Funding

Ministero della Salute F52F16001420001Ministero della Salute J59H06000160001
6 · The paper itself

Abstract

backgroundItaly can be viewed as a laboratory to assess the quality of mental healthcare delivered in a community-oriented system, especially for severe mental disorders, such as personality disorders. Although initiatives based on clinical indicators for assessing the quality of mental healthcare have been developed by transnational-organisations, there is still no widespread practice of measuring the quality of care pathways delivered to patients with severe mental disorders in a community-oriented system, especially using administrative healthcare databases. The aim of the study is to evaluate the quality of care delivered to patients with personality disorders taken-in-care by mental health services of four Italian regions (Lombardy, Emilia-Romagna, Lazio, Sicily).

methodsA set of thirty-three clinical indicators, concerning accessibility, appropriateness, continuity, and safety of care, was implemented using regional healthcare utilization databases, containing data on mental health treatments and diagnosis, hospital admissions, outpatient interventions and exams and drug prescriptions.

results31,688 prevalent patients with personality disorders treated in 2015 were identified, of whom 2,331 newly taken-in-care. One-in-10 patients received a standardized assessment, the treatment discontinuity affected half of the cases. 12.7% of prevalent patients received at least one hospitalization, 10.6% in the newly taken-in-care cohort. 6-out-of-10 patients had contact with community-services within 14 days from hospital discharge. Access to psychotherapy and psychoeducational treatments was low and delivered with a low intensity. The median of psychosocial interventions per person-year was 19.1 and 9.4, respectively, in prevalent and newly taken-in-care cases. Nearly 50% of patients received pharmacological treatments.

conclusionsHealthcare utilization databases were used to systematically evaluate and assess service delivery across regional mental health systems; suggesting that in Italy the public mental health services provide to individuals with personality disorders suboptimal treatment paths.

Indexed as

Clinical pathwaysHealthcare researchHealthcare servicesHealthcare utilization databasesMental healthcarePersonality disordersPublic healthQuality of mental healthcareReal-worldTreatment gap

Identifiers

PMID37833745
PMCPMC10571410
OpenAlexW4387602781

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.