Quality of care and its determinants in longer term mental health facilities across Europe; a cross-sectional analysis
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Biomed Central
Date
2016Referencia bibliográfica
Killaspy, H.; et al. Quality of care and its determinants in longer term mental health facilities across Europe; a cross-sectional analysis. BMC PSYCHIATRY, 16: 31 (2016). [http://hdl.handle.net/10481/49962]
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The study was funded by the Sixth Framework of the European Commission and the authors gratefully acknowledge their support.Résumé
Background: 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.