This report presents a comprehensive, multi-dimensional mental health program performance monitoring system that has recently been implemented in the Department of Veterans Affairs.
Principles underlying the development of the system are reviewed and 68 specific monitors are described addressing four major performance domains : access, inpatient care, outpatient care, and economic performance.
Simple methods are presented for identifying outliers, for generating summary performance scores across series'of related monitors, and for adjusting results for differences in patient characteristics across locales.
Although still technically imperfect, and therefore requiring continuous improvement, monitoring systems such as the one presented can be useful tools guiding and improving service delivery and mental health system performance, and providing a medium of accountability to consumers and other stakeholders.
Mots-clés Pascal : Programme sanitaire, Santé mentale, Trouble psychiatrique, Evaluation performance, Méthode, Accessibilité, Soin, Hospitalisation, Ambulatoire, Economie santé, Secteur public, Méthodologie, Homme
Mots-clés Pascal anglais : Sanitary program, Mental health, Mental disorder, Performance evaluation, Method, Accessibility, Care, Hospitalization, Ambulatory, Health economy, Public sector, Methodology, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0271174
Code Inist : 002B18H05B. Création : 27/11/1998.