Quality indicators for care of depression in primary care settings: a systematic review

Petrosyan, Yelena; Sahakyan, Yeva; Barnsley, Jan; Kuluski, Kerry; Liu, Barbara; Wodchis, Walter P.

doi:10.1186/s13643-017-0530-7

Cited by 17 publications

(19 citation statements)

References 48 publications

(80 reference statements)

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“…[ 43 ] and Gilbody et al . [ 44 ] note that comprehensive care for depressed patients based on cooperation between different professionals is more effective than the traditional approach. The MQICG (2016) [ 33 ] also recommends routine screening of the adult population but does not specify how often such screening should take place.…”

Section: Resultsmentioning

confidence: 99%

Screening and treatment of depression – recommendations for Polish health professionals

Dominiak¹,

Antosik-Wójcińska²,

Baron³

et al. 2021

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Introduction: Epidemiological data clearly indicate that depression is becoming an increasingly important health and social problem today. Depressive disorders occur at all ages, in men and women, in different cultures, affecting individuals, their families, and, more broadly, the social and economic system of the country. The gap between the recorded number of treated patients and the prevalence of depression highlights the scale of unmet needs. With limited availability of specialists in psychiatric care, the most appropriate measures seem to be those aimed at increasing the competence of other health professionals in the diagnosis and treatment of depression. Material and methods: An overview of the literature and available recommendations for the prevention, screening, and treatment of depression was performed. This work was commissioned by the Polish Ministry of Health under the Depression Prevention Program 2016-2020. Results: Based on the literature review, we compiled the recommendations for Polish health professionals. These recommendations focus on the management of depression in the primary care setting and provide guidelines for health professionals other than psychiatrists concerning the prevention, screening, and treatment of depression. Conclusions: We developed a clear recommendation for non-psychiatrists concerning the screening, treatment, and further management of patients with depression. Early detection of depression and implementation of treatment improves the outcomes and prognosis and reduces the mortality rate.

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Section: Resultsmentioning

confidence: 99%

Screening and treatment of depression – recommendations for Polish health professionals

Dominiak¹,

Antosik-Wójcińska²,

Baron³

et al. 2021

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“…We used the Appraisal of Indicators through Research and Evaluation (AIRE) instrument for the methodological assessment of the RAI-HC QIs identified in the articles [33]. AIRE is a validated instrument for a critical appraisal of QIs and has been used in previous scientific publications on QIs [27,[34][35][36]. The AIRE instrument comprises 20 items, subdivided into four domains: 1.…”

Section: Methodological Assessmentmentioning

confidence: 99%

Home care quality indicators based on the Resident Assessment Instrument-Home Care (RAI-HC): a systematic review

Wagner

Schaffert

Möckli

et al. 2020

BMC Health Serv Res

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Background: One way of measuring the quality of home care are quality indicators (QIs) derived from data collected with the Resident Assessment Instrument-Home Care (RAI-HC). In order to produce meaningful results for quality improvement and quality comparisons across home care organizations (HCOs) and over time, RAI-HC QIs must be valid and reliable. The aim of this systematic review was to identify currently existing RAI-HC QIs and to summarize the scientific knowledge on the validity and reliability of these QIs. Methods: A systematic review was performed using the electronic databases PubMed, CINAHL, Embase, PsycINFO and Cochrane Library. Studies describing the development process or the psychometric characteristics of RAI-HC QIs were eligible. The data extraction involved a general description of the included studies as well as the identified RAI-HC QIs and information on validity and reliability. The methodological quality of the identified RAI-HC QI sets was assessed using the Appraisal of Indicators through Research and Evaluation (AIRE) instrument. Results: Four studies out of 659 initial hits met the inclusion criteria. The included studies described the development and validation process of three RAI-HC QI sets comprising 48 unique RAI-HC QIs, which predominantly refer to outcome of care. Overall, the validity and reliability of the identified RAI-HC QIs were not sufficiently tested. The methodological quality of the three identified RAI-HC QI sets varied across the four AIRE instrument domains. None of the QI sets reached high methodological quality, defined as scores of 50% and higher in all four AIRE instrument domains. Conclusions: This is the first review that systematically summarized and appraised the available scientific evidence on the validity and reliability of RAI-HC QIs. It identified insufficient reporting of RAI-HC QIs validation processes and reliability as well as missing state-of-the-art methodologies. The review provides guidance as to what additional validity and reliability testing are needed to strengthen the scientific soundness of RAI-HC QIs. Considering that RAI-HC QIs are already implemented and used to measure and compare quality of home care, further investigations on RAI-HC QIs reliability and validity is recommended.

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“…First, systematic reviews were conducted to identify a set of evidence-based and valid quality indicators for assessing care for older adults in ambulatory care settings by each disease category, including diabetes, major depression, hypertension, chronic ischemic heart disease and osteoarthritis, as well as selected disease combinations [17, 18]. The resulting indicators were then sorted into those potentially measurable with the Ontario administrative data, and those that required other sources of data.…”

Section: Methodsmentioning

confidence: 99%

“…There are few published indicators for care for older adults with diabetes that specifically address comorbidity with concordant conditions, including hypertension and chronic ischemic heart disease [14–16]. Moreover, there are no indicators identified for care for older adults with diabetes with comorbid discordant conditions, including osteoarthritis and major depression [17, 18]. The present study addresses these gaps and aimed to: 1) critically appraise and select the most appropriate set of quality indicators for ambulatory care for older adults with five selected disease combinations that are amenable to measurement using administrative data, using a Delphi technique, including: a) concordant conditions: diabetes with comorbid hypertension and ischemic heart disease, b) discordant conditions: diabetes with comorbid osteoarthritis and depression, c) both types: diabetes with comorbid hypertension and osteoarthritis, and 2) prepare a summary of defined quality indicators by each selected disease combination.…”

Section: Introductionmentioning

confidence: 99%

Quality indicators for ambulatory care for older adults with diabetes and comorbid conditions: A Delphi study

et al. 2018

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BackgroundAn increasing number of people are living with multiple chronic conditions and it is unclear which quality indicators should be used to guide care for this population.ObjectiveTo critically appraise and select the most appropriate set of quality indicators for ambulatory care for older adults with five selected disease combinations.MethodsA two-round web-based Delphi process was used to critically appraise and select quality of care indicators for older adults with diabetes and comorbidities. A fifteen-member Canadian expert panel with broad geographical and clinical representation participated in this study. The panel evaluated process indicators for meaningfulness, potential for improvements in clinical practice, and overall value of inclusion, while outcome indicators were evaluated for importance, modifiability and overall value of inclusion. A 70% agreement threshold was required for high consensus, and 60–69% for moderate consensus as measured on a 5-point Likert type scale.ResultsTwenty high-consensus and nineteen medium-consensus process and outcome indicators were selected for assessing care for older adults with selected disease combinations, including 1) concordant (conditions with a common management plan), 2) discordant (conditions with unrelated management plans), and 3) both types. Panelists reached rapid consensus on quality indicators for care for older adults with concordant comorbid conditions, but not for those with discordant conditions. All selected indicators assess clinical aspects of care. The feedback from the panelists emphasized the importance of developing indicators related to patient-centred aspects of care, including patient self-management, education, patient-physician relationships, and patient’s preferences.ConclusionsThe selected quality indicators are not intended to provide a comprehensive tool set for measuring quality of care for older adults with selected disease combinations. The recommended indicators address clinical aspects of care and can be used as a starting point for ambulatory care settings and development of additional quality indicators.

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Quality indicators for care of depression in primary care settings: a systematic review

Cited by 17 publications

References 48 publications

Screening and treatment of depression – recommendations for Polish health professionals

Screening and treatment of depression – recommendations for Polish health professionals

Home care quality indicators based on the Resident Assessment Instrument-Home Care (RAI-HC): a systematic review

Quality indicators for ambulatory care for older adults with diabetes and comorbid conditions: A Delphi study

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