Relative Technical Efficiency Assessment of Mental Health Services: A Systematic Review

García‐Alonso, Carlos R.; Almeda, Nerea; Salinas-Pérez, José A.; Gutiérrez-Colosía, Mencía R.; Salvador‐Carulla, Luis

doi:10.1007/s10488-019-00921-6

Cited by 13 publications

(16 citation statements)

References 44 publications

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“…The use of ESMS/DESDE system in health economics and health financing identified in this review is particularly relevant for health policy and its incorporation into real world decision support systems routinely used by public agencies to inform their planning strategies [82,103].…”

Section: Discussionmentioning

confidence: 99%

Standardised description of health and social care: A systematic review of use of the ESMS/DESDE (European Service Mapping Schedule/Description and Evaluation of Services and DirectoriEs)

Romero-López-Alberca

Gutiérrez-Colosía

Salinas-Pérez

et al. 2019

European Psychiatry

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Background: Evidence-informed planning and interpretation of research results both require standardised description of local care delivery context. Such context analysis descriptions should be comparable across regions and countries to allow benchmarking and organizational learning, and for research findings to be interpreted in context. The European Service Mapping Schedule (ESMS) is a classification of adult mental health services that was later adapted for the assessment of health and social systems research (Description and Evaluation of Services and DirectoriEs-DESDE). The aim of the study was to review the diffusion and use of the ESMS/DESDE system in health and social care and its impact in health policy and decision-making. Method: We conducted a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (1997-2018). Results: Out of 155 papers mentioning ESMS/DESDE, 71 have used it for service research and planning. The classification has been translated into eight languages and has been used by seven international research networks. Since 2000, it has originated 11 instruments for health system research with extensive analysis of their metric properties. The ESMS/DESDE coding system has been used in 585 catchment areas in 34 countries for description of services delivery at local, regional and national levels. Conclusions: The ESMS/DESDE system provides a common terminology, a classification of care services, and a set of tools allowing a variety of aims to be addressed in healthcare and health systems research. It facilitates comparisons across and within countries for evidence-informed planning.

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Section: Discussionmentioning

confidence: 99%

Standardised description of health and social care: A systematic review of use of the ESMS/DESDE (European Service Mapping Schedule/Description and Evaluation of Services and DirectoriEs)

Romero-López-Alberca

Gutiérrez-Colosía

Salinas-Pérez

et al. 2019

European Psychiatry

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“…Finally, setting (S) referred to the countries included in the review. Although the PRISMA guidelines were initially designed for reviewing research articles where their (P) was "patients", previous work has shown that the methodology is also appropriate for reviewing studies whose population or unit of study are MH services or systems [47][48][49].…”

Section: Search Strategy and Eligibility Criteriamentioning

confidence: 99%

Mental health planning at a very early stage of the COVID-19 crisis: a systematic review of online international strategies and recommendations

2021

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Background Mental health care systems have been dramatically affected by COVID-19. Containment measures have been imposed, with negative consequences on population mental health. Therefore, an increase in both symptomatology and mental disorder incidence is expected. This research aims to identify, describe and assess the empirical background on online strategies and recommendations developed by international organizations and governments to cope with the psychological impact of COVID-19 at a very early stage of the pandemic. Methods The PRISMA guidelines were adapted to review online documents. A new questionnaire was developed to identify the existence of common patterns in the selected documents. Questions were classified into three domains: COVID-19 information, mental health strategies and mental health recommendations. A two-step cluster analysis was carried out to highlight underlying behaviours in the data (patterns). The results are shown as spider graphs (pattern profiles) and conceptual maps (multidimensional links between questions). Results Twenty-six documents were included in the review. The questionnaire analysed document complexity and identified their common key mental health characteristics (i.e., does the respondent have the tools for dealing with stress, depression and anxiety?). Cluster analysis highlighted patterns from the questionnaire domains. Strong relationships between questions were identified, such as psychological tips for maintaining good mental health and coping with COVID-19 (question n° 4), describing some psychological skills to help people cope with anxiety and worry about COVID-19 (question n° 6) and promoting social connection at home (question n° 8). Conclusions When fast results are needed to develop health strategies and policies, rapid reviews associated with statistical and graphical methods are essential. The results obtained from the proposed analytical procedure can be relevant to a) classify documents according to their complexity in structuring the information provided on how to cope with the psychological impact of COVID-19, b) develop new documents according to specific objectives matching population needs, c) improve document design to face unforeseen events, and d) adapt new documents to local situations. In this framework, the relevance of adapting e-mental health procedures to community mental health care model principles was highlighted, although some problems related to the digital gap must be considered.

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“…DEA [ 9 ] was selected to evaluate the RTE of MH-supported accommodation services. This nonparametric technique has been widely used to assess health service performance [ 30 ] and, to a lesser extent, to evaluate MH services [ 6 ]. The standard DEA model is a linear programming one which structure is: where d is the number of DMU, i the number of inputs and j the number of outputs.…”

Section: Methodsmentioning

confidence: 99%

“…The incorporation of quality variables in performance assessments (represented by six/seven quality domains in this study) is always complicated because these variables are subjective (perceived quality from users, managers, etc.). To our knowledge, this study is the first to include quality domains estimated by the managers of the selected MH services in a performance analysis [ 6 ]. Independent of the technical performance of the services (the baseline scenario analysed without quality domains), the main research objective is to assess the impact on service performance when quality domains are incorporated into the analysis.…”

Section: Introductionmentioning

confidence: 99%

“…The RTEs of primary care and MH ecosystems have been systematically assessed in Basque County (Spain) [ 5 , 18 – 20 ]. Data envelopment analysis (DEA) has been widely used to assess the RTE of health services [ 6 , 18 , 21 ]. This group of nonparametric techniques is very robust and flexible because they do not need any preliminary assumption on the variable statistical structure, implying that variables (inputs/outputs) from different origins and types (e.g., the number of beds, technical input, the quality of care, manager perception) can be analysed at the same time.…”

Section: Introductionmentioning

confidence: 99%

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The critical factor: The role of quality in the performance of supported accommodation services for complex mental illness in England

et al. 2022

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Rehabilitation services have a key role in ensuring integrated and comprehensive mental health (MH) care in the community for people suffering from long-term and severe mental disorders. MH-supported accommodation services aim to promote service users’ autonomy and independence. Given the complexity associated with MH-supported accommodation services in England, a comparative evaluation of critical performance indicators, including service provision and quality of care, seems to be necessary in designing evidence-informed policies. This study aims to explore the influence of service quality indicators on the performance of MH-supported accommodation services in England. The analysed sample includes supported accommodation services from 14 nationally representative local authorities in England from the QuEST study grouped by three main types of care: residential care homes (divided into two subgroups: move-on and non-move-on oriented), supported housing and floating outreach. EDeS-MH (efficient decision support-mental health) was used to assess the performance indicators for the selected services by combining a Monte Carlo simulation engine, data envelopment analysis and a fuzzy inference engine for integrating expert knowledge. Depending on the type of care, six/seven quality domains were sequentially included after a baseline scenario (only technical) was analysed. Relative technical efficiency scores for the baseline scenarios revealed high performance in all the selected supported accommodation services, but the statistical variability was high. Quality domains significantly improved performance in every type of care. The inclusion of quality indicators has a positive impact on the global performance of each type of care. Remaining at the corresponding services more than expected for two years has a negative impact on performance. These findings can be considered from a planning perspective to facilitate the design of pathways of care with more realistic expectations about gaining autonomy in two years.

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Relative Technical Efficiency Assessment of Mental Health Services: A Systematic Review

Cited by 13 publications

References 44 publications

Standardised description of health and social care: A systematic review of use of the ESMS/DESDE (European Service Mapping Schedule/Description and Evaluation of Services and DirectoriEs)

Standardised description of health and social care: A systematic review of use of the ESMS/DESDE (European Service Mapping Schedule/Description and Evaluation of Services and DirectoriEs)

Mental health planning at a very early stage of the COVID-19 crisis: a systematic review of online international strategies and recommendations

The critical factor: The role of quality in the performance of supported accommodation services for complex mental illness in England

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