Review : Maintaining and measuring quality care: a discussion of the Maxwell Approach

Young, Jeanine

doi:10.1177/136749359700100307

Cited by 1 publication

(1 citation statement)

References 15 publications

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“…Maxwell identified six separate but inter-related dimensions of the quality of healthcare, which offer a framework for establishing standards and which can be applied to any healthcare setting: access to service, relevance to need, effectiveness, equity, social acceptability, efficiency and economy. Concerning the quality of services, Maxwell points out that it is important to examine how the healthcare system performs as a whole rather than its fragmented parts [149]. This is particularly true considering that in our fragmented healthcare systems there is a multitude of services involved in the treatment and care of patients.…”

Section: Quality (General Definitions Descriptions and Examples)mentioning

confidence: 99%

EPA guidance on the quality of mental health services

et al. 2012

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The main aim of this guidance of the European Psychiatric Association is to provide evidence-based recommendations on the quality of mental health services in Europe. The recommendations were derived from a systematic search of the best available evidence in the scientific literature, supplemented by information from documents retrieved upon reviewing the identified articles. While most recommendations could be based on empirical studies (although of varying quality), some had to be based on expert opinion alone, but were deemed necessary as well. Another limitation was that the wide variety of service models and service traditions for the mentally ill worldwide often made generalisations difficult. In spite of these limitations, we arrived at 30 recommendations covering structure, process and outcome quality both on a generic and a setting-specific level. Operationalisations for each recommendation with measures to be considered as denominators and numerators are given as well to suggest quality indicators for future benchmarking across European countries. Further pan-European research will need to show whether the implementation of this guidance will lead to improved quality of mental healthcare, and may help to develop useful country-specific cutoffs for the suggested quality indicators.

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Section: Quality (General Definitions Descriptions and Examples)mentioning

confidence: 99%