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- W1973226173 abstract "Background The National Board of Health and Welfare (NBHW) has developed a multi-dimensional performance assessment framework for open comparisons and assessment of health care. The framework includes the dimensions effectiveness, safety, patient-centeredness, timeliness, equity and efficiency. Objective To apply the framework to the area of psychiatric care in Sweden. Aim To identify disparities in the treatment and health outcomes of psychiatric patients in order to stimulate improvements. Methods More than 30 process and outcome indicators were developed using nationwide health data registers and were compared among regions or between patient groups. Results Among other results the study shows large disparities in somatic care between patients with and without comorbid psychiatric disease (equity), low compliance to antidepressant treatment with small regional variations (effectiveness), decreasing suicidal rates (safety), regional variations concerning timeliness of care, lack of national data to asses patient-centeredness and no obvious relationship between costs of psychiatric care and outcome (efficiency). Conclusions The study indicates that the quality of psychiatric care in Sweden does not differ to any great extent between regions. However, there are large disparities in somatic care between patients with and without comorbid psychiatric disease. The framework is a useful starting point for assessing psychiatric care but improved reporting to existing registers and development of new data sources, particularly related to psychiatric health care outcomes, could lead to more adequate and comprehensive assessments including all the six dimensions of the framework." @default.
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- W1973226173 date "2011-03-01" @default.
- W1973226173 modified "2023-09-26" @default.
- W1973226173 title "Applying the swedish performance assessment framework in practise: Assessment of efficiency and quality of psychiatric care" @default.
- W1973226173 doi "https://doi.org/10.1016/s0924-9338(11)72084-3" @default.
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