Quality Measures Database

Keywords

Domains

Process
	Acceptability
	Accessibility
	Appropriateness
	Competence
	Continuity
	Effectiveness
	Efficiency
	Safety
	Comprehensiveness
	Patient-Centeredness
	Legal

Outcome
	Health Conditions
	Human Function
	Well-Being
	Deaths
	Service Outputs
	Satisfaction
	Impact on Society

Structure
	Physical Infrastructure
	Personnel Management
	Information Management
	Financial Management
	Quality and Safety

Non-Medical Determinants of Health
	Health Behaviors
	Living and Working Conditions
	Personal Resources
	Environmental Factors
	Health Literacy

Equity
	Equity

Specific Conditions
	Comorbid Conditions
	Chronic Conditions
	Acute Conditions
	Substance Abuse
	Anxiety Disorders
	Somatoform Disorders
	Sleep Disorders
	Eating Disorders
	Personality Disorders
	Mood Disorders
	Psychosis
	Impulse Control Disorders
	Elderly
	Reproductive Mental Health Disorders

Special Groups
	Ethnic / Cultural Minorities
	People Who Live in Rural Areas
	People with a Family History of a Mental Health Condition
	Social Service Welfare Recipients
	Homeless or Itinerant
	Unemployed
	Aboriginal
	Seniors in Facilities
	Recent Refugees
	Immigrants
	Residents of Correctional Institutions
	Inner City Residents
	Speakers of English as a Second Language

Age Groups
	Elderly
	Adult
	Youth
	Children
	Children

Gender Groups
	Women
	Men
	Gender Identities Other Than Men or Women

Interventions
	Medication
	Psychotherapy
	Peer Support
	Prevention
	Other Somatic Treatments
	Early Detection
	Health Promotion
	Family Involvement
	Group Treatment
	Self-Management Support
	Rehabilitation
	Physical Health Intervention

Clinical Setting
	Shared Care
	Emergency Services
	School-based Mental Health Services
	Work-based Mental Health Services
	Outreach Services
	Solo Practitioner
	Group Family Practitioner
	Community Health Care Centre
	Walk in Clinics

Level of Evidence

	I	Consistently higher quality studies specifically focused on primary mental health care.
	II	Less rigorous studies specifically focused on primary mental health care or extrapolated from higher quality studies from secondary mental health care.
	III	Preliminary research evidence only or evidence based on consensus opinion only.
	IV	Evidence based on individual expert opinion.
	V	Validated scale: Research has been conducted to determine it has at least some properties associated with a high quality scale
	VI	Non-validated scale: Research regarding the quality of the scale has not been conducted.

Measure Ranking

From To

Detailed Results

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Availability of Translation

Overall Rank: 60

All services should provide written material in the language of the service user, and interpreters should be available for people who have difficulty in speaking the majority language.

Domain : Patient-Centeredness

Patient-centeredness refers to establishing a partnership among practitioners, patients and their families (when appropriate) to ensure that decisions respect patients’ wants, needs and preferences. This includes ensuring that patients have the education and support they need to make their own decisions and participate in their own care.
Additional Domain(s) : Speakers of English as a Second Language, Accessibility

Rationale

In the view of many service users, clinical language is not always used in a
helpful way, and may contribute to the stigma of schizophrenia. For example,
calling someone a schizophrenic or a psychotic gives the impression that the person has been wholly taken over by an illness, such that no recognisable or civilised person remains. Many non-psychiatric health workers and many
employers continue to approach people with schizophrenia in this way. In
addition, people with schizophrenia prefer to be described as service users or as people with schizophrenia rather than as patients. It is important that professionals are careful and considerate, but clear and thorough in their use of clinical language and in the explanations they provide, not just to service users and carers, but also to other health workers. Also, services should ensure that all clinicians are sensitive to the needs and differences of other cultures.

Primary Reference

The National Institute for Clinical Excellence. (2002) Schizophrenia: Core interventions in the treatment and management of chizophrenia in primary and secondary care. Retrieved July 13, 2006, from http://www.nice.org.uk/page.aspx?o=CG001NICEguideline

Level of Evidence

IV: Evidence based on individual expert opinion.

Summarized Comments

Add Comment

*Language is a large barrier to services.
*This may not be possible in small or rural communities.
*This could be costly.
*One can't just rely on written material due to literary and eyesight issues.

Variation in Results

Ratings-based Rank

Relevance	41
Actionability	88
Overall Importance	57

Stakeholder Rank

Academics	78
Clinicians	48
Consumers	77
Decision Makers	38

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Special Group Rank

First Nations	27
Rural Areas	7
Federal Stakeholders	67

Regional Rank

BC	AB	SK	MB	ON	QC	NB	NS	PE	NL	YT	NT	NU
83	71	77	56	66	50	28	28	113	97	28	32	5

Overall Rank

SW05c (B978)

Distribution of Survey Respondent Ratings

Relevance

100
90
80
70
60
50
40
30
20
10
0

Low

High

Actionability

100
90
80
70
60
50
40
30
20
10
0

Low

High

Overall Importance

100
90
80
70
60
50
40
30
20
10
0

3 = can live without
2 = nice to have
1 = indispensable

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The views expressed herein do not necessarily represent the official policies of Health Canada