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Quality Measures Database

Detailed Results


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Delineation of Responsibilities for Physical Health Care Overall Rank: 59
Primary health care and secondary (specialized mental health care) services, in conjunction with the service user, should jointly identify which service will take responsibility for assessing and monitoring the physical health care needs of service users. This should be documented in both primary and secondary care notes/care plans and clearly recorded by care coordinators and case managers.
Domain : Shared Care
Collaboration between providers from primary health care and mental health disciplines who share the responsibility for the care an individual receives.
Additional Domain(s) : Patients with Psychosis, Physical Health Intervention
Rationale
The care of people with schizophrenia can include: hospital care (inpatient, day patient and outpatient care); community health care (community psychiatric nurses, community mental health teams and general practitioners); and social services (day care, home support and sheltered accommodation). Non-professional carers, including relatives and friends, play an important part in the day-to-day care and support of people with schizophrenia. It is therefore important that carers are given adequate support and are properly consulted in the formulation of care plans for service users. Some people with schizophrenia and their families receive care from the private sector; many more are recipients of at least a part of their care from local voluntary sector organizations such as MIND and Rethink Severe Mental Illness (formerly the National Schizophrenia Fellowship NSF). Many service users also find user-led and self-help groups helpful.
Primary Reference
The National Institute for Clinical Excellence. Schizophrenia: Core interventions in the treatment and management of schizophrenia in primary and secondary care. December, 2002. Retrieved on Aug 1, 2006 from: http://www.nice.org.uk/page.aspx?o=CG001NICEguideline  p. 39, Section 2.7.5.1
Level of Evidence
IV: Evidence based on individual expert opinion.

Summarized CommentsAdd Comment
  • Shouldn't phc always assess physical issues and refer to accessory specialists as required.
  • * It's not a good use of specialist expertise and time to document general physical health care needs
  • It is frustrating when a consumer is unsure with whom to discuss concerns, or is told, "you should have talked to..."
Variation in Results
Ratings-based Rank
Relevance 73
Actionability 54
Overall Importance 59
 
Stakeholder Rank
Academics 34
Clinicians 56
Consumers 80
Decision Makers 81
 
Special Group Rank
First Nations 84
Rural Areas 45
Federal Stakeholders 74
Regional Rank
BC AB SK MB ON QC NB NS PE NL YT NT NU
54 56 76 32 51 70 53 90 81 60 65 87 105
 
Overall Rank

      

59


SA17f (B925)

 
Distribution of Survey Respondent Ratings
Relevance
100
90
80
70
60
50
40
30
20
10
0
0.89 0.54 1.93 0.71 3.72 6.74 22.52 41 21.93
1 2 3 4 5 6 7 8 9
Low High
Actionability
100
90
80
70
60
50
40
30
20
10
0
0.89 1.62 0.36 3.48 6.31 9.72 37.28 25.94 14.42
1 2 3 4 5 6 7 8 9
Low High
Overall Importance
100
90
80
70
60
50
40
30
20
10
0
6.8 27.48 65.72
3 2 1

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