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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Assessment for Transfer of Care to PHC

Overall Rank: 86

The decision to refer a service user from primary health care to specialized mental health services should take into account the views of the service user and consider: treatment adherence problems, a poor response to treatment, co-morbid substance misuse, increased level of risk to self or others, a person with schizophrenia first joining a general practitioner practice list, rehabilitation assessment is required.

Domain : Patients with Psychosis

Psychosis refers to a serious mental disorder (such as schizophrenia) characterized by defective or lost contact with reality, often with hallucinations or delusions.
Additional Domain(s) : Shared Care, Continuity

Rationale

Primary care professionals have an important part to play in the physical and
mental health care of people with schizophrenia. They are best placed to monitor the physical health of people with schizophrenia and should do so regularly. Case registers will be an important means of doing so. In addition, primary care workers should monitor the mental health and treatment of their service users, work closely with secondary services and refer before crises arise wherever possible.

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. p. 74, Section 4.4.1.4. Retrieved on Aug 3, 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

* There are too many ideas here that are not phrased in a consistent manner, which decreases actionability.
Some of these items are important, but in reality it can be difficult for someone with schizophrenia to join a general practice list. Wait lists for general practice can be long. This should not prevent a referral to specialized services
I don’t really understand this. I'm of the view that almost all persons with SPMI should be seen by a mental health specialist, not necessarily a psychiatrist.

Variation in Results

Ratings-based Rank

Relevance	83
Actionability	93
Overall Importance	73

Stakeholder Rank

Academics	104
Clinicians	78
Consumers	52
Decision Makers	78

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Special Group Rank

First Nations	81
Rural Areas	107
Federal Stakeholders	92

Regional Rank

BC	AB	SK	MB	ON	QC	NB	NS	PE	NL	YT	NT	NU
103	89	62	101	97	54	57	72	86	139	144	133	156

Overall Rank

SA11f (B998)

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