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Key performance indicators for mental health and substance use disorders: a literature review and discussion paper

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Show simple item record Henderson, Carla Klimas, Jan Dunne, Colum P. Leddin, Des Meagher, David O'Toole, Thomas P. Cullen, Walter 2015-04-09T13:05:49Z 2015-04-09T13:05:49Z 2014
dc.description peer-reviewed en_US
dc.description.abstract With increasing recognition of the importance of mental and substance use disorders for population health and health systems and the potential value of systems-based performance indicators in addressing this issue, we aimed to describe the development and content of key performance indicators for mental and substance use disorders. Publications were identified through official websites, Google searches and PubMed. Following ‘PRISMA’ guidelines, twenty-five studies were kept for qualitative synthesis and six for quantitative analysis. We describe their use in practice by comparing their application across a range of public and mixed healthcare systems. Currently, key performance indicator development for mental and substance use disorders adopts several methodologies, including expert opinion, literature review, stakeholder consultation and the structured consensus method. The rationales provided for selection of particular key performance indicators vary greatly between systems. Systems exhibit different levels of key performance indicator adaptability, which is reflective of dynamic changes in evidence-based practices. We noted bias in the level of key performance indicator assessment towards system/health plan evaluation followed by programme/service evaluation. Similarly, there is a large skew towards key performance indicators that reflect evaluation of processes. Collection of data in all systems is nearly exclusively reliant on electronic administrative/medical data. Experiences from these systems are synthesized into methodological recommendations, and considerations for further research and clinical practice are provided. en_US
dc.language.iso eng en_US
dc.publisher Taylor and Francis en_US
dc.relation.ispartofseries Mental Health and Substance Use;7 (4), pp. 407-419
dc.rights This is an Author's Original Manuscript of an article whose final and definitive form, the Version of Record, has been published in Mental Health and Substance Use 2014 © copyright Taylor & Francis, available online at: en_US
dc.subject performance indicators en_US
dc.subject mental health en_US
dc.subject substance-related disorders en_US
dc.title Key performance indicators for mental health and substance use disorders: a literature review and discussion paper en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1080/17523281.2014.901402
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US

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