Health Care Reform
The average length of stay for patients with schizophrenia or bipolar Disorder appears to be not associated with variations in readmission rates. Anecdotal Evidence that different approaches to crisis management could play a role.
Reform Bill Summary
For Example, some countries with lower readmission rates, as the United Kingdom, Spain and Italy use, community-based "crisis teams" to stabilize patients on an outpatient Basis.
Health Care
where possible to add, seems in some countries the practice or to relocate Substitution community-based devices with in-patient treatment.
Health Care Bill
The comparability of data - the importance of unique patient identifiers In the absence of a comparable measure of results between countries, the benefits of this alternative approach are difficult to assess.
health care bill summary
The improvement of mental health related Information systems will be necessary to make this type of comparative information available. It should be noted, extremely important that the lack of unique patient identification Identifiers in many countries does not allow the tracking of patients in institutions.
The prices are so down as a re-recording on a different system can not be biased be observed. But the eight countries in a position to assess readmission rates were the same or other hospitals show that the prices were on the two different specifications closely correlated, Health care reform bill summary and ranking of countries was similar, suggesting again that admissions the same hospital to be used as a valid approach. CHAPTER 2 WHAT show existing health data quality? - 53 IMPROVEMENT VALUE in health: measuring the quality © OECD 2010 Developing better measures of mental health care quality The limited availability of data, Health care reform bill summary combined with some skepticism about the long-term Benefits and feasibility of the indicators currently recommended, resulted in a consensus between the OECD countries participating in the work HCQI that would require further development work be necessary to establish a quality measurement system for psychiatric care. The absence a common definition for what constitutes mental health care throughout the participating countries is an important issue when trying to go about measuring the quality of care. Not only do different terms and concepts, but often the actual care settings and patterns of behavior Diagnoses vary widely from country to country. A second concern is a lack of knowledge about the components of the Information systems with data related to mental health care, and the nature of these Data between countries. is therefore carried out in 2008 a survey was to explore the Ways to measure the quality of mental health services and to identify potential Indicators in the OECD HCQI be involved, try to collect information on three Areas of interest for the description of the national information systems related to mental Health Care • Types of mental health data available at the level of the system; • Health Care Reform Bill Summary The data sources at the national level; • Institutional framing ownership and use of information system. The main conclusions are summarized below: • The availability of data between countries is generally very good for some types of Data (structure and activity) and problematic for others. To measure Process and outcome quality of psychiatric care, data on the treatment and procedures together with mental morbidity individual data and mortality data would are required. Examination of the figures, there is a clear need to improve information Systems of OECD countries in this regard. Yet many of the Countries where this type of information is not currently available already Take a sort of reform in this direction so that the availability of these Data can not be expected to improve significantly, which may be short term. • The data sources currently the most widely different countries are hospital Administrative databases, national surveys and national registers. This should considered in the selection of mental health care quality indicators for the first phase of data collection. • Health Care Reform Bill Summary The expansion of the availability of the unique patient ID would be a real step forward in regard to the possibility of patients on the attitudes and the level of trace Care. Strict anonymity protocols must be fully avail Tool in confidence. But the introduction of a unique to patient identifier does not seem to be developed in parallel with the degree of Development of administrative data sources to primary care and community Levels of care. This can build a problem for the continuity of assessment indicators Care and quality of the prescription or treatment at this level. This is particularly important because most of the mental health care from the hospital provided the OECD countries. 54 - CHAPTER 2 WHAT show existing health data quality? IMPROVEMENT VALUE in health: measuring the quality © OECD 2010 • The integration of information systems across different levels of care is low. Strengthen this feature of information systems will be critical Importance to track data continuity of care measure. • The integration between mental health and physical health care information Information is also quite good at the hospital level. This can allow the outcome Indicators linking somatic and mental health. • Decisions are to rise above the data elements are often central Goal, planning and administration and support, in some cases the refund. Data collection is primarily from the bottom up by administrators and health care Professionals. Therefore, allow the design of information systems for quality Assessment at the system level should be reasonably achievable. Health care reform bill summary Common There are problems with data and compliance, and in most cases, data This recording is to be perceived as routine activity by the personnel involved, although it often as an additional burden. The use of such information for Consumer information and public accountability is rare between countries. • Coding varies from country to country, but in general it is in the changing Direction of the ICD-10. This general trend will be taken into account in determining taken the indicators are collected, while considering the translation of the relevant Codes in the other classifications in use between countries. Summary The development of mental health indicators and information systems difficult than for other health areas. This is mainly due to the complex nature mental illness, the major differences in diagnostic and therapeutic procedures institutional control barriers and differences in the coding and reporting of mental health services within and between countries.Confidentiality is another difficult task: mental illness are more vulnerable to privacy and data protection awareness as most other areas of care. The expansion of the availability of the unique patient ID, Standardization of coding practices and integration of information systems on different levels of care would be a real step forward in terms of the ability of patients to the title on attitudes and levels of care. 2.5. Cancer Care Importance and relevance Cancer is one of the most important public health issues in OECD countries. It is either the first or second cause of death (after cardiovascular disease), more than one Quarter of all deaths in many countries, while allowing at least a third of cancers prevented and another third can be either detected early or treated effectively. The The WHO estimates that globally in 2004, is for 7.4 million deaths (or 13% of the balance sheet of all deaths). This number is expected to further increase to an estimated 12 million deaths in 2030. The incidence, morbidity and mortality burden on different types of cancer differ within and between regions, on demographic and social profiles of (sub) population, CHAPTER 2 WHAT show existing health data quality? - 55 IMPROVEMENT VALUE in health: measuring the quality © OECD 2010 and on individual comorbidity profiles. This makes the measurement of the quality of Cancer treatment of a particularly difficult area. In addition, there are the various elements of the Supply in the natural history part of cancer - prevention, early detection and screening Diagnosis, primary and adjuvant therapy, treatment and monitoring Aftercare treatment of recurrent cancer, palliative care and end of life care. Health care reform bill summary A further complication is that these ways are not necessarily sequential, since several of the elements may occur simultaneously.
