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Improving quality of care among patients hospitalised with schizophrenia: a nationwide initiative

  • Mette Jørgensen (a1), Jan Mainz (a1), Marie Louise Svendsen (a2), Merete Nordentoft (a3), Inge Voldsgaard (a4), Lone Baandrup (a5), Paul Bartels (a6) and Søren Paaske Johnsen (a2)...
Abstract
Background

The effectiveness of systematic quality improvement initiatives in psychiatric care remains unclear.

Aims

To examine whether quality of care has changed following implementation of a systematic monitoring programme of hospital performance measures.

Method

In a nationwide population-based cohort study, we identified 14 228 patients admitted to psychiatric departments between 2004 and 2011 from The Danish Schizophrenia Registry. The registry systematically monitors the adherence to guideline recommended processes of care.

Results

The overall proportion of all relevant recommended processes of care increased from 64 to 76% between 2004 and 2011. The adherence to individual processes of care increased over time, including assessment of psychopathology using a diagnostic interview (relative risk (RR): 2.01, 95% CI: 1.51–2.68), contact with relatives (RR: 1.44, 95% CI: 1.27–1.62), psychoeducation (RR: 1.33, 95% CI: 1.19–1.48), psychiatric aftercare (RR: 1.06, 95% CI: 1.01–1.11) and suicide risk assessment (RR: 1.31, 95% CI: 1.21–1.42).

Conclusions

Quality of care improved from 2004 to 2011 among patients hospitalised with schizophrenia in Denmark.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Mette Jørgensen, Aalborg University Hospital, Psychiatry, Mølleparkvej 10, 9000 Aalborg, Denmark. Email: mettejoe@rn.dk
Footnotes
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Declaration of interest

None.

Footnotes
References
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Improving quality of care among patients hospitalised with schizophrenia: a nationwide initiative

  • Mette Jørgensen (a1), Jan Mainz (a1), Marie Louise Svendsen (a2), Merete Nordentoft (a3), Inge Voldsgaard (a4), Lone Baandrup (a5), Paul Bartels (a6) and Søren Paaske Johnsen (a2)...
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