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Monitoring and assessing the quality of care for youth: developing an audit tool using an expert consensus approach

Overview of attention for article published in International Journal of Mental Health Systems, July 2015
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Title
Monitoring and assessing the quality of care for youth: developing an audit tool using an expert consensus approach
Published in
International Journal of Mental Health Systems, July 2015
DOI 10.1186/s13033-015-0019-5
Pubmed ID
Authors

Stefanie Puszka, Tricia Nagel, Veronica Matthews, Diana Mosca, Rebecca Piovesan, Annapurna Nori, Ross Bailie

Abstract

The mental health needs of young people are often inadequately met by health services. Quality improvement approaches provide a framework for measuring, assessing and improving the quality of healthcare. However, a lack of performance standards and measurement tools are an impediment to their implementation. This paper reports on the initial stages of development of a clinical audit tool for assessing the quality of primary healthcare for Australian Indigenous youth aged 12-24 including mental health services provided within primary care. Audit items were determined through review of relevant guidelines, expert reference group consensus opinion and specific inclusion criteria. Pilot testing was undertaken at four Indigenous primary healthcare services. A focus group discussion involving five staff from a health service participating in pilot testing explored user experiences of the tool. Audit items comprise key measures of processes and outcomes of care for Indigenous youth, as determined by the expert reference group. Gaps and conflicts in relevant guidelines and a lack of agreed performance indicators necessitated a tool development process that relied heavily on expert reference group advice and audit item inclusion criteria. Pilot testing and user feedback highlighted the importance of feasibility and context-specific considerations in tool development and design. The youth health audit tool provides a first step in monitoring, assessing and improving the way Indigenous primary healthcare services engage with and respond to the needs of youth. Our approach offers a way forward for further development of quality measures in the absence of clearly articulated standards of care.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 71 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 1%
Spain 1 1%
Colombia 1 1%
Unknown 68 96%

Demographic breakdown

Readers by professional status Count As %
Student > Master 12 17%
Student > Bachelor 8 11%
Researcher 7 10%
Student > Postgraduate 5 7%
Student > Doctoral Student 4 6%
Other 14 20%
Unknown 21 30%
Readers by discipline Count As %
Medicine and Dentistry 11 15%
Nursing and Health Professions 9 13%
Psychology 6 8%
Business, Management and Accounting 4 6%
Social Sciences 4 6%
Other 12 17%
Unknown 25 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 July 2015.
All research outputs
#17,765,638
of 22,816,807 outputs
Outputs from International Journal of Mental Health Systems
#584
of 718 outputs
Outputs of similar age
#176,648
of 262,601 outputs
Outputs of similar age from International Journal of Mental Health Systems
#11
of 12 outputs
Altmetric has tracked 22,816,807 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 718 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.3. This one is in the 15th percentile – i.e., 15% of its peers scored the same or lower than it.
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We're also able to compare this research output to 12 others from the same source and published within six weeks on either side of this one. This one is in the 8th percentile – i.e., 8% of its contemporaries scored the same or lower than it.