Monitoring and assessing the quality of care for youth: developing an audit tool using an expert consensus approach.
| dc.contributor.author | Puszka S. | |
| dc.contributor.author | Nagel T. | |
| dc.contributor.author | Matthews V. | |
| dc.contributor.author | Mosca D. | |
| dc.contributor.author | Piovesan R. | |
| dc.contributor.author | Nori A. | |
| dc.contributor.author | Bailie R. | |
| dc.date.accessioned | 2024-11-19T05:30:16Z | |
| dc.date.available | 2024-11-19T05:30:16Z | |
| dc.date.copyright | 2015 | |
| dc.date.issued | 2015-07-16 | en |
| dc.description.abstract | Background: 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. Method(s): 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. Result(s): 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. Conclusion(s): 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.Copyright © 2015 Puszka et al. | |
| dc.description.grant | The authors acknowledge the Lowitja Institute for funding the project. | |
| dc.identifier.citation | International Journal of Mental Health Systems. Vol.9(1), 2015. | |
| dc.identifier.doi | https://dx.doi.org/10.1186/s13033-015-0019-5 | |
| dc.identifier.institution | (Puszka, Nagel, Matthews, Mosca, Bailie) Menzies School of Health Research, PO Box 41096, Casuarina, NT 0810, Australia | |
| dc.identifier.institution | (Mosca, Bailie) One21seventy, The National Centre for Quality Improvement in Indigenous Primary Health Care, PO Box 10639, Adelaide Street, Brisbane, QLD 4000, Australia | |
| dc.identifier.institution | (Piovesan, Nori) Watto Purrunna Aboriginal Health Service, Northern Adelaide Local Health Network, SA Health, 1 Gilles Crescent, Hillcrest, SA 5086, Australia | |
| dc.identifier.uri | https://lowitja.intersearch.com.au/handle/1/701 | |
| dc.relation.ispartof | International Journal of Mental Health Systems | |
| dc.subject.keywords | Mental health | |
| dc.subject.keywords | Paediatrics | |
| dc.title | Monitoring and assessing the quality of care for youth: developing an audit tool using an expert consensus approach. | |
| dc.type | Article |