Web of Science: 1 cites, Scopus: 2 cites, Google Scholar: cites
Results of a sector-wide quality improvement initiative for substance-abuse care : an uncontrolled before-after study in Catalonia, Spain
Hilarion, Pilar (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Groene, Oliver (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Colom, Joan (Colom Farran) (Servei Català de la Salut)
Lopez, Rosa M. (Generalitat de Catalunya. Departament de Salut)
Suñol Sala, Rosa (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)

Data: 2010
Resum: The Health Department of the Regional Government of Catalonia, Spain, issued a quality plan for substance abuse centers. The objective of this paper is to evaluate the impact of a multidimensional quality improvement initiative in the field of substance abuse care and to discuss potentials and limitations for further quality improvement. The study uses an uncontrolled, sector-wide pre-post design. All centers providing services for persons with substance abuse issues in the Autonomous Community of Catalonia participated in this assessment. Measures of compliance were developed based on indicators reported in the literature and by broad stakeholder involvement. We compared pre-post differences in dimension-specific and overall compliance-scores using one-way ANOVA for repeated measures and the Friedman statistic. We described the spread of the data using the inter-quartile range and the Fligner-Killen statistic. Finally, we adjusted compliance scores for location and size using linear and logistic regression models. We performed a baseline and follow up assessment in 22 centers for substance abuse care and observed substantial and statistically significant improvements for overall compliance (pre: 60. 9%; post: 79. 1%) and for compliance in the dimensions 'care pathway' (pre: 66. 5%; post: 83. 5%) and 'organization and management' (pre: 50. 5%; post: 77. 2%). We observed improvements in the dimension 'environment and infrastructure' (pre: 81. 8%; post: 95. 5%) and in the dimension 'relations and user rights' (pre: 66. 5%; post: 72. 5%); however, these were not statistically significant. The regression analysis suggests that improvements in compliance are positively influenced by being located in the Barcelona region in case of the dimension 'relations and user rights'. The positive results of this quality improvement initiative are possibly associated with the successful involvement of stakeholders, the consciously constructed feedback reports on individual and sector-wide performance and the support of evidence-based guidance wherever possible. Further research should address how contextual issues shape the uptake and effectiveness of quality improvement actions and how such quality improvements can be sustained.
Drets: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. Creative Commons
Llengua: Anglès
Document: Article ; recerca ; Versió publicada
Publicat a: Substance Abuse Treatment, Prevention, and Policy, Vol. 5 (10 2010) , p. 26, ISSN 1747-597X

DOI: 10.1186/1747-597X-5-26
PMID: 20969793

11 p, 297.7 KB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut Universitari Avedis Donabedian-UAB
Articles > Articles de recerca
Articles > Articles publicats

 Registre creat el 2017-12-20, darrera modificació el 2023-01-09

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