Use of pharmacy data to assess quality of pharmacotherapy for schizophrenia in a national health care system: Individual and facility predictors

Medical Care

Volumn 39, Issue 9, 2001, Pages 923-933

  Leslie, Douglas L ^a,b,c   Rosenheck, Robert A ^a,b  

^a VA CONNECTICUT HEALTHCARE SYSTEM   (United States)

^b YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c NE Program Evaluation Center/182 ^*  (United States)

Author keywords

Academic health centers; Pharmacotherapy; Quality; Schizophrenia; Treatment guidelines

Indexed keywords

NEUROLEPTIC AGENT;

ADULT; ARTICLE; CLASSIFICATION; COMORBIDITY; ECONOMICS; FEMALE; GOVERNMENT; HUMAN; INTEGRATED HEALTH CARE SYSTEM; MALE; MENTAL HEALTH SERVICE; MIDDLE AGED; PATIENT COMPLIANCE; POLYPHARMACY; PRACTICE GUIDELINE; PSYCHIATRIC DIAGNOSIS; PUBLIC HEALTH; SCHIZOPHRENIA; STANDARD; STATISTICS; TREATMENT OUTCOME; UNITED STATES; UNIVERSITY HOSPITAL;

ACADEMIC MEDICAL CENTERS; ADULT; ANTIPSYCHOTIC AGENTS; COMORBIDITY; DELIVERY OF HEALTH CARE, INTEGRATED; DIAGNOSIS, DUAL (PSYCHIATRY); FEMALE; GUIDELINE ADHERENCE; HUMANS; MALE; MENTAL HEALTH SERVICES; MIDDLE AGED; NATIONAL HEALTH PROGRAMS; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PATIENT COMPLIANCE; POLYPHARMACY; PRACTICE GUIDELINES; SCHIZOPHRENIA; UNITED STATES; UNITED STATES DEPARTMENT OF VETERANS AFFAIRS;

EID: 0035458810     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005650-200109000-00003     Document Type: Article

References (21)

1. Lehman AF, Steinwachs DM, the Co-Investigators of the PORT Project. Translating research into practice: the schizophrenia patient outcomes research team (PORT) treatment recommendations. Schizophr Bull 1998;24:1-10.
2. Rosenheck RA, DiLella D. Department of Veterans Affairs National Mental Health Program Performance Monitoring System: Fiscal Year 1999 Report. West Haven, CT: Northeast Program Evaluation Center; 1999:2000.
3. Rosenheck R, Horvath T. The Impact of VA Reorganization on Patterns of Mental Health Care. Psychiatr Serv 1998;49:53.
4. Chen RS, Nadkarni PM, Levin FL, et al. Using a computerized hospital database to monitor compliance of pharmacotherapeutic guidelines in the treatment of schizophrenia. Psychiatr Serv 2000;51:791-794.
5. Leslie DL, Rosenheck RA. Comparing quality of mental health care in public sector and privately insured populations: first efforts and methodological challenges. Psychiatr Serv 2000;51:650-655.
6. Rosenheck RA, Cicchetti D. A mental health program report card: a multidimensional approach to performance monitoring in public sector programs. Community Ment Health J 1998;34:85-106.
7. Rosenheck RA, Fontana A, Stolar M. Assessing quality of care: Administrative indicators and clinical outcome measures. Med Care 1999;37:180-188.
8. Leslie D, Rosenheck R. The effects of institutional fiscal stress on the use of atypical antipsychotic medications in the treatment of schizophrenia. J Nerv Ment Dis 2001;189:377-383.
9. Stahl SM. Antipsychotic polypharmacy, Part 1: therapeutic option or dirty little secret? J Clin Psychiatry 1999;60:425-426.
10. Stahl SM. Antipsychotic polypharmacy, Part 2: tips on use and misuse. J Clin Psychiatry 1999;60:506-507
11. Rosenheck RA, DiLella D. Department of Veterans Affairs National Mental Health Program Performance Monitoring System: Fiscal Year 1995 Report. West Haven, CT: Northeast Program Evaluation Center; 1996.
12. Liang K, Zeger S. Longitudinal data analysis using generalized linear models. Biometrika 1986;73:13-22.
13. Cameron AC, Windmeijer FAG. An R-squared measure of goodness of fit for some common nonlinear regression models. J Econometrics 1997;77: 329-342
14. McFadden D. Conditional Logit Analysis of Qualitative Choice Behaviour. In: Zarembka P, ed. Frontiers in Econometrics. New York, NY: Academic Press; 1973:105-142.
15. Rosenheck R, Desai R, Steinwachs D, et al. Benchmarking treatment of schizophrenia: A comparison of service delivery by the national government and by state and local providers. J Nerv Ment Dis 2000;188:209-216.
16. Lawson W. The art and science of the pharmacotherapy of African Americans. Mt Sinai J Med 1996;63:301-305
17. Allison J, Kiefe C, Weissman N, et al. Relationship of hospital teaching status with quality of care and mortality for medicare patients with acute MI. JAMA 2000;284:1256-1262.
18. Nohria A, Chen Y, Morton D, et al. Quality of care for patients hospitalized with heart failure at academic medical centers. Am Heart J 1999;137:1028-1034.
19. Ayanian J, Weissman J, Chasan-Taber S, et al. Quality of care for two common illnesses in teaching and nonteaching hospitals. Health Affairs 1998;17:194-205.
20. Rosenthal G, Harper D, Quinn L, et al. Severity-adjusted mortality and length of stay in teaching and nonteaching hospitals: Results of a regional study. JAMA 1997;278:485-490.
21. Keeler E, Rubenstein L, Kahn K, et al. Hospital characteristics and quality of care. JAMA 1992;268:1709-1714.