Table 1 Percentages of patients being treated in accordance with each indicator at baseline before the implementation of clinical guidelines.
From: An approach to measure compliance to clinical guidelines in psychiatric care
Guidelines for depressive disorders | Guidelines for suicide attempters | |||||
|---|---|---|---|---|---|---|
Before Percentage, (n) implementation clinic/control clinic n = 122/61 | Chisq, p-value | After Percentage, (n) implementation clinic/control clinic n = 121/60 | Before Percentage, (n) implementation clinic/control clinic n = 121/61 | Chisq, p-value | After Percentage, (n) implementation clinic/control clinic n = 120/60 | |
Accessibility/wait time | 77.9(95)/59.0(36) | 7.1, 0.01 | 89.1(106)/53.3(32) | 15.7(19)/29.5(18) | 4.8, 0.1 | 14.2(17)/31.7(19) |
Diagnostic assessment | 83.6(102)/88.5(54) | ns | 97.5(116)/90.0(54) | 49.6(60)/26.2(16) | 9.1, 0.01 | 73.3(88)/16.7(10) |
Diagnostic instrument | 12.3(15)/1.6(1) | 5.7, 0.02 | 27.7(33)/0(0) | 0(0)/0(0) | ns | 7.5(9)/0(0) |
Standardized rating scale | 64.8(79)/44.3(27) | 7.0, 0.01 | 91.6(109)/33.3(20) | 41.3(50)/27.9(17) | 3.2, 0.1 | 67.5(81)/16.7(10) |
Standardized rating scale during treatment | 50.0(61)/24.6(15) | 10.8, 0.001 | 87.4(104)/38.3(23) | 16.5(20)/16.4(10) | ns | 52.5(63)/10.0(6) |
Substance/drug abuse | 46.7(57)/32.8(20) | 3.2, 0.1 | 87.4(105)/53.3(32) | 52.1(63)/55.7(34) | ns | 64.2(77)/56.7(34) |
Treatment (care) plan | 59.8(73)/42.6(26) | 4.8, 0.1 | 87.4(104)/38.3(23) | 33.9(41)/44.3(27) | ns | 67.5(81)/41.7(25) |
Evaluation/outcome | 66.4(81)/59.0(36) | ns | 95.8(114)/55.0(33) | 20.7(25)/19.7(12) | ns | 47.5(57)/8.3(5) |
Continuity | 77.0(94)/78.7(48) | ns | 95.0(113)/61.7(37) | 86.0(104)/49.2(30) | 28.2, 0.001 | 81.7(98)/31.7(19) |
Suicide assessment | 40.2(49)/45.9(28) | ns | 95.8(115)/35.0(21) | 55.4(67)/82.0(50) | 12.5, 0.001 | 93.3(112)/73.3(44) |
Antidepressant medication | 54.1(66)/45.9(28) | ns | 90.8(109)/36.7(22) | |||
Specialist assessment | 50.4(61)/83.6(51) | 18.9, 0.001 | 85.4(103)/83.3(50) | |||
Follow-up | 72.7(88)/75.4(46) | ns | 88.3(106)/65.0(39) | |||
Evaluation assessment | 32.2(39)/18.0(11) | 4.1, 0.1 | 64.2(77)/13.3(8) | |||
mean value (SD) | t-value, p-value | mean value (SD) | t-value, p-value | |||
Total score | 6.3(1.7)/5.2(1.9) | 3.9, 0.001 | 9.5(1.3)/5.0(1.5) | 5.3(2.5)/5.3(2.2) | ns | 8.1(2.3)/4.5(1.9) |