Relevant Criteria for Improving Quality of Schizophrenia Spectrum Disorders Treatment: A Delphi Study

Highlights What are the main findings? A Delphi study identified 26 quality criteria for schizophrenia spectrum disorder (SSD) care. Consensus prioritized key areas: early diagnosis, care coordination, and access. What are the implications of the main findings? Professionals and patients highlighted...

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Detalles Bibliográficos
Autores: Roncero, C, Sánchez-García, A, Burguet, LC, Moreno, AF, Barbero, MLM, Aguilera-Serrano, C, Dorado, VO, Remacha, JG, Prieto, JR, Pérez-Esteve, C, Vila, MS, Solves, JJM
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p19913
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/19913
Access Level:acceso abierto
Palabra clave:schizophrenia spectrum disorders
quality assurance
healthcare
patient safety
healthcare evaluation mechanisms
psychiatry
Descripción
Sumario:Highlights What are the main findings? A Delphi study identified 26 quality criteria for schizophrenia spectrum disorder (SSD) care. Consensus prioritized key areas: early diagnosis, care coordination, and access. What are the implications of the main findings? Professionals and patients highlighted critical barriers in SSD healthcare. Results provide a foundation for a quality certification system in SSD care.Highlights What are the main findings? A Delphi study identified 26 quality criteria for schizophrenia spectrum disorder (SSD) care. Consensus prioritized key areas: early diagnosis, care coordination, and access. What are the implications of the main findings? Professionals and patients highlighted critical barriers in SSD healthcare. Results provide a foundation for a quality certification system in SSD care.Abstract Background/Objectives: Schizophrenia Spectrum Disorder (SSD) represents a major challenge for healthcare systems due to its chronic nature, comorbid conditions, and high socioeconomic impact. Ensuring high-quality care for patients with SSD requires well-defined quality criteria based on consensus from healthcare professionals, patients, and caregivers. This study aims to identify and prioritize quality criteria for SSD care. Methods: A qualitative research approach was applied, including incorporating two focus groups-one with patients and caregivers (n = 7) and another with healthcare professionals (n = 8)-alongside the Delphi technique. The Delphi panel included 32 participants from psychiatry, primary care, mental health nursing, social work, and patient associations. The first round had an 88.9% response rate, while the second round achieved full participation (100%). The Delphi process was conducted and reported according to recommended guidelines for consensus methods (ACCORD checklist), specifying panel composition, rounds, predefined consensus thresholds, and controlled feedback between rounds. Results: A total of 26 quality criteria were ultimately selected, categorized into 16 identified barriers to effective care. Key priorities included early diagnosis protocols, coordinated multidisciplinary care, and improved access to specialized mental health services. Conclusions: The findings underscore the necessity of integrating patient experience into healthcare evaluation and highlight the potential for implementing a certification system to standardize SSD care across healthcare settings.