scholarly journals Systems levers for commissioning primary mental healthcare: a rapid review

2018 ◽  
Vol 24 (1) ◽  
pp. 29 ◽  
Author(s):  
Carla Meurk ◽  
Meredith Harris ◽  
Eryn Wright ◽  
Nicola Reavley ◽  
Roman Scheurer ◽  
...  
Keyword(s):  
Mental Health ◽  
Information Systems ◽  
Health Information ◽  
Grey Literature ◽  
Mental Healthcare ◽  
Health Information Systems ◽  
Evidence Base ◽  
Stepped Care ◽  
Rapid Review ◽  
Health Networks

Primary Health Networks (PHNs) are a new institution for health systems management in the Australian healthcare system. PHNs will play a key role in mental health reform through planning and commissioning primary mental health services at a regional level, specifically adopting a stepped care approach. Selected PHNs are also trialling a healthcare homes approach. Little is known about the systems levers that could be applied by PHNs to achieve these aims. A rapid review of academic and grey literature published between 2006 and 2016 was undertaken to describe the use of systems levers in commissioning primary care services. Fifty-six documents met the inclusion criteria, including twelve specific to primary mental healthcare. Twenty-six levers were identified. Referral management, contracts and tendering processes, and health information systems were identified as useful levers for implementing stepped care approaches. Location, enrolment, capitation and health information systems were identified as useful in implementing a healthcare homes approach. Other levers were relevant to overall health system functioning. Further work is needed to develop a robust evidence-base for systems levers. PHNs can facilitate this by documenting and evaluating the levers that they deploy, and making their findings available to researchers and other commissioning bodies.

A learning agenda to build the evidence base for strengthening global health information systems

2020 ◽  
pp. 183335832093680
Author(s):  
Heidi W Reynolds ◽  
Shannon Salentine ◽  
Eva Silvestre ◽  
Elizabeth Millar ◽  
Ashley Strahley ◽  
...  
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Opportunity To Learn ◽  
Health Information Systems ◽  
Evidence Base ◽  
Lessons Learned ◽  
Assessment Tools ◽  
Advisory Group ◽  
Learning Networks ◽  
Middle Income

Background: Evidence-based interventions are necessary for planning and investing in health information systems (HIS) and for strengthening those systems to collect, manage, sort and analyse health data to support informed decision-making. However, evidence and guidance on HIS strengthening in low- and middle-income countries have been historically lacking. Objective: This article describes the approach, methods, lessons learned and recommendations from 5 years of applying our learning agenda to strengthen the evidence base for effective HIS interventions. Methods: The first step was to define key questions about characteristics, stages of progression, and factors and conditions of HIS performance progress. We established a team and larger advisory group to guide the implementation of activities to build the evidence base to answer questions. We strengthened learning networks to share information. Results: The process of applying the learning agenda provided a unique opportunity to learn by doing, strategically collecting information about monitoring and evaluating HIS strengthening interventions and building a body of evidence. There are now models and tools to strengthen HIS, improved indicators and measures, country HIS profiles, documentation of interventions, a searchable database of HIS assessment tools and evidence generated through syntheses and evaluation results. Conclusion: The systematic application of learning agenda processes and activities resulted in increased evidence, information, guidance and tools for HIS strengthening and a resource centre, making that information accessible and available globally. Implications: We describe the inputs, processes and lessons learned, so that others interested in designing a successful learning agenda have access to evidence of how to do so.

scholarly journals Mental health information systems in resource-challenged countries: experiences from India

2018 ◽  
Vol 15 (2) ◽  
pp. 43-46 ◽  
Author(s):  
Shalini Ahuja ◽  
Rahul Shidhaye ◽  
Maya Semrau ◽  
Graham Thornicroft ◽  
Mark Jordans
Keyword(s):  
Mental Health ◽  
Information Systems ◽  
Health Information ◽  
Health Indicators ◽  
Health Information Systems ◽  
Middle Income ◽  
Middle Income Countries ◽  
Mental Health Information ◽  
Primary Focus ◽  
Low And Middle Income

Mental health information systems are increasingly being used to measure the effectiveness of mental health interventions. Little or no data is available for mental health service availability and service uptake in low- and middle-income countries. Through a narrative review, this paper illustrates the importance of routine monitoring data and suggests methods for developing, implementing and evaluating mental health indicators in low- and middle-income countries with a primary focus on India.

scholarly journals The implementation of mental health information systems in developing countries: Challenges and opportunities

2009 ◽  
Vol 18 (1) ◽  
pp. 12-16 ◽  
Author(s):  
David M. Ndetei ◽  
Rachel Jenkins
Keyword(s):  
Mental Health ◽  
Developing Countries ◽  
Information Systems ◽  
Health Information ◽  
Health Workers ◽  
Health Information Systems ◽  
World Health ◽  
Medical Information System ◽  
Mental Health Information ◽  
Challenges And Opportunities

AbstractThe aims are to examine the challenges and opportunities in the implementation of mental health information systems (MHIS) in developing countries as suggested by the World Health Organization (WHO) and explored by Gulbinat et al. (2008). Special recommendations for developing countries are: 1) MHIS should be linked to the general medical information system; 2) there is need for adoption, adaptation and validation of preferably self-administered instruments that are appropriate for different levels within the health care system; 3) developing countries must adopt innovative and “unconventional” approaches through utilization of community members, traditional doctors/healers and mid-cadre health workers, in addition to general doctors, for the delivery of mental health services.

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