In the Netherlands, the prescribed mental healthcare is captured in quality standards. These standards include recommendations or prescriptions regarding proper treatment. There are several aspects of care:PreventionScreeningDiagnosisTreatmentRecovery and reintegrationEach step requires different decisions regarding care. The quality standards can help with the decisions in the treatment and recovery phase. A quality standard outlines what quality care looks like for clinicians and patients for particular conditions. A quality standard is developed independently in a workgroup (e.g. patients, relatives, health professionals). This workgroup collects all information about the subject and based on this, they attempt to reach consensus.There are three types of information that is used in the workgroup:Evidence-based knowledge (i.e. scientific research)Experience-based knowledge (i.e. experiences, wants and needs of patients)Eminence-based knowledge (i.e. experience and opinions of healthcare professionals).There is no hierarchy in this information when it comes to creating quality standards. These quality standards are important because:It makes sure a person can know what they can expect and what the options are.It provides an excellent basis for shared decision making.It gives information on what to provide and when to refer a patient to someone else.It allows every patient to have the same care (i.e. reduction of practice variation).Every professional in healthcare should work according to professional standards. However, these standards can be deviated from. The comply or explain principle states that it is acceptable to deviate from this standard when the patient and professional both agree on it and the professional can argue for the decision. Good quality care at an acceptable cost refers to care that is provided in the right place (1), by the right person (2), efficiently (3) and in good coherence around the patient...


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