Unwilling or uncommunicative customers, lack of consensus over diagnostic definitions and processes of care, and the difficulty of defining outcome measures, account for quality issues being different when related to the psychiatric field than for other branches of health care. Attempts to measure quality of care in psychiatry using preexisting models needs careful review.
Green, S. (1991), "Quality Issues in Mental Health", International Journal of Health Care Quality Assurance, Vol. 4 No. 4. https://doi.org/10.1108/09526869110139000
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