https://doi.org/10.4081/ripppo.2024.820
Psychological interventions in the Italian national health system: appropriateness and accountability
Submitted: August 1, 2024
Accepted: August 20, 2024
Published: August 26, 2024
Accepted: August 20, 2024
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
In the field of clinical governance, the search for progressive high-quality health interventions is accompanied by the different health values they assume for the different stakeholders involved. With increasing frequency, the value of clinical psychology and psychotherapy interventions in the public service is also supported by their ability to be appropriate and measurable in terms of their effectiveness. As such, their expected future is one of systematic inclusion within increasingly defined and specific care pathways. The challenge that this evolution poses is complex from an epistemologicalmethodological point of view because it must include the various perspectives from which one looks at the nature of these interventions. Clinical appropriateness, as a meta-level variable, and accountability go beyond the simplistic/generic cost-benefit assessment of services and are proposed as a necessary conceptual framework for an adequate determination of outcomes.
Baker, T. B., McFall, R. M., & Shoham, V. (2008). Current status and future prospects of clinical psychology: Toward a scientifically principled approach to mental and behavioral health care. Psychological science in the public interest, 9(2), 67-103. doi: 10.1111/j.1539-6053.2009.01036.x.
DOI: https://doi.org/10.1111/j.1539-6053.2009.01036.x
Barrett B., & Byford, S. (2009). Economic evaluations in evidence based healthcare. British Medical Journal Mental Health, 12(2), 36-39. doi: 10.1136/ebmh.12.2.36.
DOI: https://doi.org/10.1136/ebmh.12.2.36
Boden, M. T., Smith, C. A., Klocek, J. W., & Trafton, J. A. (2019). Mental Health Treatment Quality, Access, and Satisfaction: Optimizing Staffing in an Era of Fiscal Accountability. Psychiatric Services, 70(3), 168-175. doi: 10.1176/appi.ps.201800229.
DOI: https://doi.org/10.1176/appi.ps.201800229
Brinkerhoff, D. W. (2004). Accountability and health systems: toward conceptual clarity and policy relevance. Health policy and planning, 19(6), 371-379. doi: 10.1093/heapol/czh052.
DOI: https://doi.org/10.1093/heapol/czh052
Clement, F. (2023). Value-Based Healthcare: Is It Just Another Buzzword?. Healthcare Policy, 18(4), 18-25. doi: 10.12927%2Fhcpol.2023.27096.
DOI: https://doi.org/10.12927/hcpol.2023.27096
Donabedian, A. (1988). The quality of care. How can it be assessed?. JAMA, 260(12), 1743-1748. doi: 10.1001/jama.260.12.1743.
DOI: https://doi.org/10.1001/jama.260.12.1743
Frank, R. G., & Shim, R. S. (2023). Toward Greater Accountability in Mental Health Care. Psychiatric Services, 74(2), 182-187. doi: 10.1176/appi.ps.20220097.
DOI: https://doi.org/10.1176/appi.ps.20220097
Gray, M. J. A. (2007). How to get better value in healthcare, Oxford press.
DOI: https://doi.org/10.1177/014107680710001019
Gray, M. J. A. (2017). Value based healthcare. British Medical Journal, 356:j437. doi: 10.1136/bmj.j437.
DOI: https://doi.org/10.1136/bmj.j437
Layard, R. (2006). The case for psychological treatment centres. British Medical Journal, 332, 1030-1032. doi: 10.1136/bmj.332.7548.1030.
DOI: https://doi.org/10.1136/bmj.332.7548.1030
Layard, R., & Clark, D. M. (2015). Why more psychological therapy would cost nothing. Frontiers in psychology, 6, 1713. doi: 10.3389/fpsyg.2015.01713.
DOI: https://doi.org/10.3389/fpsyg.2015.01713
Porter, M. E. (2010). What is value in health care?. New England Journal of Medicine, 363, 2477-2481. doi: 10.1056/NEJMp1011024.
DOI: https://doi.org/10.1056/NEJMp1011024
Porter, M. E., & Lee, T. H. (2016). From volume to value in health care: the work begins. JAMA, 316, 1047-1048. doi:10.1001/jama.2016.11698.
DOI: https://doi.org/10.1001/jama.2016.11698
Rebecchi, D. (2023). I percorsi clinici della psicologia. Metodi, strumenti e procedure nel Sistema Sanitario Nazionale, Franco Angeli. [Book in Italian]
Ridolfi, A. (2024). Psicologia clinica e Psicoterapia nel servizio pubblico. Appropriatezza dei percorsi assistenziali, responsabilità dei processi clinici e valutazione degli esiti. Alpes. [Book in Italian]
Rock, D., & Cross S. P. (2020). Regional planning for meaningful person-centred care in mental health: context is the signal not the noise. Epidemiology and psychiatric sciences, 29, e104. doi: 10.1017/S2045796020000153.
DOI: https://doi.org/10.1017/S2045796020000153
Rosenberg, S., & Salvador-Carulla, L. (2017). Perspectives. Accountability for mental health: the Australian Experience. Journal of Mental Health Policy Economy, 20(1), 37-54.
Scally, G., & Donaldson, L. (1998). Clinical Governance and the drive for quality improvement in the new NHS in England. British Medical Journal, 317, 61-65. doi: 10.1136/bmj.317.7150.61.
DOI: https://doi.org/10.1136/bmj.317.7150.61
Sculpher, M. (2015). Clinical Trials Provide Essential Evidence, but Rarely Offer a Vehicle for Cost-Effectiveness Analysis. Value in Health, 18(2), 141-142. doi: 10.1016/j.jval.2015.02.005.
DOI: https://doi.org/10.1016/j.jval.2015.02.005
Teisberg, E., Wallace, S., & O'Hara, S. (2020). Defining and Implementing Value-Based Health Care: A Strategic Framework. Academic Medicine, 95(5), 682-685. doi: 10.1097/ACM.0000000000003122.
DOI: https://doi.org/10.1097/ACM.0000000000003122
Wiktorowicz, M. E., Di Pierdomenico, K., Buckley, N. J., Lurie, S., & Czukar, G. (2020). Governance of mental healthcare: Fragmented accountability. Social Science & Medicine, 256, 113007. doi: 10.1016/j.socscimed.2020.113007.
DOI: https://doi.org/10.1016/j.socscimed.2020.113007
How to Cite
Ridolfi, A. (2024). Psychological interventions in the Italian national health system: appropriateness and accountability. Research in Psychotherapy: Psychopathology, Process and Outcome, 27(2). https://doi.org/10.4081/ripppo.2024.820
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