Outcome at the local level

At the local level, outcome indicators useful for evaluation can be made in three ways:

1. by interpolating from national/country data;

2. by measuring directly at the local level;

3. by aggregating information collected for individuals at the patient level up to the local level.

For example, rates of suicide and unemployment can be estimated using the first method, or directly measured using the second method if the appropriate information and resources exist. The second approach will provide more accurate and up-to-date information. The third approach is to aggregate up to the local level information gathered from individual patients, if institutions providing care to those local patients are willing to co-operate in data collection and collation on, for example, symptom reduction, satisfaction with services, and quality of life.

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