Sistema de Salut de Catalunya
Institut Català de la Salut
[Calvet X] Servei d’Aparell Digestiu, Corporació Sanitària Universitària Parc Taulí, Sabadell, Barcelona, Spain. CIBERehd, Instituto de Salud Carlos III, Madrid, Spain. Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain. [Panés J] CIBERehd, Instituto de Salud Carlos III, Madrid, Spain. Gastroenterology Department, Hospital Clinic de Barcelona, IDIBAPS, Barcelona, Spain. [Gallardo-Escudero J, de la Cuadra-Grande A] Health Economics Department, Pharmacoeconomics & Outcomes Research Iberia [PORIB], Madrid, Spain. [Bartolomé E] Sociedad Española de Calidad Asistencial, Oviedo, Spain. [Marín L] Gastroenterology and Hepatology Department, Hospital Universitari Germans Trias I Pujol, Barcelona, Spain. [Navarro-Correal E] Unitat d'Atenció Crohn-Colitis, Vall d’Hebron Hospital Universitari, Barcelona, Spain
Vall d'Hebron Barcelona Hospital Campus
2022-12-09T09:07:09Z
2022-12-09T09:07:09Z
2022-11
Comprehensive care unit; Patient reported outcome; Quality indicators
Unidad de atención integral; Resultado informado por el paciente; Indicadores de calidad
Unitat d'atenció integral; Resultat informat pel pacient; Indicadors de qualitat
Background and Aims Management of inflammatory bowel disease [IBD] is complex and IBD Comprehensive Care Units [ICCUs] facilitate the delivery of quality care to IBD patients. The objective of this study was to update the existing set of quality indicators [QIs] for ICCUs, based on a nationwide quality certification programme carried out in Spain, from a multi-stakeholder perspective and using multicriteria decision analysis [MCDA] methodology. Methods An MCDA comprising three different phases was conducted. In phase 1, a systematic literature review was performed, and after validation by a scientific committee comprising 11 experts, a preliminary set of QIs was developed. In phase 2, a larger group of 49 experts determined the relevance and relative importance of each QI by prioritising and weighing the preliminary set. Finally in phase 3, the scientific committee reviewed the results and made a final selection via a deliberative process. Results The final set comprised 67 QIs, classified as Structure [23 QIs], Process [35 QIs] and Outcome [9 QIs], which were ranked according to their relative importance. Multidisciplinary management was the most important requirement in ICCUs, followed by continuity of care, standardisation of clinical care and, especially, the incorporation of patients’ reported outcomes. Conclusions This updated set of QIs comprises a weighted and prioritised set of items that represent the essential minimum of criteria for ensuring appropriate quality of care in the management of IBD patients.
AbbVie sponsored the CUE programme. AbbVie had no role in the study design, data collection and analysis, decision to publish, or preparation of this manuscript.
Article
Published version
English
Intestins - Inflamació; Decisió, Presa de; Assistència sanitària - Control de qualitat; HEALTH CARE::Health Services Administration::Quality of Health Care::Quality Indicators, Health Care; DISEASES::Digestive System Diseases::Gastrointestinal Diseases::Gastroenteritis::Inflammatory Bowel Diseases; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Decision Support Techniques; ATENCIÓN DE SALUD::administración de los servicios de salud::calidad de la atención sanitaria::indicadores de calidad en la asistencia sanitaria; ENFERMEDADES::enfermedades del sistema digestivo::enfermedades gastrointestinales::gastroenteritis::enfermedad inflamatoria intestinal; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::técnicas de apoyo en la toma de decisiones
Oxford University Press
Journal of Crohn's and Colitis;16(11)
https://doi.org/10.1093/ecco-jcc/jjac068
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
Articles científics - HVH [3439]
