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Published on: August 1, 2019
Quality indicators to assess a colorectal cancer prevention program
Victoria Serra-Sutton1, Carmela Barrantes Serrano, Mireia Espallargues Carreras
1Catalan Agency of Health Information, Assessment and Quality, CIBER Epidemiología y Salud Pública, Barcelona, Spain. vserra@aatrm.catsalut.cat
Summary
This study developed indicators to assess colorectal cancer prevention quality in a high-risk population. Adherence to screening and surveillance was 67%, with older users and those in surveillance showing higher engagement.
Area of Science:
- Oncology
- Public Health
- Healthcare Quality Improvement
Background:
- Colorectal cancer (CRC) prevention requires effective healthcare models for high-risk populations.
- Assessing the quality of care in novel healthcare interventions is crucial for optimization.
Purpose of the Study:
- To implement and validate a set of indicators for evaluating a new healthcare model focused on CRC prevention.
- To assess the quality of care and adherence to screening and surveillance strategies within this model.
Main Methods:
- Retrospective analysis of electronic health records, documentation review, and surveys.
- Computation of 21 quality indicators based on defined standards.
- Logistic regression to identify factors associated with adherence to prevention strategies.
Main Results:
- 1,275 high-risk individuals were included; 8 of 17 indicators met quality standards.
- Overall adherence to the CRC screening and surveillance program was 67%.
- Older age (≥59) and undergoing surveillance colonoscopies significantly increased adherence probability.
Conclusions:
- The developed indicators are feasible and valid for identifying areas for improvement in CRC prevention models.
- Key areas for enhancement include information systems, care continuity, and inter-professional communication.
- Further implementation is needed to refine indicator interpretability and application in high-risk CRC clinics.
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