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Consensus for criteria of running a pediatric inflammatory bowel disease center using a modified Delphi approach
You-You Luo1,2, Kai-Chun Wu3, Si-Tang Gong4
1Department of Gastroenterology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, 310052, China.
Insights
Developing quality indicators (QIs) for pediatric inflammatory bowel disease (PIBD) centers in China is crucial. This study established 101 comprehensive QIs for evaluating PIBD center quality.
Area of Science:
- Pediatric Gastroenterology
- Healthcare Quality Improvement
- Clinical Management
Background:
- High-quality care for pediatric inflammatory bowel disease (PIBD) necessitates specialized centers, yet China lacks established evaluation criteria.
- This study aimed to develop a comprehensive set of quality indicators (QIs) for assessing PIBD centers in China.
Discussion:
- A modified Delphi consensus approach was employed, involving an exhaustive literature search and two web-based voting rounds.
- The consensus identified 101 QIs across structure (35), process (48), and outcome (18) domains.
Key Insights:
- Structure QIs emphasize multidisciplinary teams, facilities, and services.
- Process QIs cover diagnosis, evaluation, treatment, and follow-up protocols.
- Outcome QIs focus on the effectiveness of interventions within PIBD centers.
Outlook:
- The developed QIs provide a framework for managing and evaluating PIBD centers.
- Implementation of these indicators can standardize and enhance pediatric IBD care in China.
Background:
Good quality of care for inflammatory bowel disease (IBD) depends on high-standard management and facility in the IBD center. Yet, there are no clear measures or criteria for evaluating pediatric IBD (PIBD) center in China. The aim of this study was to develop a comprehensive set of quality indicators (QIs) for evaluating PIBD center in China.
Methods:
A modified Delphi consensus-based approach was used to identify a set of QIs of structure, process, and outcomes for defining the criteria. The process included an exhaustive search using complementary approaches to identify potential QIs, and two web-based voting rounds to select the QIs defining the criteria for PIBD center.
Results:
A total of 101 QIs (35 structures, 48 processes and 18 outcomes) were included in this consensus. Structure QIs focused on the composition of multidisciplinary team, facilities and services that PIBD center should provide. Process QIs highlight core requirements in diagnosing, evaluating, treating PIBD, and disease follow-up. Outcome QIs mainly included criteria evaluating effectiveness of various interventions in PIBD centers.
Conclusion:
The present Delphi consensus developed a set of main QIs that may be useful for managing a PIBD center. Video Abstract.
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