在初级保健环境中治疗骨关节炎疼痛的质量指标
Elsie Rizk1,2, Sharla Tajchman3, Ezekiel Fink4
1Department of Pharmacy, Houston Methodist, Houston, TX, USA.
BMC musculoskeletal disorders
|June 30, 2023
概括
这项研究开发了15个质量指标 (QI),用于初级保健中骨关节炎疼痛管理. 这些有效和可行的QA将有助于跟踪质量举措并改善患者护理.
科学领域:
- 类风湿病学 类风湿病学
- 初级医疗保健医学 一级医疗保健医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 有效的质量指标对于在初级保健中监测骨关节炎疼痛管理至关重要.
- 当前的质量指标可能无法充分解决骨关节炎护理在初级环境中的复杂性.
研究的目的:
- 在初级保健机构中开发和优先考虑骨关节炎疼痛管理的有效和可行的质量指标 (QI).
- 在多学科专家之间就骨关节炎护理质量的关键方面建立共识.
主要方法:
- 一个全面的文献搜索确定了相关的指导方针,从中提取了115个候选质量指标 (QI).
- 一个由14名专家组成的小组,包括医生和药剂师,通过调查和讨论来选QI的可行性和有效性.
- 一个涉及选,有效性评估,专家讨论和优先级调查的多阶段过程完善了QI.
主要成果:
- 该研究确定了41条指导方针并提取了115个潜在的QI,其中28个被排除在可行性之外.
- 专家的审查和讨论导致了73个QI的排除,并增加了1个新的QI.
- 建立了最后一组15个优先级的QI,重点是安全,教育,体重管理,心理健康,药物优化,转诊和成像.
结论:
- 在15个优先,有效和可行的质量指标上达成共识,用于初级保健中的骨关节炎疼痛管理.
- 这些QA将科学证据与专家意见相结合,以促进质量跟踪.
- 开发的QI为提高初级保健机构骨关节炎护理质量提供了有价值的工具.
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