在低收入和中等收入国家环境中评估癌症护理的质量指标:一项多国修改的Delphi研究
Megan McLeod1, Julie Torode2, Kari Leung3
1Department of Otolaryngology, Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
The Lancet. Oncology
|February 1, 2024
概括
专家们确定了九个在低收入和中等收入国家 (LMICs) 癌症护理的高优先级质量指标. 这些可行的措施侧重于诊断和治疗过程,以改善癌症服务.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 全球健康 全球健康
背景情况:
- 在低收入和中等收入国家 (LMICs) 改善癌症护理质量是全球卫生优先事项.
- 现有的质量指标可能无法实现或与LMIC环境无关.
- 需要基于共识的方法来确定高优先级,可操作的质量措施.
研究的目的:
- 在LMICs中获得医院癌症护理的高优先级,可行的质量指标的共识.
- 确定瘤学诊断和治疗的关键过程措施.
- 为LMICs的质量改善举措提供基础.
主要方法:
- 系统的文献审查,以确定最初的质量指标.
- 修改后的Delphi研究涉及瘤学和卫生政策的国际专家.
- 三次研讨会和两次电子调查,以达成专家共识.
主要成果:
- 在LMICs癌症护理的九个高优先级质量指标上达成共识.
- 这些指标涵盖了护理的基本方面,包括准确的诊断 (活检,分期) 和适当的治疗 (放射治疗,手术).
- 选择的指标被认为可用于在LMIC环境中收集数据.
结论:
- 九个基于共识的质量指标为衡量和改善LMIC癌症护理质量的实际框架.
- 这些指标可以指导反和质量改进系统的实施.
- 专注于这些核心措施可以提高资源有限的环境中癌症服务的有效性.
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