在日本开发和验证肺动脉高血压管理的质量指标:修改后的德尔菲共识研究
Yuichi Tamura1,2, Kazuya Hosokawa3,4, Koshin Horimoto5
1Pulmonary Hypertension Center, International University of Health and Welfare Mita Hospital, Tokyo 108-8329, Japan.
Diagnostics (Basel, Switzerland)
|December 17, 2024
概括
这项研究验证了日本肺动脉高血压 (PAH) 管理的质量指标 (QI). 这些特定背景的QA将标准化护理,并改善日本PAH患者的治疗结果.
科学领域:
- 肺动脉高血压 (PAH) 研究研究
- 改善医疗保健质量 改善医疗保健质量
- 临床实践指导方针的制定.
背景情况:
- 质量指标 (QI) 对于标准化护理和改善肺动脉高血压 (PAH) 的结果至关重要.
- 在日本等特定医疗保健系统中验证QI对于其有效实施至关重要.
- 现有的欧洲质量指标和临床指南作为制定特定背景指标的基础.
研究的目的:
- 为了验证一组质量指标 (QI) 对于肺动脉高血压 (PAH) 管理,特别是在日本医疗保健背景下.
- 调整和完善现有的质量指南,以确保它们对日本患者和临床实践的相关性和适用性.
- 为日本的PAH管理建立一套基于共识的QA.
主要方法:
- 使用了经过修改的德尔菲共识方法.
- 来自日本各机构的11名PAH专家组成的专家小组参加了会议.
- 匿名对36名最初的QI候选人进行了两轮的评分,在9分的适当度尺度上进行评分.
主要成果:
- 在第一轮测试中,36个智商中,有35个获得了≥7.7的中位数.
- 一个小组讨论讨论了低得分的智商,生物标志物修改和侵入性检查,导致36个修改的智商.
- 所有36个修改后的QI都在第二轮中获得了≥7的中位数,证实了它们的有效性.
结论:
- 为PAH管理制定了一套经过验证的QA,以适应日本医疗保健环境.
- 这些质量指南为日本的护理提供了一个标准化的框架.
- 预计这些质量指标的实施将确定改善领域,并提高日本PAH患者的治疗结果.
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