在比利时,多个利益相关者对基于证据的IBD质量指标核心集的验证
Liselotte Fierens1, Frank E Rademakers2, Peter Bossuyt3
1Translational Research in Gastrointestinal Disorders (TARGID), Department of Chronic Diseases and Metabolism, KU Leuven, Leuven, Belgium.
BMC health services research
|December 23, 2025
概括
这项研究确定了比利时炎性肠病 (IBD) 护理的37个验证质量指标,通过多方利益相关者的共识改善了质量评估. 未来的努力将专注于在临床实践中实施这些指标.
科学领域:
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 质量指标对于评估和改善医疗保健至关重要.
- 之前在比利时为定义炎症性肠病 (IBD) 质量指标所做的努力缺乏统一的方法.
- 需要批判性地评估过去的方法,并建立基于共识的基于证据的质量指标集.
研究的目的:
- 批判性地评估比利时先前用于识别IBD质量指标的方法.
- 建立一个经过验证的,多利益相关者就IBD护理的基于证据的质量指标建立共识.
主要方法:
- 使用焦点小组与共识方法专家评估了先前的质量指标练习.
- 与医疗保健提供者和患者进行了额外的焦点小组,以确定差距.
- 与多个利益相关者 (专家,患者,护士,医生) 举行了共识会议,以验证最终的指标集.
主要成果:
- 之前的练习有局限性,包括非最佳患者参与和核心团队组成.
- 确定了与患者报告的结果 (心理健康) 和经验 (满意度,对话,治疗) 相关的缺失质量指标.
- 在37个验证的质量指标 (3个结构,11个过程,23个结果) 上达成共识,涵盖IBD护理的各个方面.
结论:
- 两个互补的练习为IBD质量指标提供了有价值的见解.
- 一次涉及多个利益相关者的共识会议导致37个IBD质量指标得到验证.
- 未来的研究应该优先将这些指标转化为临床实践,并评估其可行性.
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