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定义2型糖尿病初级保健的质量:一个多利益相关者修改的Delphi共识指标集
Philippe-Richard Domeyer1, Xavier Cos2, Manel Mata-Cases3
1Hellenic Open University, School of Social Sciences, Parodos Aristotelous 18, Patra 26335, Greece.
开发了一套新的质量指标 (QI),用于希腊初级机构的2型糖尿病 (T2DM) 护理. 这些基于共识的指标将有助于评估和改进希腊的T2DM管理和类似的医疗保健系统.
科学领域:
- 公共卫生 公共卫生
- 改善医疗保健质量 改善医疗保健质量
- 内分泌学 在内分泌学.
背景情况:
- 2型糖尿病 (T2DM) 在希腊是一个重大的公共卫生挑战.
- 缺乏现有的验证工具来评估T2DM护理质量在初级保健机构.
- 需要特定于背景的指标来评估和增强T2DM管理.
研究的目的:
- 为希腊初级保健中T2DM开发一套特定于背景的基于共识的质量指标 (QI).
- 创建适用于可比欧洲和低收入和中等收入国家 (LMIC) 系统的框架.
- 建立一个改善T2DM护理质量的基础.
主要方法:
- 采用了两阶段的方法,首先对现有的T2DM QI集进行了文献搜索.
- 进行了三轮修改后的Delphi调查,涉及10个不同的利益相关者.
- 在达成共识之前,候选指标被调整为欧洲相关性.
主要成果:
- 文献搜索产生了有限的合格研究,确定了43个候选QI.
- 德尔菲进程的结果是,在九个领域中达成39个QA的共识.
- 这些领域包括访问,监测,健康咨询,治疗,患者安全,记录,健康状况,患者满意度和自我管理.
结论:
- 该研究介绍了首个适应上下文的,基于共识的T2DM QI集,用于希腊的初级保健.
- 开发的QI涵盖了护理的临床,组织和患者报告的方面.
- 该框架支持更广泛的实施,电子健康记录的整合以及国际基准测试.
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