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Multicriteria Decision Analysis for Updating of Quality Indicators for Inflammatory Bowel Disease Comprehensive Care Units in Spain
- Source :
- Scientia, Journal of Crohn's & colitis, r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe, instname, JOURNAL OF CROHNS & COLITIS, r-IGTP. Repositorio Institucional de Producción Científica del Instituto de Investigación Germans Trias i Pujol
- Publication Year :
- 2022
-
Abstract
- Background and Aims Management of inflammatory bowel disease [IBD] is complex and IBD Comprehensive Care Units [ICCUs] facilitate the delivery of quality care to IBD patients. The objective of this study was to update the existing set of quality indicators [QIs] for ICCUs, based on a nationwide quality certification programme carried out in Spain, from a multi-stakeholder perspective and using multicriteria decision analysis [MCDA] methodology. Methods An MCDA comprising three different phases was conducted. In phase 1, a systematic literature review was performed, and after validation by a scientific committee comprising 11 experts, a preliminary set of QIs was developed. In phase 2, a larger group of 49 experts determined the relevance and relative importance of each QI by prioritising and weighing the preliminary set. Finally in phase 3, the scientific committee reviewed the results and made a final selection via a deliberative process. Results The final set comprised 67 QIs, classified as Structure [23 QIs], Process [35 QIs] and Outcome [9 QIs], which were ranked according to their relative importance. Multidisciplinary management was the most important requirement in ICCUs, followed by continuity of care, standardisation of clinical care and, especially, the incorporation of patients’ reported outcomes. Conclusions This updated set of QIs comprises a weighted and prioritised set of items that represent the essential minimum of criteria for ensuring appropriate quality of care in the management of IBD patients.
- Subjects :
- Comprehensive Care Unit
Inflammatory Bowel Disease
Multicriteria Decision Analysis
Gastroenterology
General Medicine
Inflammatory Bowel Diseases
Patient Reported Outcome
Decision Support Techniques
enfermedades del sistema digestivo::enfermedades gastrointestinales::gastroenteritis::enfermedad inflamatoria intestinal [ENFERMEDADES]
Assistència sanitària - Control de qualitat
administración de los servicios de salud::calidad de la atención sanitaria::indicadores de calidad en la asistencia sanitaria [ATENCIÓN DE SALUD]
Spain
Decisió, Presa de
Quality Indicators
Health Services Administration::Quality of Health Care::Quality Indicators, Health Care [HEALTH CARE]
Humans
Intestins - Inflamació
Digestive System Diseases::Gastrointestinal Diseases::Gastroenteritis::Inflammatory Bowel Diseases [DISEASES]
técnicas de investigación::técnicas de apoyo en la toma de decisiones [TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS]
Investigative Techniques::Decision Support Techniques [ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT]
Quality Indicators, Health Care
Quality of Health Care
Subjects
Details
- ISSN :
- 18764479 and 18739946
- Volume :
- 16
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Journal of Crohn'scolitis
- Accession number :
- edsair.doi.dedup.....c7e167e64aac86ea09ba1df0b3609352