Development and use of guideline‐derived quality indicators for community lymphoedema

Abstract

The quality indicators and the QI are feasible and valid for the evaluation of quality of care. They can support optimizing lymphoedema care.

Measurement of healthcare quality in atopic dermatitis – development and application of a set of quality indicators

“…23,24,27,28,39,40 The two-stage process resulted in 12 indicators of process quality in AD care. The development of these key indicators was based on a systematic literature review, an analysis of national and international guidelines on the treatment of AD, and designed in the context of a Delphi consensus process.…”

“…This frequently results in a significant decrease in the quality of life of both patients and their relatives. 21,22 In spite of growing knowledge that quality indicators represent a suitable tool for the evaluation of healthcare services and also demonstrate positive effects on the quality of care, [23][24][25][26] no systematic concept for the evaluation of the use of guidelines in AD health care has been implemented in Germany so far. Moreover, psychological consulting and psychosocial measures may be indicated, as the disease often affects the psychosocial well-being of the patients.…”

Quality of Care of Patients with Chronic Lymphoedema in Germany

“…The patient questionnaires included items on medical history of the disease, patient satisfaction with care and with treatment and patient-relevant benefit. The following outcomes parameters were measured: (a) sociodemographic data; (b) medical history; (c) lymphoedema therapy; (d) clinical status (case report form with photo documentation); (e) quality of life (disease-specific: FLQA-l (lymphoedema short version) [2], generic: EQ-5D including visual analogue scale); (f) health care pathways and quality of care (use of resources, attending physicians, access to specialists; self-treatment and effort; pathways of care; indicators of quality of care); (g) satisfaction with care (from the patient's perspective); (h) patient benefit (questionnaire assessing patient-defined benefit from lymphoedema treatment, Patient Benefit Index (PBI) [19]); (i) cost of illness (questionnaire on illness-related costs of lymphoedema [20]).…”

“…In a two-step Delphi consensus process consisting of 24 respectively 28 national experts, 12 quality indicators were developed. A single index of global quality of care was generated ranging from 0 (no quality achieved, none of the indicators fulfilled) to 1 (full quality achieved, all 12 indicators fulfilled) (for more details see Herberger et al [19]). The indicators were assessed in this study by the investigators.…”

Clinical applications of PPI-TT guidelines on transitioning therapies in the treatment of moderate to severe psoriasis: an expert opinion of central Italy dermatologists

“…The PPI-TT project was carried out through a modified Delphi procedure and consisted in different phases. A similar method was employed to develop other consensus-based guidelines (2,3). The results consisted in the definition of 16 questions related to the different topics, followed by one or more answers useful for patients' management (Table 1).…”