Estándares de calidad asistencial en reumatología

Ruiz, Alberto Alonso; Fuentes, Javier Vidal; Molina, Jesús Tornero; Abelló, Jordi Carbonell; Lázaro, Pablo; Mercado, de; Conesa, M. Dolores Aguilar

doi:10.1016/s1699-258x(07)73690-2

Cited by 27 publications

(1 citation statement)

References 17 publications

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“…Ruiz also states that a health system should have three beds for RA patients per 100,000 inhabitants considering the statistics described. These parameters are critical to improving health care quality and reduce access times [ 9 , 10 ].…”

Section: Resultsmentioning

confidence: 99%

From the model of integral attention to the creation of centers of excellence in rheumatoid arthritis

Santos-Moreno¹,

Castañeda²,

Garro

et al. 2015

Clin Rheumatol

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For the Pan American Health Organization (PAHO), the care of patients with chronic diseases currently experiences fragmentation in attention, generating poor performance of health services. Thus, comprehensive health care strategies arise to mitigate these problems; one of them are Centers of Excellence (CoEs), which aim to obtain high quality results in health from the adequate and minimum use of resources. The objective of this study was to describe the history and current context of the CoE in comprehensive care in patients with rheumatoid arthritis (RA). A systematic search of the literature terms (MeSH) was performed. The bases used were PubMed, Ebsco Host, Lilacs, Science Direct, Ovid, and Google (gray literature). The source of the information was evaluated to determine its quality. International standards focus the CoEs starting from comprehensive management of patients with RA and patient volume, continuous improvement, and quality of health care, constituting an interdisciplinary team. The REAL-PANLAR group suggested that the inclusion of the strategy “Treat to Target”, and patient education improves patient conditions and understanding of the disease. RA is a prevalent and costly disease. The creation of comprehensive care centers of the CoE type is an initiative that improves the prognosis of RA. This document aims to encourage rheumatologists and scientific societies to structure CoE in an interdisciplinary endeavor.

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Section: Resultsmentioning

confidence: 99%

From the model of integral attention to the creation of centers of excellence in rheumatoid arthritis

Santos-Moreno¹,

Castañeda²,

Garro

et al. 2015

Clin Rheumatol

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Quality-of-care standards for early arthritis clinics

Ivorra

Martı́nez

Lázaro³

et al. 2013

Rheumatol Int

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The diagnosis and treatment of early arthritis is associated with improved patient outcomes. One way to achieve this is by organising early arthritis clinics (EACs). The objective of this project was to develop standards of quality for EACs. The standards were developed using the two-round Delphi method. The questionnaire, developed using the best-available scientific evidence, includes potentially relevant items describing the dimensions of quality of care in the EAC. The questionnaire was completed by 26 experts (physicians responsible for the EACs in Spain and chiefs of the rheumatology service in Spanish hospitals). Two hundred and forty-four items (standards) describing the quality of the EAC were developed, grouped by the following dimensions: (1) patient referral to the EAC; (2) standards of structure for an EAC; (3) standards of process; (4) relation between primary care physicians and the EAC; (5) diagnosis and assessment of early arthritis; (6) patient treatment and follow-up in the EAC; (7) research and training in an EAC; and (8) quality of care perceived by the patient. An operational definition of early arthritis was also developed based on eight criteria. The standards developed can be used to measure/establish the requirements, resources, and processes that EACs have or should have to carry out their treatment, research, and educational activities. These standards may be useful to health professionals, patient associations, and health authorities.

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Standards of care for patients with spondyloarthritis

Abad¹,

Ariza²,

Aznar³

et al. 2014

Rheumatol Int

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To define and give priory to standards of care in patients with spondyloarthritis (SpA). A systematic literature review on SpA standards of care and a specific search in relevant and related sources was performed. An expert panel was established who developed the standards of care and graded their priority (high, mild, low, or no priority) following qualitative methodology and Delphi process. An electronic survey was sent to a representative sample of 167 rheumatologists all around the country, who also gave priority to the standards of care (same scale). A descriptive analysis is presented. The systematic literature review retrieved no article specifically related to SpA patients. A total of 38 standards of care were obtained-12 related to structure, 20 to process, and 6 to result. Access to care, treatment, and safety standards of care were given a high priority by most of rheumatologists. Standards not directly connected to daily practice were not given such priority, as standards which included a time framework. The standards generated for the performance evaluation (including patient and professionals satisfaction) were not considered especially important in general. This set of standards of care should help improve the quality of care in SpA patients.

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Estándares de calidad asistencial en reumatología

Cited by 27 publications

References 17 publications

From the model of integral attention to the creation of centers of excellence in rheumatoid arthritis

From the model of integral attention to the creation of centers of excellence in rheumatoid arthritis

Quality-of-care standards for early arthritis clinics

Standards of care for patients with spondyloarthritis

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