Quality standard for the management of patients with psoriatic arthritis: QUANTUM Project
Por:
Sanz Sanz J, Beltrán E, Díaz-Miguel Pérez MC, Fernandez C, Galíndez E, García Porrua C, Gratacós J, Medina J, Queiro R, Ramírez J, Reina D, Rodríguez Lozano C, Rodríguez Martínez FJ, Rubio E and Veroz R
Publicada:
1 may 2020
Ahead of Print:
24 jul 2018
Categoría:
Rheumatology
Resumen:
Objective: To generate a quality standard for the management of patients with psoriatic arthritis (PsA).
Methods: We employed qualitative methodology that included: 1) Two focus groups (one with patients with PsA and another with non-rheumatologist specialists involved in the care of PsA patients); 2) A narrative literature review of published documents related to the quality of care in PsA; 3) A nominal group meeting in which 15 expert rheumatologists generated and reached a consensus on a series of quality criteria, as well as formulas or quantifiable objective measures to evaluate them; 4) The Delphi method to establish the feasibility, priority and agreement with the quality criteria; 5) A final generation of standards of care and their attributes. A descriptive analysis of the results was carried out.
Results: A total of 59 standards of care was generated, 18 of mandatory compliance, grouped into 4 blocks according to specific objectives: 1) early diagnosis (n = 6); 2) optimizing the management of the disease (n= 26); 3) multidisciplinary collaboration (n = 9); 4) monitoring improvement (n=18). To assess compliance with these standards of care, in many cases, the medical records will be reviewed. Other sources will be the records of the service and hospital and bibliographic databases. Regarding the level of compliance, for some of the standards of care this is yes/no; for others, compliance ranges from 50% to 100% and, in this range, in many cases, compliance was 80%.
Conclusions: This set of standards of care should help improve quality of care in PsA patients. (C) 2018 Published by Elsevier Espana, S.L.U.
Filiaciones:
Sanz Sanz J:
Servicio de Reumatología, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, España
Beltrán E:
Servicio de Reumatología, Hospital del Mar, Barcelona, España
Díaz-Miguel Pérez MC:
Servicio de Reumatología, Hospital Universitario Ramón y Cajal, Madrid, España
Fernandez C:
Servicio de Reumatología, Hospital General Universitario de Elda, Elda, Alicante, España
Galíndez E:
Servicio de Reumatología, Hospital de Basurto, Bilbao, España
García Porrua C:
Servicio de Reumatología, Hospital Universitario Lucus Augusti, Lugo, España
Gratacós J:
Servicio de Reumatología, Hospital Universitario Parc Taulí de Sabadell, I3PT, Sabadell, Barcelona, España
Medina J:
Servicio de Reumatología, Hospital Clínico Universitario de Valladolid, Valladolid, España
Queiro R:
Servicio de Reumatología, Hospital Universitario Central de Asturias, SESPA, Oviedo, España
Ramírez J:
Servicio de Reumatología, Hospital Clínic de Barcelona, IDIBAPS, Barcelona, España
Reina D:
Servicio de Reumatología, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despí, Barcelona, España
Rodríguez Lozano C:
Servicio de Reumatología, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, España
Rodríguez Martínez FJ:
Servicio de Reumatología, Hospital General Universitario Santa Lucía, Cartagena, España
Rubio E:
Servicio de Reumatología, Hospital Universitario Virgen del Rocío, Sevilla, España
Veroz R:
Servicio de Reumatología, Hospital de Mérida, Mérida, Badajoz, España
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