Development of system-level performance measures for evaluation of models of care for inflammatory arthritis in Canada

Arthritis Alliance of Canada Performance Measurement Development Panel

Résultat de recherche: Articleexamen par les pairs

58 Citations (Scopus)

Résumé

Objective. To develop system-level performance measures for evaluating the care of patients with inflammatory arthritis (IA), including rheumatoid arthritis (RA), psoriatic arthritis, ankylosing spondylitis, and juvenile idiopathic arthritis. Methods. This study involved several methodological phases. Over multiple rounds, various participants were asked to help define a set of candidate measurement themes. A systematic search was conducted of existing guidelines and measures. A set of 6 performance measures was defined and presented to 50 people, including patients with IA, rheumatologists, allied health professionals, and researchers using a 3-round, online, modified Delphi process. Participants rated the validity, feasibility, relevance, and likelihood of use of the measures. Measures with median ratings ≥ 7 for validity and relevance were included in the final set. Results. Six performance measures were developed evaluating the following aspects of care, with each measure being applied separately for each type of IA except where specified: waiting times for rheumatology consultation for patients with new onset IA, percentage of patients with IA seen by a rheumatologist, percentage of patients with IA seen in yearly followup by a rheumatologist, percentage of patients with RA treated with a disease-modifying antirheumatic drug (DMARD), time to DMARD therapy in RA, and number of rheumatologists per capita. Conclusion. The first set of system-level performance measures for IA care in Canada has been developed with broad input. The measures focus on timely access to care and initiation of appropriate treatment for patients with IA, and are likely to be of interest to other arthritis care systems internationally.

Langue d'origineEnglish
Pages (de-à)530-540
Nombre de pages11
JournalJournal of Rheumatology
Volume43
Numéro de publication3
DOI
Statut de publicationPublished - mars 2016

Note bibliographique

Publisher Copyright:
Copyright © 2016 The Journal of Rheumatology. All rights reserved.

ASJC Scopus Subject Areas

  • Immunology and Allergy
  • Rheumatology
  • Immunology

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Citer

Arthritis Alliance of Canada Performance Measurement Development Panel (2016). Development of system-level performance measures for evaluation of models of care for inflammatory arthritis in Canada. Journal of Rheumatology, 43(3), 530-540. https://doi.org/10.3899/jrheum.150839