Selection of Quality Indicators in IBD: Integrating Physician and Patient Perspectives

Alain Bitton, Maria Vutcovici, Ellina Lytvyak, Natasha Kachan, Brian Bressler, Jennifer Jones, Peter L. Lakatos, Maida Sewitch, Wael El-Matary, Gil Melmed, Geoffrey Nguyen

Résultat de recherche: Articleexamen par les pairs

30 Citations (Scopus)

Résumé

Background Variation in clinical practice exists in many aspects of inflammatory bowel disease (IBD) care. Our aim was to develop a comprehensive set of quality indicators (QIs) to be measured in view of improving the quality of IBD care provided in clinical practice. This initiative was part of a global Canadian quality initiative PACE (Promoting Access and Care through Centres of Excellence). Methods A modified RAND appropriateness method was used to identify and rate structure, process, outcome, and patient-derived QIs of IBD care. The process included a comprehensive literature search yielding a broad list of QIs, the online selection of QIs by a core expert panel, the selection of patient-derived QIs from 4 patient focus groups, and the subsequent selection of QIs by a multidisciplinary panel, followed by a moderated in-person multidisciplinary meeting during which each indicator was rated for importance and feasibility of measurement. Predetermined cutoffs for mean score and degree of disagreement were used to select the final list of QIs. Results Forty-five QIs, including 6 that were patient-derived, were selected. Nine structure QIs addressed aspects related to the services and specialist care offered at an IBD unit or clinic. Thirty process indicators included administrative and workflow processes, features related to IBD therapy, surveillance, vaccination, and risk management. Six outcome QIs included measures of healthcare utilization, steroid use, and patient satisfaction. Conclusions Forty-five QIs including patient-derived indicators were selected through an iterative process. These indicators can be used to measure and improve the quality of care provided to IBD patients.

Langue d'origineEnglish
Pages (de-à)403-409
Nombre de pages7
JournalInflammatory Bowel Diseases
Volume25
Numéro de publication2
DOI
Statut de publicationPublished - janv. 10 2019

Note bibliographique

Funding Information:
Research sponsored by the Crohn’s & Colitis Foundation

Publisher Copyright:
© 2018 Crohn's & Colitis Foundation. Published by Oxford University Press. All rights reserved.

ASJC Scopus Subject Areas

  • Immunology and Allergy
  • Gastroenterology

Empreinte numérique

Plonger dans les sujets de recherche 'Selection of Quality Indicators in IBD: Integrating Physician and Patient Perspectives'. Ensemble, ils forment une empreinte numérique unique.

Citer