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

Journal of the European Academy of Dermatology and Venereology : JEADV
S SteinkeMatthias Augustin

Abstract

Quality indicators are essential tools for the assessment of health care, in particular for guideline-based procedures. Development of a set of indicators for the evaluation of process and outcomes quality in atopic dermatitis (AD) care. Application of the indicators to a cross-sectional study and creation of a global process quality index. An expert committee consisting of 10 members of the German guideline group on AD condensed potential quality indicators to a final set of 5 outcomes quality and 12 process quality indicators using a Delphi panel. The outcomes quality and 7 resp. 8 process quality indicators were retrospectively applied to a nationwide study on 1678 patients with atopic dermatitis (AtopicHealth). Each individual process quality indicator score was then summed up to a global index (ranges from 0 [no quality achieved] to 100 [full quality achieved]) displaying the quality of health care. In total, the global process quality index revealed a median value of 62.5 and did not or only slightly correlate to outcomes quality indicators like the median SCORing Atopic Dermatitis (SCORAD; rp = 0.08), Dermatology Life Quality Index (DLQI; rp = 0.256) and Patient Benefit Index (PBI; rp = -0.151). Process quality of AD car...Continue Reading

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Citations

Apr 20, 2019·Journal of the European Academy of Dermatology and Venereology : JEADV·J RingA Fink-Wagner
Sep 9, 2019·Journal of the European Academy of Dermatology and Venereology : JEADV·N MaksimovicT Gazibara
Sep 21, 2021·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·A LangenbruchM Augustin
Nov 26, 2021·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·M AugustinK Hagenström

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Atopic dermatitis is a chronic inflammatory genetically determined disease of the skin marked by increased ability to form reagin (IgE), with increased susceptibility to allergic rhinitis and asthma, and hereditary disposition to a lowered threshold for pruritus. Discover the latest research on atopic dermatitis here.

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