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

Inflammatory Bowel Diseases
Alain BittonPromoting Access and Care through Centers of Excellence-PACE program)

Abstract

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). 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. 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 indi...Continue Reading

References

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Citations

Aug 28, 2020·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Bhavik Bharat Shah, Mahesh Kumar Goenka
Jan 27, 2020·Techniques in Coloproctology·G PellinoUNKNOWN the Italian Society of Colorectal Surgery (SICCR)
Nov 22, 2019·World Journal of Gastroenterology : WJG·Lorant GoncziPeter Laszlo Lakatos
Jan 16, 2021·Journal of Medical Systems·Jamie ZhenNeeraj Narula
May 23, 2021·Digestive Diseases and Sciences·Alex Al KhouryPeter L Lakatos
Mar 27, 2021·The American Journal of Gastroenterology·Laura E TargownikSanjay K Murthy
Jun 11, 2019·Journal of the Canadian Association of Gastroenterology·Alain BittonGeoffrey C Nguyen

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