Measuring process of arthritis care: a proposed set of quality measures for the process of care in juvenile idiopathic arthritis.
Measuring process of arthritis care: a proposed set of quality measures for the process of care in juvenile idiopathic arthritis.
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DOI：
10.1002/acr.20348
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发表时间：
2011-01
影响因子：
4.7
通讯作者：
Giannini, Edward H.
中科院分区：
文献类型：
--
作者：
Lovell, Daniel J.;Passo, Murray H.;Beukelman, Timothy;Bowyer, Suzanne L.;Gottlieb, Beth S.;Henrickson, Michael;Ilowite, Norman T.;Kimura, Yukiko;DeWitt, Esi Morgan;Segerman, Jill;Stein, Leonard D.;Taylor, Janalee;Vehe, Richard K.;Giannini, Edward H.
评估护理质量的能力是持续质量改进的必要组成部分。评估通常通过确定是否符合一组定义的质量度量（QM）来完成。这项工作的目标是建立一套质量管理的过程中的JIA的护理评估。由ACR、AAP、ABP和ARHP的代表组成的12人工作组（WG）负责指导该项目。德尔菲问卷被发送到237名卫生专业人员参与照顾儿童与青少年特发性关节炎（JIA）。共识别出27个领域的471个条目。工作组通过四次实时电子会议举行会议，在此期间，德尔菲的结果被提炼成一个简化的草案集。每个工作组成员选择了一个拟议的QM，以调查并提供文献中关于其属性和纳入集合的适当性的证据。名义组技术被用来达成共识的一套拟议的质量管理。建议的一套包含四个医疗保健领域的12个质量管理体系。每个质量管理包括以下声明：（i）待完成的评估;（ii）首次评估应在何时完成以及后续评估期间的建议频率;（iii）适当评估工具或方法的建议;以及（iv）初始绩效目标。实施拟议的QM集将改善护理过程，促进持续QI，并最终改善JIA儿童的健康结果。
The ability to assess quality of care is a necessary component of continuous quality improvement. The assessment typically is accomplished by determination of compliance with a defined set of quality measures (QMs). The objective of this effort was to establish a set of QM for the assessment of the process of care in JIA. A 12 member working group (WG) composed of representatives from the ACR, AAP, ABP, and ARHP was assembled to guide the project. Delphi questionnaires were sent to 237 health professionals involved in the care of children with juvenile idiopathic arthritis (JIA). A total of 471 items in 27 domains were identified. The WG met via four live e-meetings during which results from the Delphi’s were distilled to a reduced draft set. Each WG member selected a proposed QM to investigate and present evidence from the literature as to its attributes and appropriateness for inclusion into the set. Nominal group technique was used to come to consensus on a proposed set of QMs. The proposed set contains 12 QMs within four health care domains. Each QM consists of a statement of (i) the assessment to be completed, (ii) when the first assessment should be completed and a suggested frequency of assessment during follow-up, (iii) recommendations of appropriate tools or methods of assessment, and (iv) initial performance goals. Implementation of the proposed QM set will improve the process of care, facilitate continuous QI, and eventuate in improved health outcomes of children with JIA.
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影响因子：
3.9
作者：
Filocamo, Giovanni;Davi, Sergio;Ravelli, Angelo
通讯作者：
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影响因子：
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作者：
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影响因子：
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作者：
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影响因子：
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作者：
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通讯作者：
GOLDSMITH, DP
影响因子：
9.9
作者：
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通讯作者：
Locke, EA