First Dutch Consensus of Pain Quality Indicators for Pain Treatment Facilities
First Dutch Consensus of Pain Quality Indicators for Pain Treatment Facilities
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DOI：
10.1111/papr.12331
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发表时间：
2016-01-01
期刊：
影响因子：
2.6
通讯作者：
van Kleef, Maarten
中科院分区：
文献类型：
--
作者：
de Meij, Nelleke;van Grotel, Marloes;van Kleef, Maarten
背景：有一个普遍的共识，需要定义和提高疼痛治疗设施的质量。虽然已经推出了提高疼痛实践管理质量的指导方针和建议，但提供适当的疼痛治疗并不一致，设施的质量差异很大。这项研究的目的是制定一个专家同意的质量指标清单，适用于疼痛治疗设施。该列表也被用来作为基础的一套标准的注册状态的疼痛治疗facility.Methods：大学疼痛中心马斯特里赫特在麻醉学和疼痛管理系的马斯特里赫特大学医学中心进行了3轮德尔菲研究与董事会的疼痛科的荷兰麻醉医师协会（NVA）合作。结果：25个质量指标被选为相关的2种类型的疼痛治疗设施，疼痛诊所和疼痛中心。最后专家同意的名单包括22个质量指标，涵盖7个质量域：监督，提供护理，人员配备水平和病人负荷，质量政策，多学科，区域化，研究和教育。结论：这组质量指标可以促进组织评价和提高洞察服务质量的角度来看，病人，疼痛专家，和其他医疗保健专业人士。报告提出了改进现有一套质量指标的建议。2014年，荷兰开始注册疼痛治疗机构;机构可以注册为疼痛诊所或疼痛中心。
Background: There is a general consensus about the need to define and improve the quality of pain treatment facilities. Although guidelines and recommendations to improve the quality of pain practice management have been launched, provision of appropriate pain treatment is inconsistent and the quality of facilities varies widely. The aim of the study was to develop an expert-agreed list of quality indicators applicable to pain treatment facilities. The list was also intended to be used as the basis for a set of criteria for registered status of pain treatment facilities.Methods: The University Pain Center Maastricht at the Department of Anesthesiology and Pain Management of the Maastricht University Medical Center conducted a 3-round Delphi study in collaboration with the Board of the Pain Section of the Dutch Society of Anesthesiologists (NVA).Results: Twenty-five quality indicators were selected as relevant to 2 types of pain treatment facilities, pain clinics and pain centers. The final expert-agreed list consisted of 22 quality indicators covering 7 quality domains: supervision, availability of care, staffing level and patient load, quality policy, multidisciplinarity, regionalization, and research and education.Conclusions: This set of quality indicators may facilitate organizational evaluation and improve insight into service quality from the perspectives of patients, pain specialists, and other healthcare professionals. Recommendations for improvements to the current set of quality indicators are made. In 2014 the process of registering pain treatment facilities in the Netherlands started; facilities can register as a pain clinic or pain center.