MONITORING THE TARGETS OF THE VINCENT,SAINT DECLARATION AND THE IMPLEMENTATION OF QUALITY MANAGEMENT IN DIABETES CARE - THE DIABCARE INITIATIVE
MONITORING THE TARGETS OF THE VINCENT,SAINT DECLARATION AND THE IMPLEMENTATION OF QUALITY MANAGEMENT IN DIABETES CARE - THE DIABCARE INITIATIVE
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DOI：
10.1111/j.1464-5491.1993.tb00083.x
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发表时间：
1993-05-01
影响因子：
3.5
通讯作者：
KRANS, M
中科院分区：
文献类型：
--
作者：
PIWERNETZ, K;HOME, PD;KRANS, M
《圣文森特宣言》是世界卫生组织(欧洲)和国际糖尿病联合会(欧洲)关于糖尿病护理和研究的一项联合倡议，其核心宗旨包括改善糖尿病结果的5年目标。因此，迫切需要建立先进的监测和控制系统，作为实施质量管理的基础。作为这两个目标的先决条件，糖尿病数据集(字段和定义)已达成一致，以允许在整个欧洲对糖尿病进行共同监测。这一数据集已进一步发展成为DIABCARE的基石，DIABCARE是糖尿病护理领域持续质量发展的倡议。在使用Delphi方法的正式共识过程中，来自21个国家的130多名欧洲糖尿病专家参与了这一数据集的开发，其中包括真实的患者结果、中间代谢结果、糖尿病组织损伤的标记物、风险因素、怀孕和生活方式。记录健康状况质量的工具有三种格式，可在不同的保健环境中使用。这些工具，DIABCARE糖尿病数据集、DIABCARE基本信息表和DIABCARE计算机程序，旨在允许当地反馈驱动的护理质量改善，但也是交流协议的主题，以比较中心、地区和国家之间的绩效。无论有没有利用现代信息技术的好处，这些举措都可以成为监测《圣文森特宣言》目标和落实糖尿病护理持续高质量发展的基础。
The St Vincent Declaration, a joint initiative on diabetes care and research of the World Health Organization (Europe) and the International Diabetes Federation (Europe), includes 5-year targets for improvement in diabetes outcomes as a central tenet. Accordingly, the establishment of state of the art monitoring and control systems is urged as a basis for the implementation of quality management. As a prerequisite for both targets, a diabetes dataset (fields and definitions) has been agreed to allow common monitoring of diabetes throughout Europe. This dataset has been further developed as the foundation stone of DIABCARE, an initiative for continuous quality development in diabetes care. In a formal consensus process using the Delphi method, over 130 European diabetologists from 21 countries contributed to the development of this dataset, which includes fields covering true patient outcomes, intermediate metabolic outcomes, markers of diabetes tissue damage, risk factors, pregnancy, and life-style. The tools for documentation of the quality of health status have been developed in three formats for use in different health care settings. These tools, the DIABCARE Diabetes Dataset, the DIABCARE Basic Information Sheet, and the DIABCARE Computer Program, are designed to allow local feedback-driven improvement in the quality of care, but are also the subject of communication protocols to compare performance between centres, regions, and countries. Whether implemented with or without the benefits of modern information technology, these initiatives can be the basis for both monitoring the targets of the St Vincent Declaration and for implementation of continuing quality development in diabetes care.