MacLean Catherine H, Saag Kenneth G, Solomon Daniel H, Morton Sally C, Sampsel Sarah, Klippel John H
RAND Corporation, Santa Monica, California and University of California Los Angeles School of Medicine, USA.
Arthritis Rheum. 2004 Apr 15;51(2):193-202. doi: 10.1002/art.20248.
To develop a comprehensive set of explicit process measures to assess the quality of health care for osteoarthritis, rheumatoid arthritis, and analgesics use.
Potential quality measures and a summary of existing data to support or refute the relationship between the processes of care proposed in the indicators and relevant clinical outcomes were developed through a comprehensive literature review. The proposed measures and literature summary were presented to a multidisciplinary panel of experts in arthritis and pain. Using a modification of the RAND/UCLA Appropriateness Method, the panel rated each proposed measure for its validity as a measure of health care quality.
Among 66 proposed indicators, the expert panel rated 51 as valid measures of health care including 14 for osteoarthritis, 27 for rheumatoid arthritis, and 10 for analgesics use.
Sufficient scientific evidence and expert consensus exist to support a comprehensive set of measures to assess the quality of heath care for osteoarthritis, rheumatoid arthritis, and analgesics use. These measures can be used to gain an understanding of the quality of care for patients with arthritis.
制定一套全面的明确流程指标，以评估骨关节炎、类风湿关节炎及镇痛药使用的医疗质量。
通过全面的文献综述，制定潜在的质量指标以及现有数据总结，以支持或反驳指标中所提出的医疗流程与相关临床结局之间的关系。将所提出的指标和文献总结提交给关节炎与疼痛领域的多学科专家小组。采用对兰德/加州大学洛杉矶分校适宜性方法的修改版，专家小组对每个所提出的指标作为医疗质量衡量指标的有效性进行评分。
在66个所提出的指标中，专家小组将51个评为有效的医疗质量衡量指标，其中包括14个用于骨关节炎、27个用于类风湿关节炎以及10个用于镇痛药使用。
有充分的科学证据和专家共识支持一套全面的指标，用于评估骨关节炎、类风湿关节炎及镇痛药使用的医疗质量。这些指标可用于了解关节炎患者的医疗质量。
