Hermes-Moll Kerstin, Klein Gudrun, Buschmann-Maiworm Regina E, Baumann Walter, Otremba Burkhard, Lebahn Herbert, Steinmetz H Tilmann, Geraedts Max, Kleeberg Ulrich R, Schmitz Stephan
Wissenschaftliches Institut der Niedergelassenen Hämatologen und Onkologen (WINHO).
Z Evid Fortbild Qual Gesundhwes. 2013;107(8):548-59. doi: 10.1016/j.zefq.2013.09.002. Epub 2013 Oct 3.
The aim of the WINHO indicators project is to describe and enhance the quality of outpatient oncology care in Germany with indicators. This paper deals with the development of a set of evidence- and consensus-based meaningful indicators to assess the quality of outpatient oncology care in Germany. These indicators are intended to be applied in assessments of quality of patient care in oncology practices, in quality reports and in peer-to-peer benchmarking. A set of 272 already existing indicators was identified through internet and literature searches. After redundancy reduction and addition of newly developed indicators for areas of ambulatory oncology care that were not yet covered, a preliminary set of 67 indicators was established. The further development of the indicator set was based on a modified version of the two-step RAND/UCLA expert evaluation method, which has been internationally established for developing quality indicator sets. The indicators were modified after the first round of ratings. After completing and assessing the second round of ratings, a set of 46 homogeneously positively rated quality indicators is now available for outpatient oncology care in Germany.
WINHO指标项目的目的是用指标来描述和提高德国门诊肿瘤护理的质量。本文探讨了一套基于证据和共识的有意义指标的制定，以评估德国门诊肿瘤护理的质量。这些指标旨在应用于肿瘤医疗实践中的患者护理质量评估、质量报告以及同行间的基准比较。通过互联网和文献检索确定了一组272个已有的指标。在减少冗余并添加针对尚未涵盖的门诊肿瘤护理领域新制定的指标后，建立了一套初步的67个指标。指标集的进一步完善基于对两步RAND/UCLA专家评估方法的修改版本，该方法在国际上已被确立用于制定质量指标集。在第一轮评级后对指标进行了修改。在完成并评估第二轮评级后，现在有一套46个获得一致积极评价的质量指标可用于德国门诊肿瘤护理。
