Nicolucci Antonio, Rossi Maria C, Pellegrini Fabio, Lucisano Giuseppe, Pintaudi Basilio, Gentile Sandro, Marra Giampiero, Skovlund Soren E, Vespasiani Giacomo
Diabetes Unit, Madonna del Soccorso Hospital, San Benedetto del Tronto, AP Italy.
Springerplus. 2014 Feb 12;3:83. doi: 10.1186/2193-1801-3-83. eCollection 2014.
In the context of the DAWN-2 initiatives, the BENCH-D Study aims to test a model of regional benchmarking to improve not only the quality of diabetes care, but also patient-centred outcomes.
METHODS/DESIGN: As part of the AMD-Annals quality improvement program, 32 diabetes clinics in 4 Italian regions extracted clinical data from electronic databases for measuring process and outcome quality indicators. A random sample of patients with type 2 diabetes filled in a questionnaire including validated instruments to assess patient-centred indicators: SF-12 Health Survey, WHO-5 Well-Being Index, Diabetes Empowerment Scale, Problem Areas in Diabetes, Health Care Climate Questionnaire, Patients Assessment of Chronic Illness Care, Barriers to Medications, Patient Support, Diabetes Self-care Activities, and Global Satisfaction for Diabetes Treatment. Data were discussed with participants in regional meetings. Main problems, obstacles and solutions were identified through a standardized process, and a regional mandate was produced to drive the priority actions. Overall, clinical indicators on 78,854 patients have been measured; additionally, 2,390 patients filled-in the questionnaire. The regional mandates were officially launched in March 2012. Clinical and patient-centred indicators will be evaluated again after 18 months. A final assessment of clinical indicators will take place after 30 months.
In the context of the BENCH-D study, a set of instruments has been validated to measure patient well-being and satisfaction with the care. In the four regional meetings, different priorities were identified, reflecting different organizational resources of the different areas. In all the regions, a major challenge was represented by the need of skills and instruments to address psychosocial issues of people with diabetes. The BENCH-D study allows a field testing of benchmarking activities focused on clinical and patient-centred indicators.
在“DAWN - 2倡议”的背景下，“BENCH - D研究”旨在测试一种区域基准化模型，不仅要提高糖尿病护理质量，还要改善以患者为中心的治疗效果。
方法/设计：作为“AMD - 年刊质量改进计划”的一部分，意大利4个地区的32家糖尿病诊所从电子数据库中提取临床数据，以衡量过程质量指标和结果质量指标。随机抽取的2型糖尿病患者填写了一份问卷，其中包括经过验证的工具，用于评估以患者为中心的指标：SF - 12健康调查、WHO - 5幸福感指数、糖尿病赋权量表、糖尿病问题领域、医疗保健氛围问卷、慢性病护理患者评估、药物治疗障碍、患者支持、糖尿病自我护理活动以及糖尿病治疗总体满意度。数据在区域会议上与参与者进行了讨论。通过标准化流程确定了主要问题、障碍和解决方案，并制定了区域任务以推动优先行动。总体而言，已对78,854名患者的临床指标进行了测量；此外，2,390名患者填写了问卷。区域任务于2012年3月正式启动。18个月后将再次评估临床指标和以患者为中心的指标。30个月后将对临床指标进行最终评估。
在“BENCH - D研究”的背景下，已验证了一套工具来衡量患者的幸福感和对护理的满意度。在四次区域会议中，确定了不同的优先事项，反映了不同地区的不同组织资源。在所有地区，一个主要挑战是需要技能和工具来解决糖尿病患者的心理社会问题。“BENCH - D研究”允许对专注于临床指标和以患者为中心指标的基准化活动进行实地测试。
