Arce José M, Hernando Luis, Ortiz Alberto, Díaz Mónica, Polo Milagros, Lombardo María, Robles Antonio
Nefrologia. 2014;34(2):158-74. doi: 10.3265/Nefrologia.pre2013.Dec.12286.
Free choice is not easy when there is a lack of information. Methods for evaluating quality of care to provide patients with comprehensive and understandable information on hospital departments are therefore necessary.
To draft a methodological proposal for evaluating quality of care of hospital departments, the data of which can provide citizens with useful care quality information. The proposal should be based on consensus and on the experience of medical specialists, defining thus complementary paths to improvement.
A Delphi study on the quality of care in Nephrology, comprising three phases: assessment results, necessary means for quality, and importance of medical advice and surveys among specialists. The questionnaire was administered to a panel of 32 nephrologists.
The nephrologists accepted the outcome criteria on quality of care 55/62 (89%), as well as the proposed means for quality of care 87/92 (95%). 81% of the nephrologists reported the validity and topicality of providing patients with specialist advice as to the most adequate department to better treat their kidney diseases. 86% of the panellists deemed appropriate to include surveys on medical advice as additional criteria for the evaluation of quality of care.
It is possible to obtain a consensus-based methodological proposal for the evaluation and improvement of quality of care which includes results on quality of care, means for quality of care, and medical advice based on surveys carried out among specialists to identify the best Nephrology departments. This method could provide reliable and understandable guidance for citizens.
在缺乏信息时，自由选择并非易事。因此，有必要采用评估医疗质量的方法，以便为患者提供有关医院科室的全面且易懂的信息。
起草一份评估医院科室医疗质量的方法建议，其数据可为市民提供有用的医疗质量信息。该建议应基于共识以及医学专家的经验，从而确定互补的改进途径。
开展一项关于肾脏病学医疗质量的德尔菲研究，包括三个阶段：评估结果、质量所需手段以及专家之间医疗建议和调查的重要性。向32名肾脏病专家组成的小组发放问卷。
肾脏病专家认可医疗质量结果标准的占55/62（89%），认可所提议的医疗质量手段的占87/92（95%）。81%的肾脏病专家报告称，就最适合治疗其肾脏疾病的科室向患者提供专家建议具有有效性和时效性。86%的小组成员认为将医疗建议调查纳入作为评估医疗质量的附加标准是合适的。
有可能获得一份基于共识的评估和改进医疗质量的方法建议，其中包括医疗质量结果、医疗质量手段以及基于对专家进行调查以确定最佳肾脏病科室的医疗建议。这种方法可为市民提供可靠且易懂的指导。
