Nothacker Monika, Muche-Borowski Cathleen, Kopp Ina B
AWMF-Institut für Medizinisches Wissensmanagement (IMWi), Marburg, Deutschland.
AWMF-Institut für Medizinisches Wissensmanagement (IMWi), Marburg, Deutschland.
Z Evid Fortbild Qual Gesundhwes. 2014;108(8-9):470-80. doi: 10.1016/j.zefq.2014.09.021. Epub 2014 Oct 30.
The German Guideline Programme in Oncology (GGPO) is a joint initiative between the German Cancer Society, the Association of the Scientific Medical Societies in Germany and German Cancer Aid. In accordance with the aims of the German National Cancer Plan, the GGPO supports the systematic development of high-quality guidelines. To enhance implementation and evaluation, the suggestion of performance measures (PMs) derived from guideline recommendations following a standardised methodology is obligatory within the GGPO. For this purpose, PM teams are convened representing the multidisciplinary guideline development groups including clinical experts, methodologists and patient representatives as well as those organisations that take an active part in and share responsibility for documentation and quality improvement, i.e., clinical cancer registries, certified cancer centres and, if appropriate, the institution responsible for external quality assurance according to the German Social Code (SGB). The primary selection criteria for PMs include strength of the underlying recommendation (strong, grade A), existing potential for improvement of care and measurability. The premises of data economy and standardised documentation are taken into account. Between May 2008 and July 2014, 12 guidelines with suggestions for 100 PMs have been published. The majority of the suggested performance measures is captured by the specific documentation requirements of the clinical cancer registries and certified cancer centres. This creates a solid basis for an active quality management and re-evaluation of the suggested PMs. In addition, the suspension of measures should be considered if improvement has been achieved on a broad scale and for a longer period in order to concentrate on a quality-oriented, economic documentation.
德国肿瘤学指南计划（GGPO）是德国癌症协会、德国科学医学协会联合会和德国癌症援助组织的一项联合倡议。根据德国国家癌症计划的目标，GGPO支持系统制定高质量指南。为加强指南的实施和评估，按照标准化方法从指南建议中推导绩效指标（PM）的建议在GGPO内是强制性的。为此，召集了PM团队，成员代表多学科指南制定小组，包括临床专家、方法学家和患者代表，以及积极参与文档记录和质量改进并承担相关责任的组织，即临床癌症登记处、认证癌症中心，以及在适用情况下，根据德国社会法典（SGB）负责外部质量保证的机构。PM的主要选择标准包括基础建议的强度（强，A级）、现有护理改进潜力和可测量性。同时考虑了数据经济性和标准化文档记录的前提条件。在2008年5月至2014年7月期间，已发布了12项指南及100项PM建议。大多数建议的绩效指标可通过临床癌症登记处和认证癌症中心的特定文档要求来获取。这为积极的质量管理和对建议的PM进行重新评估奠定了坚实基础。此外，如果已在广泛范围内且较长时间内实现了改进，为专注于以质量为导向的经济文档记录，应考虑暂停相关措施。
