Servicio de Reumatología, Rheumatology Department, Hospital universitario Parc Taulí de Sabadell, I3PT, UAB, Parc Taulí, 1 Sabadell, 08208, Barcelona, Spain.
Servicio de Dermatología, Hospital universitario Parc Taulí de Sabadell, I3PT, UAB, Barcelona, Spain.
Rheumatol Int. 2018 Jun;38(6):1115-1124. doi: 10.1007/s00296-018-3986-4. Epub 2018 Feb 7.
To define and give priority to standards of care and quality indicators of multidisciplinary care for patients with psoriatic arthritis (PsA). A systematic literature review on PsA standards of care and quality indicators was performed. An expert panel of rheumatologists and dermatologists who provide multidisciplinary care was established. In a consensus meeting group, the experts discussed and developed the standards of care and quality indicators and graded their priority, agreement and also the feasibility (only for quality indicators) following qualitative methodology and a Delphi process. Afterwards, these results were discussed with 2 focus groups, 1 with patients, another with health managers. A descriptive analysis is presented. We obtained 25 standards of care (9 of structure, 9 of process, 7 of results) and 24 quality indicators (2 of structure, 5 of process, 17 of results). Standards of care include relevant aspects in the multidisciplinary care of PsA patients like an appropriate physical infrastructure and technical equipment, the access to nursing care, labs and imaging techniques, other health professionals and treatments, or the development of care plans. Regarding quality indicators, the definition of multidisciplinary care model objectives and referral criteria, the establishment of responsibilities and coordination among professionals and the active evaluation of patients and data collection were given a high priority. Patients considered all of them as important. This set of standards of care and quality indicators for the multidisciplinary care of patients with PsA should help improve quality of care in these patients.
定义和优先考虑多学科护理银屑病关节炎（PsA）患者的护理标准和质量指标。对 PsA 护理标准和质量指标进行了系统的文献回顾。成立了一个由提供多学科护理的风湿病学家和皮肤科医生组成的专家小组。在共识会议小组中，专家们讨论并制定了护理标准和质量指标，并根据定性方法和 Delphi 流程对其优先级、一致性以及可行性（仅针对质量指标）进行了分级。然后，将这些结果与 2 个焦点小组进行了讨论，一个是患者小组，另一个是卫生管理者小组。给出了描述性分析。我们获得了 25 项护理标准（9 项结构标准、9 项过程标准、7 项结果标准）和 24 项质量指标（2 项结构指标、5 项过程指标、17 项结果指标）。护理标准包括多学科护理银屑病关节炎患者的相关方面，如适当的物理基础设施和技术设备、护理、实验室和影像技术、其他卫生专业人员和治疗方法的可及性，或护理计划的制定。关于质量指标，多学科护理模式目标和转诊标准的定义、专业人员之间责任和协调的建立以及对患者和数据收集的积极评估被赋予了很高的优先级。患者认为所有这些都是重要的。这套针对银屑病关节炎患者多学科护理的护理标准和质量指标应有助于提高这些患者的护理质量。
