Division of Supportive and Palliative Care, National Cancer Center Singapore, Singapore.
Department of Geriatric Medicine, Khoo Teck Puat Hospital, Singapore.
J Palliat Med. 2019 Nov;22(11):1439-1444. doi: 10.1089/jpm.2018.0345. Epub 2019 Apr 2.
Palliative care guidelines and quality measures have been developed in many countries to improve the quality of care. The challenge is to implement quality measures nationally to improve quality of care across all settings. This article describes the development and implementation of National Guidelines for Palliative Care (NGPC) in Singapore. The NGPC was developed through literature review, multidisciplinary inputs, and modified RAND Delphi method. Quality measures for the guidelines were developed through literature review and multidisciplinary inputs and implemented with an audit of specialist palliative care providers. The NGPC consisted of 13 guidelines and 64 quality measures. A total of 11 palliative care services (73.3%) participated in the audit from September 2015 to October 2015. National-level and service-level gaps in quality of care were identified and individual providers identified priority areas for improvement. We successfully developed the national palliative care guidelines and quality measures. We implemented voluntary self-assessment among health care institutions in various settings nationally that serve to catalyze quality improvement and cultivate a culture of quality improvement.
在许多国家都制定了姑息治疗指南和质量措施，以提高护理质量。挑战在于在全国范围内实施质量措施，以改善所有环境中的护理质量。本文描述了新加坡国家姑息治疗指南（NGPC）的制定和实施。NGPC 通过文献回顾、多学科投入和改良的 RAND Delphi 方法制定。指南的质量措施通过文献回顾和多学科投入制定，并通过对专科姑息治疗提供者进行审核来实施。NGPC 包括 13 项指南和 64 项质量措施。共有 11 家姑息治疗服务机构（73.3%）参加了 2015 年 9 月至 10 月的审核。确定了国家和服务层面的护理质量差距，并确定了各个提供者需要改进的优先领域。我们成功地制定了国家姑息治疗指南和质量措施。我们在全国范围内为服务于各种环境的医疗机构实施了自愿自我评估，这有助于促进质量改进和培养质量改进文化。
