Servicio de Dermatología, Hospital General Universitario de Alicante, Instituto de Investigación ISABIAL, Alicante, España.
Unidad de Investigación, Fundación Piel Sana de la Academia Española de Dermatología y Venereología, Madrid, España; Servicio de Dermatología, Complexo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España.
Actas Dermosifiliogr (Engl Ed). 2020 Sep;111(7):567-573. doi: 10.1016/j.ad.2019.06.007. Epub 2020 May 13.
No information is currently available on whether the available clinical practice guidelines on the management of atopic dermatitis are known or being applied in Spain. The aim of this study was to improve the care of patients with atopic dermatitis by developing a set of quality indicators based on existing clinical practice guidelines. Relevant clinical practice guidelines identified through a literature search were submitted to a panel of 11 specialists, who selected the highest quality guidelines using the AGREE (Appraisal of Guidelines for Research & Evaluation) II instrument. The panel then defined a subset of the recommendations supported by a high level of evidence and proposed a health care quality indicator for each one together with a standard for measuring degree of adherence. Consensus was achieved on 21 of the 150 proposed indicators using the modified Delphi method. The aim of implementing the indicators that achieved consensus in this study is to standardize the actions of health professionals providing care for patients with atopic dermatitis and ultimately to improve the quality of the care delivered.
目前尚无关于西班牙是否了解或正在应用现有特应性皮炎管理临床实践指南的信息。本研究旨在通过制定一套基于现有临床实践指南的质量指标来改善特应性皮炎患者的护理。通过文献检索确定了相关的临床实践指南,并将其提交给了一个由 11 名专家组成的小组,该小组使用 AGREE(评估研究和评价指南)II 工具选择了质量最高的指南。然后,专家组从证据水平较高的建议中确定了一个子集,并为每个建议提出了一个医疗保健质量指标以及衡量依从程度的标准。使用改良 Delphi 法对 150 个拟议指标中的 21 个达成了共识。本研究实施达成共识的指标旨在使提供特应性皮炎患者护理的卫生专业人员的行动标准化,最终提高所提供护理的质量。