Quality outcome measures project in IBD: a proof-of-concept benchmarking study in three Belgian IBD units.

IF 1.3 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Acta gastro-enterologica Belgica Pub Date : 2023-10-01 DOI:10.51821/86.4.11830
F Baert, D Baert, L Pouillon, P Bossuyt
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Abstract

Introduction: Current treatment modalities in IBD allow us to render normal quality of life to most patients. Ideally, structured digital care pathways can be harmonised in order to measure (semi-) automatically key outcome quality indicators and compare between institutions.

Materials and methods: Key quality criteria were selected through a consensus process and aligned with the ICHOM quality criteria in IBD, including clinical parameters, PROMs, quality of life, health care utilisation and productivity.

Results: Measurements of the 11 selected key quality criteria were integrated in the structured care pathways of three IBD units. All patients received (at least) twice a year three questionnaires (PRO2 or SCCAI, ICHOM criteria and IBD Disk) through the electronic application to collect necessary information ahead of their planned outpatient clinic. In addition, interpretation of biomarkers was automated, and more difficult outcome indicators were manually added by the caregiver during the visit in anticipation of adaptations to or improvements of the electronic record. All information was collected centrally electronically in a structured way allowing benchmarking between the three centres, and stored for future retrospective research.

Conclusion: A (partially) automated benchmarking for measuring quality of care is feasible. It provides an objective assessment of IBD care, enables benchmarking between centres and facilitates quality improvements projects.

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IBD 质量结果衡量项目:比利时三个 IBD 单位的概念验证基准研究。
介绍:目前的 IBD 治疗方法可以使大多数患者获得正常的生活质量。理想情况下,结构化的数字护理路径可以协调统一,以便(半)自动测量关键结果质量指标,并在不同机构之间进行比较:关键质量标准通过共识程序选出,并与 ICHOM 的 IBD 质量标准保持一致,包括临床参数、PROMs、生活质量、医疗保健利用率和生产率:结果:对所选 11 项关键质量标准的测量已纳入三个 IBD 单位的结构化护理路径中。所有患者每年(至少)两次通过电子应用程序接受三份问卷调查(PRO2 或 SCCAI、ICHOM 标准和 IBD Disk),以便在计划门诊前收集必要信息。此外,对生物标志物的解释是自动进行的,而更困难的结果指标则由护理人员在就诊时手动添加,以便对电子记录进行调整或改进。所有信息均以结构化的方式集中电子化收集,以便在三个中心之间进行基准比较,并储存起来供未来的回顾性研究使用:结论:衡量医疗质量的(部分)自动化基准是可行的。结论:衡量护理质量的(部分)自动化基准是可行的,它提供了对 IBD 护理的客观评估,使各中心之间能够建立基准,并促进了质量改进项目。
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来源期刊
Acta gastro-enterologica Belgica
Acta gastro-enterologica Belgica Medicine-Gastroenterology
CiteScore
2.30
自引率
20.00%
发文量
78
期刊介绍: The Journal Acta Gastro-Enterologica Belgica principally publishes peer-reviewed original manuscripts, reviews, letters to editors, book reviews and guidelines in the field of clinical Gastroenterology and Hepatology, including digestive oncology, digestive pathology, as well as nutrition. Pure animal or in vitro work will not be considered for publication in the Journal. Translational research papers (including sections of animal or in vitro work) are considered by the Journal if they have a clear relationship to or relevance for clinical hepato-gastroenterology (screening, disease mechanisms and/or new therapies). Case reports and clinical images will be accepted if they represent an important contribution to the description, the pathogenesis or the treatment of a specific gastroenterology or liver problem. The language of the Journal is English. Papers from any country will be considered for publication. Manuscripts submitted to the Journal should not have been published previously (in English or any other language), nor should they be under consideration for publication elsewhere. Unsolicited papers are peer-reviewed before it is decided whether they should be accepted, rejected, or returned for revision. Manuscripts that do not meet the presentation criteria (as indicated below) will be returned to the authors. Papers that go too far beyond the scope of the journal will be also returned to the authors by the editorial board generally within 2 weeks. The Journal reserves the right to edit the language of papers accepted for publication for clarity and correctness, and to make formal changes to ensure compliance with AGEB’s style. Authors have the opportunity to review such changes in the proofs.
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