Quality indicators for in-hospital management of exacerbation of chronic obstructive pulmonary disease: results of an international Delphi study

被引：8

作者：

Lodewijckx, Cathy ^{[1
,2
]}

Sermeus, Walter ^{[2
,3
]}

Panella, Massimiliano ^{[3
,4
]}

Deneckere, Svin ^{[2
]}

Leigheb, Fabrizio ^{[5
]}

Troosters, Thierry ^{[1
,6
]}

Boto, Paulo Alexandre ^{[7
,8
,9
]}

Mendes, Rita Veloso ^{[10
]}

Decramer, Marc ^{[11
,12
]}

Vanhaecht, Kris ^{[2
,3
]}

机构：

[1] Katholieke Univ Leuven Hosp, Resp & Resp Rehabil Dept, Louvain, Belgium

[2] Katholieke Univ Leuven, Fac Med, Sch Publ Hlth, Louvain, Belgium

[3] European Pathway Assoc, Louvain, Belgium

[4] Amedeo Avogadro Univ Eastern Piedmont, Fac Med, Dept Clin & Expt Med, Novara, Italy

[5] Amedeo Avogadro Univ Eastern Piedmont, Fac Med, Sch Publ Hlth, Novara, Italy

[6] Catholic Univ Louvain, Fac Kinesiol & Rehabil Sci, B-3000 Louvain, Belgium

[7] Univ Nova Lisboa, Escola Nacl Saude Publ, Hlth Care Qual Unit Management, P-1200 Lisbon, Portugal

[8] Univ Nova Lisboa, Escola Nacl Saude Publ, Clin Unit Management, P-1200 Lisbon, Portugal

[9] Johns Hopkins Bloomberg Sch Publ Hlth, Hlth Policy & Management Dept, Baltimore, MD USA

[10] Inst Univ Lisboa, Inst Super Ciencias Trabalho & Empresa, Programme Sociol, Lisbon, Portugal

[11] Katholieke Univ Leuven Hosp, Resp Dept, Louvain, Belgium

[12] European Resp Soc, Lausanne, Switzerland

来源：

JOURNAL OF ADVANCED NURSING | 2013年 / 69卷 / 02期

关键词：

care pathway; chronic obstructive pulmonary disease; Delphi technique; disease exacerbation; hospitalization; nursing; quality indicator; EVALUATING COMPLEX INTERVENTIONS; COPD EXACERBATIONS; RISK-FACTORS; CLINICAL PATHWAYS; CARE PATHWAYS; GLOBAL BURDEN; HEALTH-CARE; OF-CARE; MORTALITY; OUTCOMES;

D O I：

10.1111/j.1365-2648.2012.06013.x

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Aim. To report a Delphi study that was conducted to select process and outcome indicators that are relevant to study quality of care and impact of care pathways for patients hospitalized with exacerbation of chronic obstructive pulmonary disease. Background. Management of patients hospitalized with exacerbation of chronic obstructive pulmonary disease is suboptimal and outcomes are poor. To evaluate the impact of care pathways properly, relevant indicators need to be selected. Design. Delphi study. Methods. The study was conducted over 4 months in 2008, with 35 experts out of 15 countries, including 19 medical doctors, 8 nurses and 8 physiotherapists. Participants were asked to rate, for 72 process and 21 outcome indicators, the relevance for follow-up in care pathways for in-hospital management of exacerbation of chronic obstructive pulmonary disease. Consensus (agreement by at least 75% of the participants) that an indicator is relevant for follow-up was sought in two rounds. Results. Consensus was reached for 26 of 72 process indicators (36.1%) and 10 of 21 outcome indicators (47.6%). Highest consensus levels were found for the process indicators regarding oxygen therapy (100%), pulmonary rehabilitation (100%) and patient education (94.588.6%) and for the outcome indicators concerning understanding of therapy (91.485.7%) and self-management (88.688.2%). Conclusion. The selected indicators appear to be sensitive for improvement. Therefore, researchers and clinicians that want to study and improve the care for patients hospitalized with exacerbation of chronic obstructive pulmonary disease should primarily focus on these indicators.

引用

页码：348 / 362

页数：15

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