Development and Validation of Quality Indicators on Continuing Care for Patients With AUD: A Delphi Study

被引：8

作者：

Bekkering, Geertruida E. ^{[1
]}

Zeeuws, Dieter ^{[2
]}

Lenaerts, Evelien ^{[1
]}

Pas, Leo ^{[1
]}

Verstuyf, Geert ^{[3
]}

Matthys, Frieda ^{[2
,3
]}

Aertgeerts, Bert ^{[1
]}

Mathei, Catharina ^{[1
]}

机构：

[1] Katholieke Univ Leuven, Acad Ctr Gen Practice, Kapucijnenvoer 33,Blok J, B-3000 Leuven, Belgium

[2] Vrije Univ Brussel, UZ Brussel, Dept Psychiat, Laarbeeklaan 101, B-1090 Brussels, Belgium

[3] VAD Flemish Ctr Expertise Alcohol & Other Drugs, Vanderlindenstr 15, B-1030 Schaarbeek Brussels, Belgium

来源：

ALCOHOL AND ALCOHOLISM | 2016年 / 51卷 / 05期

关键词：

GUIDELINE-BASED DEVELOPMENT; IMPROVING PRIMARY-CARE; ALCOHOL-USE DISORDERS; SUBSTANCE-ABUSE; ADDICTION; OUTCOMES; ILLNESS;

D O I：

10.1093/alcalc/agw044

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

To develop indicators to assess quality of continuing care for persons with alcohol use disorder (AUD). A guideline-based RAND-modified Delphi method was used to develop and validate indicators regarding the process and outcome of continuing care. We systematically searched for evidence-based guidelines and existing quality indicators. A multidisciplinary expert panel prioritized recommendations using a written questionnaire followed by a group discussion. Important recommendations were then translated to quality indicators. The panel subsequently selected indicators that were measurable and applicable in Belgium. In a final round the indicators face-validity was assessed. We extracted 69 recommendations from 06 guidelines and 17 relevant quality indicators. Of all, 13 indicators remained after 03 written rounds and 02 group discussions. This study describes a systematic approach to develop and validate quality indicators for continuing care for AUD. The final set of selected indicators consisted of 10 process and 03 outcome indicators. As the level of evidence of effective continuing care components is very low further development of the indicators is recommended. This study describes a systematic approach to develop and validate quality indicators for continuing care for AUD. The proposed set of indicators consisted of 10 process and 03 outcome indicators. As the level of evidence of effective continuing care components is very low further development of the indicators is recommended.

引用

页码：555 / 561

页数：7