A model for the development and implementation of a national plan for the optimal management of early spondyloarthritis: the Esperanza Program

被引：34

作者：

Munoz-Fernandez, Santiago ^{[2
]}

Carmona, Loreto ^{[1
]}

Collantes, Eduardo ^{[3
,4
]}

Mulero, Juan ^{[5
,6
]}

Jesus Garcia-Yebenes, M. ^{[1
]}

de Miguel, Eugenio ^{[7
]}

Almodovar, Raquel ^{[8
]}

Fernandez-Carballido, Cristina ^{[9
]}

Garcia Llorente, Jose Francisco ^{[10
]}

Gobbo, Milena ^{[1
]}

机构：

[1] Soc Espanola Reumatol, Res Unit, Madrid 28001, Spain

[2] Hosp Infanta Sofia, Rheumatol Unit, Madrid, Spain

[3] Hosp Univ Reina Sofia, Dept Rheumatol, Cordoba, Spain

[4] Univ Cordoba, Sch Med, Cordoba, Spain

[5] Hosp Univ Puerta de Hierro Majadahonda, Dept Rheumatol, Madrid, Spain

[6] Univ Autonoma Madrid, Madrid, Spain

[7] Hosp Univ La Paz, Dept Rheumatol, Madrid, Spain

[8] Hosp Univ Fdn Alcorcon, Dept Rheumatol, Madrid, Spain

[9] Hosp Gen Elda, Rheumatol Unit, Elda, Spain

[10] Hosp Basurto, Dept Rheumatol, Basurto, Spain

来源：

ANNALS OF THE RHEUMATIC DISEASES | 2011年 / 70卷 / 05期

关键词：

ANKYLOSING-SPONDYLITIS; ARTHRITIS; REGISTRY; MULTICENTER; TRIAL; SPAIN;

D O I：

10.1136/ard.2010.141200

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objectives To evaluate the performance of a healthcare programme in early spondyloarthritis (SpA). Methods Based on previous analyses and expectations of a nominal group, the following were set: (1) minimum standards to create early SpA units; (2) standard operating procedures; and (3) eight performance indicators that can be measured in real time using a web-based platform. Results At the end of the evaluation of the programme the expected level of performance was achieved in three of the indicators: 'referral reliability' (standard (S) > 50%, real value (RV) 92%), 'accessibility' (S > 90%, RV=91%) and 'duration of first visit' (S > 50%, RV=53%). The performance in the remaining indicators was inferior: 'success of referral criteria' (S > 50%, RV=28%), 'clinical reports issued' (S > 90%, RV=25%), 'feedback guarantee' (S > 85%, RV=2%), 'missing data' (S < 10%, RV= 24%) and 'frequency of review' (S > 90%, RV=84%). Explanations for the low performance are provided. Conclusions It is possible to implement a large-scale programme that is measurable.

引用

页码：827 / 830

页数：4

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