Quality Indicators for Evaluating the Health Care of Patients with Rheumatoid Arthritis: a Korean Expert Consensus

被引：5

作者：

Seo, Mi Ryoung ^{[1
]}

Kim, Gunwoo ^{[2
]}

Moon, Ki Won ^{[3
]}

Sung, Yoon Kyoung ^{[4
]}

Yoo, Jong Jin ^{[5
]}

Yoon, Chong Hyeon ^{[6
]}

Lee, Eun Bong ^{[7
]}

Lee, Jisoo ^{[8
]}

Kang, Eun Ha ^{[9
]}

Kim, Hyungjin ^{[10
]}

Park, Eun Jung ^{[11
]}

Uhm, Wan Sik ^{[12
]}

Lee, Myeung Su ^{[13
]}

Lee, Seung Won ^{[14
]}

Choi, Byoong Yong ^{[15
]}

Hong, Seung Jae ^{[16
]}

Baek, Han Joo ^{[1
]}

机构：

[1] Gachon Univ, Gil Med Ctr, Dept Internal Med, Div Rheumatol,Coll Med, 21 Namdong Daero 774 Beon Gil, Incheon 21565, South Korea

[2] Daegu Fatima Hosp, Dept Internal Med, Div Rheumatol, Daegu, South Korea

[3] Kangwon Natl Univ, Dept Internal Med, Sch Med, Chunchon, South Korea

[4] Hanyang Univ Hosp Rheumat Dis, Dept Rheumatol, Seoul, South Korea

[5] Kangdong Sacred Heart Hosp, Dept Internal Med, Seoul, South Korea

[6] Catholic Univ Korea, Dept Internal Med, Div Rheumatol, Eunpyeong St Marys Hosp, Seoul, South Korea

[7] Seoul Natl Univ, Dept Internal Med, Coll Med, Seoul, South Korea

[8] Ewha Womans Univ, Dept Internal Med, Div Rheumatol, Coll Med, Seoul, South Korea

[9] Seoul Natl Univ, Dept Internal Med, Div Rheumatol, Bundang Hosp, Seongnam, South Korea

[10] Sungkyunkwan Univ, Samsung Med Ctr, Dept Med Humanities, Sch Med, Seoul, South Korea

[11] Natl Med Ctr, Dept Internal Med, Div Rheumatol, Seoul, South Korea

[12] Uhms Hanyang Rheumatism Clin, Seoul, South Korea

[13] Wonkwang Univ Hosp, Dept Internal Med, Div Rheumatol, Iksan, South Korea

[14] Hanyang Clin, Seoul, South Korea

[15] Seoul Metropolitan Govt, Dept Internal Med, Seoul Med Ctr, Seoul, South Korea

[16] Kyung Hee Univ, Med Ctr, Dept Internal Med, Div Rheumatol, Seoul, South Korea

来源：

JOURNAL OF KOREAN MEDICAL SCIENCE | 2021年 / 36卷 / 17期

关键词：

Quality Indicators; Health Care; Arthritis; Rheumatoid; Quality of Health Care; Disease Management; MODIFYING ANTIRHEUMATIC DRUGS; CHRONIC HEPATITIS-C; AMERICAN-COLLEGE; OF-CARE; EULAR RECOMMENDATIONS; DISEASE-ACTIVITY; MANAGEMENT; PREVALENCE; METHOTREXATE; REACTIVATION;

D O I：

10.3346/jkms.2021.36.e109

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: There is increasing interest in the quality of health care and considerable efforts are being made to improve it. Rheumatoid arthritis (RA) is a disease that can result in favorable outcomes when appropriate diagnosis and treatment are provided. However, several studies have shown that RA is often managed inappropriately. Therefore, the Korean College of Rheumatology aimed to develop quality indicators (QIs) to evaluate and improve the health care of patients with RA. Methods: Preliminary QIs were derived based on the existing guidelines and QIs for RA. The final QIs were determined through two separate consensus meetings of experts. The consensus was achieved through a panel of experts who voted using the modified Delphi method. Results: Fourteen final QIs were selected among 70 preliminary QIs. These included early referral to and regular follow-up with a rheumatologist, radiographs of the hands and feet, early initiation and maintenance of disease-modifying anti-rheumatic drug (DMARD) therapy, periodic assessment of disease activity, screening for drug safety and comorbidities, including viral hepatitis and tuberculosis before biologic DMARD therapy, periodic laboratory testing, supplementation with folic acid, assessment of the risk for cervical spine instability before general anesthesia, patient education, and specialized nurse. Conclusion: These QIs can be used to assess and improve the quality of health care for patients with RA.

引用

页码：1 / 13

页数：13

共 49 条

[1] American College of Rheumatology Quality Indicators for Rheumatoid Arthritis: Benchmarking, Variability, and Opportunities to Improve Quality of Care Using the Electronic Health Record [J].

Adhikesavan, Leena G. ;

Newman, Eric D. ;

Diehl, Mark P. ;

Wood, G. Craig ;

Bili, Androniki .

ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH, 2008, 59 (12) :1705-1712

[2]

Albrecht K, 2010, CLIN EXP RHEUMATOL, V28, pS95

[3] 2010 Rheumatoid Arthritis Classification Criteria An American College of Rheumatology/European League Against Rheumatism Collaborative Initiative [J].

Aletaha, Daniel ;

Neogi, Tuhina ;

Silman, Alan J. ;

Funovits, Julia ;

Felson, David T. ;

Bingham, Clifton O., III ;

Birnbaum, Neal S. ;

Burmester, Gerd R. ;

Bykerk, Vivian P. ;

Cohen, Marc D. ;

Combe, Bernard ;

Costenbader, Karen H. ;

Dougados, Maxime ;

Emery, Paul ;

Ferraccioli, Gianfranco ;

Hazes, Johanna M. W. ;

Hobbs, Kathryn ;

Huizinga, Tom W. J. ;

Kavanaugh, Arthur ;

Kay, Jonathan ;

Kvien, Tore K. ;

Laing, Timothy ;

Mease, Philip ;

Menard, Henri A. ;

Moreland, Larry W. ;

Naden, Raymond L. ;

Pincus, Theodore ;

Smolen, Josef S. ;

Stanislawska-Biernat, Ewa ;

Symmons, Deborah ;

Tak, Paul P. ;

Upchurch, Katherine S. ;

Vencovsky, Jiri ;

Wolfe, Frederick ;

Hawker, Gillian .

ARTHRITIS AND RHEUMATISM, 2010, 62 (09) :2569-2581

[4]

American College of Rheumatology, ACR END MEAS

[5] Rheumatoid Arthritis Disease Activity Measures: American College of Rheumatology Recommendations for Use in Clinical Practice [J].

Anderson, Jaclyn ;

Caplan, Liron ;

Yazdany, Jinoos ;

Robbins, Mark L. ;

Neogi, Tuhina ;

Michaud, Kaleb ;

Saag, Kenneth G. ;

O'Dell, James R. ;

Kazi, Salahuddin .

ARTHRITIS CARE & RESEARCH, 2012, 64 (05) :640-647

[6] Development of Cardiovascular Quality Indicators for Rheumatoid Arthritis: Results from an International Expert Panel Using a Novel Online Process [J].

Barber, Claire E. H. ;

Marshall, Deborah A. ;

Alvarez, Nanette ;

Mancini, G. B. John ;

Lacaille, Diane ;

Keeling, Stephanie ;

Avina-Zubieta, J. Antonio ;

Khodyakov, Dmitry ;

Barnabe, Cheryl ;

Faris, Peter ;

Smith, Alexa ;

Noormohamed, Raheem ;

Hazlewood, Glen ;

Martin, Liam O. ;

Esdaile, John M. .

JOURNAL OF RHEUMATOLOGY, 2015, 42 (09) :1548-1555

[7] Accountability Measures - Using Measurement to Promote Quality Improvement [J].

Chassin, Mark R. ;

Loeb, Jerod M. ;

Schmaltz, Stephen P. ;

Wachter, Robert M. .

NEW ENGLAND JOURNAL OF MEDICINE, 2010, 363 (07) :683-688

[8] EULAR recommendations for the use of imaging of the joints in the clinical management of rheumatoid arthritis [J].

Colebatch, Alexandra N. ;

Edwards, Christopher John ;

Ostergaard, Mikkel ;

van der Heijde, Desiree ;

Balint, Peter V. ;

D'Agostino, Maria-Antonietta ;

Forslind, Kristina ;

Grassi, Walter ;

Haavardsholm, Espen A. ;

Haugeberg, Glenn ;

Jurik, Anne-Grethe ;

Landewe, Robert B. M. ;

Naredo, Esperanza ;

O'Connor, Philip J. ;

Ostendorf, Ben ;

Potocki, Kristina ;

Schmidt, Wolfgang A. ;

Smolen, Josef S. ;

Sokolovic, Sekib ;

Watt, Iain ;

Conaghan, Philip G. .

ANNALS OF THE RHEUMATIC DISEASES, 2013, 72 (06) :804-814

[9] Quality measurement and improvement in rheumatology: Rheumatoid arthritis as a case study [J].

Desai, Sonali P. ;

Yazdany, Jinoos .

ARTHRITIS AND RHEUMATISM, 2011, 63 (12) :3649-3660

[10]

Donabedian A, 1980, Med Care Rev, V37, P653

← 1 2 3 4 5 →