Identificación de indicadores de resultado en salud en atención primaria. Una revisión de revisiones sistemáticas

Revista de Calidad Asistencial Pub Date : 2017-09-01 DOI:10.1016/j.cali.2017.08.001

A. Olry de Labry Lima , L. García Mochón , C. Bermúdez Tamayo

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引用次数: 4

Abstract

Introduction

Outcome measures are being widely used by health services to assess the quality of health care. It is important to have a battery of useful performance indicators with high validity and feasibility. Thus, the objective of this study is to perform a review of reviews in order to identify outcome indicators for use in Primary Care.

Methodology

A review of systematic reviews (umbrella review) was carried out. The following databases were consulted: MedLine, EMBASE, and CINAHL, using descriptors and free terms, limiting searches to documents published in English or Spanish. In addition, a search was made for free terms in different web pages. Those reviews that offered indicators that could be used in the Primary Care environment were included.

Results

This review included a total of 5 reviews on performance indicators in Primary Care, which consisted of indicators in the following areas or clinical care processes: in osteoarthritis, chronicity, childhood asthma, clinical effectiveness, and prescription safety indicators. A total of 69 performance indicators were identified, with the percentage of performance indicators ranging from 0% to 92.8%. None of the reviews identified performed an analysis of the measurement control (feasibility or sensitivity to change of indicators).

Conclusions

This paper offers a set of 69 performance indicators that have been identified and subsequently validated and prioritised by a panel of experts.

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确定初级保健保健结果指标。系统综述的综述

卫生服务机构正在广泛使用结果指标来评估卫生保健的质量。重要的是要有一组有用的、高有效性和可行性的性能指标。因此，本研究的目的是进行综述，以确定用于初级保健的结果指标。方法对系统评价(总括性评价)进行综述。参考了以下数据库:MedLine、EMBASE和CINAHL，使用描述符和自由术语，将搜索限制在以英语或西班牙语发表的文档。此外，还在不同的网页上搜索免费术语。那些提供可用于初级保健环境的指标的评价被包括在内。结果本综述共纳入5篇关于初级保健绩效指标的综述，包括以下领域或临床护理过程的指标:骨关节炎、慢性、儿童哮喘、临床有效性和处方安全性指标。共确定了69个绩效指标，绩效指标占比从0%到92.8%不等。所有已确定的评价均未对测量控制(对指标变化的可行性或敏感性)进行分析。本文提供了一套69个绩效指标，这些指标已被确定并随后由专家小组验证和确定优先级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista de Calidad Asistencial

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