Desarrollo y validación de estándares para unidades de calidad de centros sanitarios

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research Pub Date : 2023-11-01 DOI:10.1016/j.jhqr.2023.09.009

A. Aloy-Duch , M. Santiñà Vila , F. Ramos-D’Angelo , L. Alonso Calo , M.E. Llaneza-Velasco , B. Fortuny-Organs , A. Apezetxea-Celaya

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引用次数: 0

Abstract

Objective

In Spain, the Quality Units advise health centres, services and professionals on the methodology of continuous improvement of the quality of care. A system based on good practice standards could provide these units with a tool to improve their results and value their work. The objective was to develop, agree on and validate standards, to properly guide and orient the functions, results and continuous improvement of the Quality Units in health centers.

Material and methods

A qualitative–quantitative, prospective and cross-sectional study was carried out, applying the Metaplan method, the e-Delphi technique and a simulation study. The participants were coordinators of these units, belonging to 14 Spanish Autonomous Communities and distributed in four experts’ panels. They agreed on the standards to be used and evaluated the different types of validity.

Results

The 204 standards proposed by the scientific committee were reduced to 157 with Metaplan, to 110 with e-Delphi, and to 96 with the committee's final review (87.3% consensus, content validity). The construct validity showed a Cronbach's alpha > 0.7 (P < .001); the validity of content was reaffirmed in the simulation workshop (80% “understood” each other, P < .001; and there was “documentary evidence” in 84%, P < .001); face validity was accepted (75% “related to quality dimensions”, P < .001); and the validity of the criteria was verified with a sensitivity of 84.2%, a specificity of 98.3%, and a kappa index of 0.84.

Conclusions

Valid standards have been developed for Quality Units in health centers.

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卫生中心质量单位标准的制定和验证

目标在西班牙，质量单位就不断提高护理质量的方法向卫生中心、服务机构和专业人员提供建议。一个以良好做法标准为基础的系统可以为这些单位提供一个工具，以改进其成果并重视其工作。目标是制定、商定和验证标准，正确指导和定位卫生中心质量单位的职能、结果和持续改进。材料和方法采用Metaplan方法、e-Delphi技术和模拟研究，进行了定性-定量、前瞻性和横断面研究。与会者是这些单位的协调员，这些单位属于14个西班牙自治区，分布在四个专家小组中。他们商定了要使用的标准，并评估了不同类型的有效性。结果科学委员会提出的204项标准在Metaplan中减少到157项，在e-Delphi中减少到110项，在委员会最终审查中减少到96项（87.3%的一致性，内容有效性）。构念有效性显示Cronbachα>；0.7（P＜.001）；模拟研讨会重申了内容的有效性（80%的人相互“理解”，P<；.001；84%的人有“书面证据”，P&<；.001）；面部有效性被接受（75%“与质量维度相关”，P<；.001）；验证了该标准的有效性，灵敏度为84.2%，特异性为98.3%，kappa指数为0.84。结论为卫生中心质量单位制定了有效的标准。

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

Journal of Healthcare Quality Research Medicine-Health Policy

CiteScore

1.70

自引率

8.30%

发文量

审稿时长

57 days

期刊介绍： Revista de Calidad Asistencial (Quality Healthcare) (RCA) is the official Journal of the Spanish Society of Quality Healthcare (Sociedad Española de Calidad Asistencial) (SECA) and is a tool for the dissemination of knowledge and reflection for the quality management of health services in Primary Care, as well as in Hospitals. It publishes articles associated with any aspect of research in the field of public health and health administration, including health education, epidemiology, medical statistics, health information, health economics, quality management, and health policies. The Journal publishes 6 issues, exclusively in electronic format. The Journal publishes, in Spanish, Original works, Special and Review Articles, as well as other sections. Articles are subjected to a rigorous, double blind, review process (peer review)