A. Aloy-Duch , M. Santiñà Vila , F. Ramos-d’Angelo , L. Alonso Calo , M.E. Llaneza-Velasco , B. Fortuny-Organs , A. Apezetxea-Celaya
{"title":"[医疗中心质量单位达标综合指标和多中心前瞻性试点研究]。","authors":"A. Aloy-Duch , M. Santiñà Vila , F. Ramos-d’Angelo , L. Alonso Calo , M.E. Llaneza-Velasco , B. Fortuny-Organs , A. Apezetxea-Celaya","doi":"10.1016/j.jhqr.2024.03.007","DOIUrl":null,"url":null,"abstract":"<div><h3>Background and objective</h3><p>In Spain, Quality Units play a key and unique role in advising healthcare centers on the methodology of healthcare quality. The objectives of the study were to develop computer algorithms to obtain a synthetic indicator of standard compliance for Quality Units and to pilot its functioning in these units.</p></div><div><h3>Materials and methods</h3><p>The Excel program was used to establish evaluation algorithms, and quantitatively interrelate and weight various categories of standards, as a computer evaluation tool, to build a continuous improvement cycle system, and offer a global synthetic indicator of compliance. The tool was tested in a prospective multicenter pilot study, in which coordinators of Quality Units from different health centers and care settings participated, to evaluate the usefulness of the tool and compliance with the standards, in addition to analyzing the content validity of each standard.</p></div><div><h3>Results</h3><p>The formulas for the structured computer algorithms were developed, consecutively, in a «PLAN-DO-CHECK-ACT» improvement cycle for the 9 categories of standards, resulting in a single synthetic indicator of compliance. Twenty-one Quality Units participated in the piloting. The overall average compliance rate for the synthetic indicator was 55.63% with differences between centers (<em>P</em> <!-->=<!--> <!-->.002) and between categories (<em>P</em> <!--><<!--> <!-->.0001), but not by autonomous communities (<em>P</em> <!-->=<!--> <!-->.86) or by areas (<em>P</em> <!-->=<!--> <!-->.97). Content validity was ensured through the variable of «understanding» of the standards (<em>P</em> <!--><<!--> <!-->.001), and through their «justification» with documentary evidence (<em>P</em> <!--><<!--> <!-->.001).</p></div><div><h3>Conclusions</h3><p>The computer tool with the synthetic indicator have allowed for the evaluation of standard compliance in Quality Units of healthcare centers.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Indicador sintético de cumplimiento de estándares para Unidades de Calidad de centros sanitarios y estudio de pilotaje prospectivo multicéntrico\",\"authors\":\"A. Aloy-Duch , M. Santiñà Vila , F. Ramos-d’Angelo , L. Alonso Calo , M.E. Llaneza-Velasco , B. Fortuny-Organs , A. Apezetxea-Celaya\",\"doi\":\"10.1016/j.jhqr.2024.03.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background and objective</h3><p>In Spain, Quality Units play a key and unique role in advising healthcare centers on the methodology of healthcare quality. The objectives of the study were to develop computer algorithms to obtain a synthetic indicator of standard compliance for Quality Units and to pilot its functioning in these units.</p></div><div><h3>Materials and methods</h3><p>The Excel program was used to establish evaluation algorithms, and quantitatively interrelate and weight various categories of standards, as a computer evaluation tool, to build a continuous improvement cycle system, and offer a global synthetic indicator of compliance. The tool was tested in a prospective multicenter pilot study, in which coordinators of Quality Units from different health centers and care settings participated, to evaluate the usefulness of the tool and compliance with the standards, in addition to analyzing the content validity of each standard.</p></div><div><h3>Results</h3><p>The formulas for the structured computer algorithms were developed, consecutively, in a «PLAN-DO-CHECK-ACT» improvement cycle for the 9 categories of standards, resulting in a single synthetic indicator of compliance. Twenty-one Quality Units participated in the piloting. The overall average compliance rate for the synthetic indicator was 55.63% with differences between centers (<em>P</em> <!-->=<!--> <!-->.002) and between categories (<em>P</em> <!--><<!--> <!-->.0001), but not by autonomous communities (<em>P</em> <!-->=<!--> <!-->.86) or by areas (<em>P</em> <!-->=<!--> <!-->.97). Content validity was ensured through the variable of «understanding» of the standards (<em>P</em> <!--><<!--> <!-->.001), and through their «justification» with documentary evidence (<em>P</em> <!--><<!--> <!-->.001).</p></div><div><h3>Conclusions</h3><p>The computer tool with the synthetic indicator have allowed for the evaluation of standard compliance in Quality Units of healthcare centers.</p></div>\",\"PeriodicalId\":37347,\"journal\":{\"name\":\"Journal of Healthcare Quality Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Healthcare Quality Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2603647924000241\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Healthcare Quality Research","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2603647924000241","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Indicador sintético de cumplimiento de estándares para Unidades de Calidad de centros sanitarios y estudio de pilotaje prospectivo multicéntrico
Background and objective
In Spain, Quality Units play a key and unique role in advising healthcare centers on the methodology of healthcare quality. The objectives of the study were to develop computer algorithms to obtain a synthetic indicator of standard compliance for Quality Units and to pilot its functioning in these units.
Materials and methods
The Excel program was used to establish evaluation algorithms, and quantitatively interrelate and weight various categories of standards, as a computer evaluation tool, to build a continuous improvement cycle system, and offer a global synthetic indicator of compliance. The tool was tested in a prospective multicenter pilot study, in which coordinators of Quality Units from different health centers and care settings participated, to evaluate the usefulness of the tool and compliance with the standards, in addition to analyzing the content validity of each standard.
Results
The formulas for the structured computer algorithms were developed, consecutively, in a «PLAN-DO-CHECK-ACT» improvement cycle for the 9 categories of standards, resulting in a single synthetic indicator of compliance. Twenty-one Quality Units participated in the piloting. The overall average compliance rate for the synthetic indicator was 55.63% with differences between centers (P = .002) and between categories (P < .0001), but not by autonomous communities (P = .86) or by areas (P = .97). Content validity was ensured through the variable of «understanding» of the standards (P < .001), and through their «justification» with documentary evidence (P < .001).
Conclusions
The computer tool with the synthetic indicator have allowed for the evaluation of standard compliance in Quality Units of healthcare centers.
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)
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