Quality of care indicators for benign prostatic hyperplasia. A qualitative study
Objective: To assess quality of care indicators for benign prostatic hyperplasia (BPH), and to evaluate their strengths and weaknesses for incorporation into health information systems. Design: Structured expert meeting, using procedures adapted from the nominal group techniques and the Rand consens...
| Autores: | , , , , |
|---|---|
| Formato: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2014 |
| País: | España |
| Recursos: | Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) |
| Repositorio: | r-FISABIO. Repositorio Institucional de Producción Científica |
| OAI Identifier: | oai:fisabio.fundanetsuite.com:p5227 |
| Acesso em linha: | https://fisabio.portalinvestigacion.com/publicaciones/5227 |
| Access Level: | acceso abierto |
| Palavra-chave: | Benign prostatic hyperplasia Lower urinary tract syndrome Quality indicators Consensus methods |
| Resumo: | Objective: To assess quality of care indicators for benign prostatic hyperplasia (BPH), and to evaluate their strengths and weaknesses for incorporation into health information systems. Design: Structured expert meeting, using procedures adapted from the nominal group techniques and the Rand consensus method. Setting: Valencian School of Health Studies. Participants and/or contexts: Forty panellists (74% doctors, 70% from primary care settings) with experience in the management of BPH from 15 departments of the Valencia Health Agency. Method: Three workshops were held simultaneously (examination and diagnosis, drug therapy, and appropriateness and results), and the 15 quality indicators selected by the coordination group were assessed. Results: Eleven of the 15 indicators scored in the range of high relevance. The 5 best rated were: the use of alpha-blockers + 5-alpha reductase inhibitor from certain severity level, digital rectal examination in the initial assessment, follow-up with the International Prostate Symptoms Score (IPSS), the rate of urgent catheterization in Hospital Accident Et Emergency Units, initial assessment with the IPSS and the use of alpha-blockers prior to catheter removal for acute retention of urine. Conclusions: Some of the assessed indicators can be useful for incorporation into health information systems. (C) 2013 Elsevier Espana, S.L. All rights reserved. |
|---|