Multicriteria Decision Analysis for Updating of Quality Indicators for Inflammatory Bowel Disease Comprehensive Care Units in Spain
Calvet Calvo, Xavier (Universitat Autònoma de Barcelona. Departament de Medicina)
Panés, Julián (Instituto de Salud Carlos III)
Gallardo-Escudero, Javier (Pharmacoeconomics & Outcomes Research Iberia (Madrid))
de la Cuadra-Grande, Alberto (Pharmacoeconomics & Outcomes Research Iberia)
Bartolomé Benito, Elena (Sociedad Española de Calidad Asistencial)
Marín, Laura (Sociedad Española de Calidad Asistencial (Asturias))
de la Portilla, Fernando (Hospital Universitario Virgen del Rocío (Sevilla, Andalusia))
Navarro-Correal, Ester (Hospital Universitari Vall d'Hebron)
Gutiérrez Casbas, Ana (Instituto de Salud Carlos III)
Nos, Pilar (Hospital Universitari i Politècnic La Fe (València))
Serrano, Ruth (Confederación de Asociaciones de Crohn y Colitis Ulcerosa (Madrid))
Casado, Miguel Ángel (Pharmacoeconomics & Outcomes Research Iberia (Madrid))
Barreiro de-Acosta, Manuel (Hospital Clínico Universitario (Santiago de Compostela, Galícia))

Date:	2022
Abstract:	Management of inflammatory bowel disease [IBD] is complex and IBD Comprehensive Care Units [ICCUs] facilitate the delivery of quality care to IBD patients. The objective of this study was to update the existing set of quality indicators [QIs] for ICCUs, based on a nationwide quality certification programme carried out in Spain, from a multi-stakeholder perspective and using multicriteria decision analysis [MCDA] methodology. An MCDA comprising three different phases was conducted. In phase 1, a systematic literature review was performed, and after validation by a scientific committee comprising 11 experts, a preliminary set of QIs was developed. In phase 2, a larger group of 49 experts determined the relevance and relative importance of each QI by prioritising and weighing the preliminary set. Finally in phase 3, the scientific committee reviewed the results and made a final selection via a deliberative process. The final set comprised 67 QIs, classified as Structure [23 QIs], Process [35 QIs] and Outcome [9 QIs], which were ranked according to their relative importance. Multidisciplinary management was the most important requirement in ICCUs, followed by continuity of care, standardisation of clinical care and, especially, the incorporation of patients' reported outcomes. This updated set of QIs comprises a weighted and prioritised set of items that represent the essential minimum of criteria for ensuring appropriate quality of care in the management of IBD patients.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Comprehensive care unit ; Inflammatory bowel disease ; Multicriteria decision analysis ; Patient reported outcome ; Quality indicators
Published in:	Journal of Crohn's and colitis, Vol. 16 (may 2022) , p. 1663-1675, ISSN 1876-4479

DOI: 10.1093/ecco-jcc/jjac068
PMID: 35551380

13 p, 316.8 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Parc Taulí Research and Innovation Institute (I3PT
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Articles > Published articles