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Nolla JM, Martínez C, García-Vicuña R, Seoane-Mato D, Rosario Lozano MP, Alonso A, Alperi M, Barbazán C, Calvo J, Delgado C, Fernández-Nebro A, Mateo L, Pérez Sandoval T, Pérez Venegas J, Rodríguez Lozano C, Rosas J. Quality standards for rheumatology outpatient clinic. The EXTRELLA project. ACTA ACUST UNITED AC 2016; 12:248-55. [PMID: 26775226 DOI: 10.1016/j.reuma.2015.11.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2015] [Revised: 11/02/2015] [Accepted: 11/06/2015] [Indexed: 11/18/2022]
Abstract
INTRODUCTION In recent years, outpatient clinics have undergone extensive development. At present, patients with rheumatic diseases are mainly assisted in this area. However, the quality standards of care are poorly documented. OBJECTIVE To develop specific quality criteria and standards for an outpatient rheumatology clinic. METHOD The project was based on the two-round Delphi method. The following groups of participants took part: scientific committee (13 rheumatologists), five nominal groups (45 rheumatologists and 12 nurses) and a group of discussion formed by 9 patients. Different drafts were consecutively generated until a final document was obtained that included the standards that received a punctuation equal or over 7 in at least 70% of the participants. RESULTS 148 standards were developed, grouped into the following 9 dimensions: a) structure (22), b) clinical activity and relationship with the patients (34), c) planning (7), d) levels of priority (5), e) relations with primary care physicians, with Emergency Department and with other clinical departments, f) process (26), g) nursing (13), h) teaching and research (13) and i) activity measures (8). CONCLUSION This study established specific quality standards for rheumatology outpatient clinic. It can be a useful tool for organising this area in the Rheumatology Department and as a reference when proposing improvement measures to health administrators.
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Affiliation(s)
- Joan M Nolla
- Servicio de Reumatología, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
| | - Carmen Martínez
- Unidad de Investigación, Sociedad Española de Reumatología, Madrid, España
| | - Rosario García-Vicuña
- Servicio de Reumatología, Hospital Universitario de la Princesa, IIS-IP, Madrid, España
| | - Daniel Seoane-Mato
- Unidad de Investigación, Sociedad Española de Reumatología, Madrid, España
| | | | - Alberto Alonso
- Servicio de Reumatología, Hospital Universitario de Cruces, Baracaldo, Vizcaya, España
| | - Mercedes Alperi
- Servicio de Reumatología, Hospital Universitario Central de Asturias, Oviedo, España
| | - Ceferino Barbazán
- Servicio de Reumatología, Complexo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España
| | - Jaime Calvo
- Servicio de Reumatología, Hospital Sierrallana, Torrelavega, Cantabria, España
| | - Concepción Delgado
- Servicio de Reumatología, Hospital Clínco Universitario Lozano Blesa, Zaragoza, España
| | | | - Lourdes Mateo
- Servicio de Reumatología, Hospital Universitari Germans Trías i Pujol, Badalona, Barcelona, España
| | | | - José Pérez Venegas
- Servicio de Reumatología, Hospital de Jerez de la Frontera, Jerez de la Frontera, Cádiz, España
| | - Carlos Rodríguez Lozano
- Servicio de Reumatología, Hospital Universitario Dr. Negrín, Las Palmas de Gran Canaria, España
| | - José Rosas
- Servicio de Reumatología, Hospital de la Marina Baixa, Villajoyosa, Alicante, España
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