Quality indicators in the management of bladder cancer: A modified Delphi study.
نویسندگان
چکیده
BACKGROUND Survival in patients with bladder cancer has only moderately improved over the past 2 decades. A potential reason for this is nonadherence to clinical guidelines and best practice, leading to wide variations in care. Common quality indicators (QIs) are needed to quantify adherence to best practice and provide data for benchmarking and quality improvement. OBJECTIVE To produce an evidence- and consensus-based list of QIs for the management of bladder cancer. METHODS A modified Delphi method was used to develop the indicator list. Candidate indicators were extracted from the literature and rated by a 27-member Canadian expert panel in several rounds until consensus was reached on the final list of indicators. In rounds with numeric ratings, a frequency analysis was performed. RESULTS A total of 86 indicators were rated, 52 extracted from the literature and 34 suggested by the panel. After iterative rounds of ratings and discussion, a final list of 60 QIs spanning several disciplines and phases of the cancer care continuum was developed. CONCLUSIONS This is the first study to comprehensively produce common QIs representing structure, process, and outcome measures in bladder cancer management. Though developed in Canada, these indicators can be used in other countries with slight modifications to track performance and improve care.
منابع مشابه
Quality measurement indicators for Iranian Health Centers
Background: Recently, quality is a serious concern in development of organizations. There are various indicators to assess quality and the purpose of this study was to identify the main indicators for quality measurement of Iranian health centers. Methods : This qualitative study was conducted in three stages: first, review of the literature was performed to identify different indicators fo...
متن کاملQuality indicators for multiple sclerosis
Determining whether persons with multiple sclerosis (MS) receive appropriate, comprehensive healthcare requires tools for measuring quality. The objective of this study was to develop quality indicators for the care of persons with MS. We used a modified version of the RAND/UCLA Appropriateness Method in a two-stage process to identify relevant MS care domains and to assess the validity of indi...
متن کاملPresenting a Conceptual Model of Sustainable Supply Chain with Indicators in Dimensions of Economic, Social, Environmental, and Governance in Iranian Automotive Industry
Today's competitive world has led managers to shift from traditional management to scientific management. Supply chain management is one of key issues in industries because, considering a high number of competitors in today's competitive world, competition has been extended from company level to the level of competition on their supply chain. For any organization seeking to achieve its goals in...
متن کاملValidation of Primary Health Care Governance Model of Iran Using the Delphi Method
Validation of Primary Health Care Governance Model of Iran Using the Delphi Method Jaafarsadegh Tabrizi1, Raana Gholamzadeh Nikjoo2* 1MD, Phd, Department of Health policy and Management, Health Services Management Research Center, Faculty of Management and Medical Informatic, Tabriz University of Medical Sciences 2Phd, Department of Health Policy and Management, Iranian center of excellence in...
متن کاملQuality indicators for diagnosis and treatment of respiratory tract infections in general practice: a modified Delphi study.
OBJECTIVE To develop a set of quality indicators focusing on the diagnosis and treatment of respiratory tract infections in general practice. DESIGN A modified 2-round Delphi study. SETTING General practice. SUBJECTS A panel of 27 experts (13 countries) comprising mainly general practitioners, clinical microbiologists, and clinical pharmacologists were asked to rate the relevance of 59 qu...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Urologic oncology
دوره 35 6 شماره
صفحات -
تاریخ انتشار 2013