Selecting indicators for the quality of cardiac care at the health system level in Organization for Economic Co-operation and Development countries
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Auteurs : Ulla M. Ida Npa A N-Heikkila [Canada] ; Laura Lambie ; Soeren Mattke ; Vin Mclaughlin ; Heather Palmer ; Jack V. Tu [Canada]Source :
- International Journal for Quality in Health Care [ 1353-4505 ] ; 2006-09.
Descripteurs français
- Wicri :
- topic : Soins de santé, Service social.
English descriptors
- KwdEn :
- Adequate documentation, Ahrq hcup, Angioplasty, Aspirin, Aspirin contraindications numerator, Blocker, Cabg, Cabg operation numerator, Cardiac, Cardiac care, Cardiac care panel, Cardiac disease, Cardiac diseases, Cardiac event, Cardiac interventions, Cardiothorac surg, Congestive heart failure, Coronary arteries, Coronary artery, Coronary disease, Coronary interventions, Delphi process, Denominator, Development centre, Discharge denominator, Hcqi project, Health care, Health system level, Healthcare, Healthcare cost, Healthcare organizations, Healthcare research, Indicator, Individual patients, Infarction, International journal, Jcaho, Joint commission, Literature search, Major causes, Major differences, Management strategies, Medicaid services, Mortality rate, Myocardial infarction, National measurement systems, National quality report, National research, Numerator, Oecd, Oecd health care quality indicators project, Oecd health data, Panel members, Panel members measure, Patient management, Percutaneous, Percutaneous transluminal, Potential indicators, Primary care, Primary care panel, Primary prevention, Principal diagnosis, Principal diagnosis code, Procedure code, Ptca, Ptca denominator, Ptca numerator, Quality indicators, Quantitative information, Relevant domains, Review process, Scientific soundness, Secondary prevention, Social services, Soundness, Thrombolytic therapy, Treatment options, Unique individuals, Utilization project, acute myocardial infarction, chronic heart failure, coronary artery bypass surgery, health care, percutaneous coronary intervention, quality indicators.
- Teeft :
- Adequate documentation, Ahrq hcup, Angioplasty, Aspirin, Aspirin contraindications numerator, Blocker, Cabg, Cabg operation numerator, Cardiac, Cardiac care, Cardiac care panel, Cardiac disease, Cardiac diseases, Cardiac event, Cardiac interventions, Cardiothorac surg, Congestive heart failure, Coronary arteries, Coronary artery, Coronary disease, Coronary interventions, Delphi process, Denominator, Development centre, Discharge denominator, Hcqi project, Health care, Health system level, Healthcare, Healthcare cost, Healthcare organizations, Healthcare research, Indicator, Individual patients, Infarction, International journal, Jcaho, Joint commission, Literature search, Major causes, Major differences, Management strategies, Medicaid services, Mortality rate, Myocardial infarction, National measurement systems, National quality report, National research, Numerator, Oecd, Oecd health care quality indicators project, Oecd health data, Panel members, Panel members measure, Patient management, Percutaneous, Percutaneous transluminal, Potential indicators, Primary care, Primary care panel, Primary prevention, Principal diagnosis, Principal diagnosis code, Procedure code, Ptca, Ptca denominator, Ptca numerator, Quality indicators, Quantitative information, Relevant domains, Review process, Scientific soundness, Secondary prevention, Social services, Soundness, Thrombolytic therapy, Treatment options, Unique individuals, Utilization project.
Abstract
Background. Cardiovascular (CV) diseases are major causes of morbidity and death in adults in the world. Major differences have been reported in the management strategies and the outcome of CV diseases within and between countries. To better understand and address these differences, there is a need for quantitative information on patient management, outcome, and prognosis. Objective. This article describes the development of a set of quality indicators for cardiac care and summarizes work undertaken by the Cardiac Care Panel of the OECD Health Care Quality Indicators Project. Methods. A list of 61 potential indicators was identified through a literature search, review of national measurement systems, and nomination from countries participating in the project. The Cardiac Care Panel then used a modified Delphi process developed originally by RAND to select indicators. Panel members individually rated each indicator on a scale of 1–9 for scientific soundness and importance. All indicators receiving scores of 7 or more for both importance and soundness were included in the final set. Results. Seventeen cardiac indicators were selected for the final set of indicators from the following areas: acute coronary syndromes, cardiac interventions, secondary prevention, and congestive heart failure. Conclusions. The final set of 17 indicators selected by the Cardiac Care Panel constitutes a comprehensive set of measures for the most relevant domains of CV care. Nevertheless, gaps remain in the area of primary prevention and in particular in areas with rapidly changing technology and improving treatment options.
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DOI: 10.1093/intqhc/mzl028
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Laura Lambie<affiliation><mods:affiliation>Ministry of Health, New Zealand,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation><affiliation><mods:affiliation>OECD Secretariat, Paris, France,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation><affiliation><mods:affiliation>Department of Health and Ageing, Canberra, Australia,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation><affiliation><mods:affiliation>Harvard School of Public Health, Boston, MA, USA, and</mods:affiliation><wicri:noCountry code="subField">and</wicri:noCountry></affiliation>Le document en format XML
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Tu</name><affiliation wicri:level="1"><mods:affiliation>Institute for Clinical Evaluative Sciences, University of Toronto, Toronto, Ontario, Canada</mods:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Institute for Clinical Evaluative Sciences, University of Toronto, Toronto, Ontario</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:5BCE9C16ACCD8BFC6DF8FE0A04AA119E982ACCFC</idno><date when="2006" year="2006">2006</date><idno type="doi">10.1093/intqhc/mzl028</idno><idno type="url">https://api.istex.fr/document/5BCE9C16ACCD8BFC6DF8FE0A04AA119E982ACCFC/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">001145</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001145</idno><idno type="wicri:Area/Istex/Curation">001145</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Selecting indicators for the quality of cardiac care at the health system level in Organization for Economic Co-operation and Development countries</title><author><name sortKey="Ida Npa A N Heikkila, Ulla M" sort="Ida Npa A N Heikkila, Ulla M" uniqKey="Ida Npa A N Heikkila U" first="Ulla M." last="Ida Npa A N-Heikkila">Ulla M. Ida Npa A N-Heikkila</name><affiliation wicri:level="1"><mods:affiliation>National Research and Development Centre for Welfare and Health, Health and Social Services, Helsinki, Finland, Ministry of Health, New Zealand, OECD Secretariat, Paris, France, Department of Health and Ageing, Canberra, Australia, Harvard School of Public Health, Boston, MA, USA, and Institute for Clinical Evaluative Sciences, University of Toronto, Toronto, Ontario, Canada</mods:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>National Research and Development Centre for Welfare and Health, Health and Social Services, Helsinki, Finland, Ministry of Health, New Zealand, OECD Secretariat, Paris, France, Department of Health and Ageing, Canberra, Australia, Harvard School of Public Health, Boston, MA, USA, and Institute for Clinical Evaluative Sciences, University of Toronto, Toronto, Ontario</wicri:regionArea></affiliation></author><author><name sortKey="Lambie, Laura" sort="Lambie, Laura" uniqKey="Lambie L" first="Laura" last="Lambie">Laura Lambie</name><affiliation><mods:affiliation>Ministry of Health, New Zealand,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author><author><name sortKey="Mattke, Soeren" sort="Mattke, Soeren" uniqKey="Mattke S" first="Soeren" last="Mattke">Soeren Mattke</name><affiliation><mods:affiliation>OECD Secretariat, Paris, France,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author><author><name sortKey="Mclaughlin, Vin" sort="Mclaughlin, Vin" uniqKey="Mclaughlin V" first="Vin" last="Mclaughlin">Vin Mclaughlin</name><affiliation><mods:affiliation>Department of Health and Ageing, Canberra, Australia,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author><author><name sortKey="Palmer, Heather" sort="Palmer, Heather" uniqKey="Palmer H" first="Heather" last="Palmer">Heather Palmer</name><affiliation><mods:affiliation>Harvard School of Public Health, Boston, MA, USA, and</mods:affiliation><wicri:noCountry code="subField">and</wicri:noCountry></affiliation></author><author><name sortKey="Tu, Jack V" sort="Tu, Jack V" uniqKey="Tu J" first="Jack V." last="Tu">Jack V. Tu</name><affiliation wicri:level="1"><mods:affiliation>Institute for Clinical Evaluative Sciences, University of Toronto, Toronto, Ontario, Canada</mods:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Institute for Clinical Evaluative Sciences, University of Toronto, Toronto, Ontario</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j">International Journal for Quality in Health Care</title><title level="j" type="abbrev">Int J Qual Health Care</title><idno type="ISSN">1353-4505</idno><idno type="eISSN">1464-3677</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2006-09">2006-09</date><biblScope unit="volume">18</biblScope><biblScope unit="supplement">suppl_1</biblScope><biblScope unit="page" from="39">39</biblScope><biblScope unit="page" to="44">44</biblScope></imprint><idno type="ISSN">1353-4505</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1353-4505</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adequate documentation</term><term>Ahrq hcup</term><term>Angioplasty</term><term>Aspirin</term><term>Aspirin contraindications numerator</term><term>Blocker</term><term>Cabg</term><term>Cabg operation numerator</term><term>Cardiac</term><term>Cardiac care</term><term>Cardiac care panel</term><term>Cardiac disease</term><term>Cardiac diseases</term><term>Cardiac event</term><term>Cardiac interventions</term><term>Cardiothorac surg</term><term>Congestive heart failure</term><term>Coronary arteries</term><term>Coronary artery</term><term>Coronary disease</term><term>Coronary interventions</term><term>Delphi process</term><term>Denominator</term><term>Development centre</term><term>Discharge denominator</term><term>Hcqi project</term><term>Health care</term><term>Health system level</term><term>Healthcare</term><term>Healthcare cost</term><term>Healthcare organizations</term><term>Healthcare research</term><term>Indicator</term><term>Individual patients</term><term>Infarction</term><term>International journal</term><term>Jcaho</term><term>Joint commission</term><term>Literature search</term><term>Major causes</term><term>Major differences</term><term>Management strategies</term><term>Medicaid services</term><term>Mortality rate</term><term>Myocardial infarction</term><term>National measurement systems</term><term>National quality report</term><term>National research</term><term>Numerator</term><term>Oecd</term><term>Oecd health care quality indicators project</term><term>Oecd health data</term><term>Panel members</term><term>Panel members measure</term><term>Patient management</term><term>Percutaneous</term><term>Percutaneous transluminal</term><term>Potential indicators</term><term>Primary care</term><term>Primary care panel</term><term>Primary prevention</term><term>Principal diagnosis</term><term>Principal diagnosis code</term><term>Procedure code</term><term>Ptca</term><term>Ptca denominator</term><term>Ptca numerator</term><term>Quality indicators</term><term>Quantitative information</term><term>Relevant domains</term><term>Review process</term><term>Scientific soundness</term><term>Secondary prevention</term><term>Social services</term><term>Soundness</term><term>Thrombolytic therapy</term><term>Treatment options</term><term>Unique individuals</term><term>Utilization project</term><term>acute myocardial infarction</term><term>chronic heart failure</term><term>coronary artery bypass surgery</term><term>health care</term><term>percutaneous coronary intervention</term><term>quality indicators</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Adequate documentation</term><term>Ahrq hcup</term><term>Angioplasty</term><term>Aspirin</term><term>Aspirin contraindications numerator</term><term>Blocker</term><term>Cabg</term><term>Cabg operation numerator</term><term>Cardiac</term><term>Cardiac care</term><term>Cardiac care panel</term><term>Cardiac disease</term><term>Cardiac diseases</term><term>Cardiac event</term><term>Cardiac interventions</term><term>Cardiothorac surg</term><term>Congestive heart failure</term><term>Coronary arteries</term><term>Coronary artery</term><term>Coronary disease</term><term>Coronary interventions</term><term>Delphi process</term><term>Denominator</term><term>Development centre</term><term>Discharge denominator</term><term>Hcqi project</term><term>Health care</term><term>Health system level</term><term>Healthcare</term><term>Healthcare cost</term><term>Healthcare organizations</term><term>Healthcare research</term><term>Indicator</term><term>Individual patients</term><term>Infarction</term><term>International journal</term><term>Jcaho</term><term>Joint commission</term><term>Literature search</term><term>Major causes</term><term>Major differences</term><term>Management strategies</term><term>Medicaid services</term><term>Mortality rate</term><term>Myocardial infarction</term><term>National measurement systems</term><term>National quality report</term><term>National research</term><term>Numerator</term><term>Oecd</term><term>Oecd health care quality indicators project</term><term>Oecd health data</term><term>Panel members</term><term>Panel members measure</term><term>Patient management</term><term>Percutaneous</term><term>Percutaneous transluminal</term><term>Potential indicators</term><term>Primary care</term><term>Primary care panel</term><term>Primary prevention</term><term>Principal diagnosis</term><term>Principal diagnosis code</term><term>Procedure code</term><term>Ptca</term><term>Ptca denominator</term><term>Ptca numerator</term><term>Quality indicators</term><term>Quantitative information</term><term>Relevant domains</term><term>Review process</term><term>Scientific soundness</term><term>Secondary prevention</term><term>Social services</term><term>Soundness</term><term>Thrombolytic therapy</term><term>Treatment options</term><term>Unique individuals</term><term>Utilization project</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Soins de santé</term><term>Service social</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background. Cardiovascular (CV) diseases are major causes of morbidity and death in adults in the world. Major differences have been reported in the management strategies and the outcome of CV diseases within and between countries. To better understand and address these differences, there is a need for quantitative information on patient management, outcome, and prognosis. Objective. This article describes the development of a set of quality indicators for cardiac care and summarizes work undertaken by the Cardiac Care Panel of the OECD Health Care Quality Indicators Project. Methods. A list of 61 potential indicators was identified through a literature search, review of national measurement systems, and nomination from countries participating in the project. The Cardiac Care Panel then used a modified Delphi process developed originally by RAND to select indicators. Panel members individually rated each indicator on a scale of 1–9 for scientific soundness and importance. All indicators receiving scores of 7 or more for both importance and soundness were included in the final set. Results. Seventeen cardiac indicators were selected for the final set of indicators from the following areas: acute coronary syndromes, cardiac interventions, secondary prevention, and congestive heart failure. Conclusions. The final set of 17 indicators selected by the Cardiac Care Panel constitutes a comprehensive set of measures for the most relevant domains of CV care. Nevertheless, gaps remain in the area of primary prevention and in particular in areas with rapidly changing technology and improving treatment options.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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