Clinical indicators to monitor health care in low back pain: a scoping review.

Autor:	Dos Santos VL; Faculty of Medicine, University of Western São Paulo (UNOESTE), Presidente Prudente, Sao Paulo 19050-920, Brazil., Sato KS; Faculty of Medicine, University of Western São Paulo (UNOESTE), Presidente Prudente, Sao Paulo 19050-920, Brazil., Maher CG; Institute for Musculoskeletal Health, Sydney Local Health District, King George V Building, Missenden Road, Camperdown, Sydney, New South Wales 2050, Australia.; Sydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, King George V Building, Missenden Road, Camperdown, Sydney, New South Wales 2050, Australia., Vidal RVC; Faculty of Medicine, University of Western São Paulo (UNOESTE), Presidente Prudente, Sao Paulo 19050-920, Brazil., Grande GHD; Faculty of Medicine, University of Western São Paulo (UNOESTE), Presidente Prudente, Sao Paulo 19050-920, Brazil.; Departamento de Educação Física, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, Rua Roberto Simonsen, 305, Presidente Prudente, Sao Pualo 19060-900, Brazil., Costa LOP; Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno, 448, Sao Paulo 03071-000, Brazil., Machado GC; Institute for Musculoskeletal Health, Sydney Local Health District, King George V Building, Missenden Road, Camperdown, Sydney, New South Wales 2050, Australia.; Sydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, King George V Building, Missenden Road, Camperdown, Sydney, New South Wales 2050, Australia., Ferreira GE; Institute for Musculoskeletal Health, Sydney Local Health District, King George V Building, Missenden Road, Camperdown, Sydney, New South Wales 2050, Australia.; Sydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, King George V Building, Missenden Road, Camperdown, Sydney, New South Wales 2050, Australia., Buchbinder R; Musculoskeletal Health and Wiser Health Care Units, School of Public Health and Preventive Medicine, Monash University, 4 Drysdale St, Malvern, Melbourne, Victoria 3144, Australia., Oliveira CB; Faculty of Medicine, University of Western São Paulo (UNOESTE), Presidente Prudente, Sao Paulo 19050-920, Brazil.; Departamento de Educação Física, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, Rua Roberto Simonsen, 305, Presidente Prudente, Sao Pualo 19060-900, Brazil.
Jazyk:	angličtina
Zdroj:	International journal for quality in health care : journal of the International Society for Quality in Health Care [Int J Qual Health Care] 2024 Jun 13; Vol. 36 (2).
DOI:	10.1093/intqhc/mzae044
Abstrakt:	Clinical care indicators for low back pain can be used to monitor healthcare practices and consequently be used to evaluate success of strategies to improve care quality. The aim of this study was to identify the clinical care indicators that have been used to measure appropriateness of health care for patients with low back pain. We conducted a systematic search of five electronic databases and Google to identify clinical care indicators that have been used to measure any aspect of care for people with low back pain. Care indicators were narratively described according to their type (i.e. structure, process, or outcomes) and categorized by their purpose (e.g. to measure aspects related to assessment, imaging requests, treatment/prevention, and outcomes). A total of 3562 and 2180 records were retrieved from electronic databases and Google searches, respectively. We identified 280 indicators related to low back pain care from 40 documents and publications. Most quality indicators were process indicators (n = 213, 76%), followed by structure (n = 41, 15%) and outcome indicators (n = 26, 9%). The most common indicators were related to imaging requests (n = 41, 15%), referral to healthcare providers (n = 30, 11%), and shared decision-making (n = 21, 7%). Our review identified a range of clinical care indicators that have been used to measure the quality of health care for people with low back pain. Our findings will support a Delphi study to reach international consensus on what would be the most important and feasible indicators for a minimum dataset to be collected globally. (© The Author(s) 2024. Published by Oxford University Press on behalf of International Society for Quality in Health Care. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site–for further information please contact journals.permissions@oup.com.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu