Identificación de indicadores de resultado en salud en atención primaria. Una revisión de revisiones sistemáticas

Autor: A Olry de Labry Lima, C Bermúdez Tamayo, L. García Mochón
Rok vydání: 2017
Předmět:
Zdroj: Revista de Calidad Asistencial. 32:278-288
ISSN: 1134-282X
DOI: 10.1016/j.cali.2017.08.001
Popis: Introduction Outcome measures are being widely used by health services to assess the quality of health care. It is important to have a battery of useful performance indicators with high validity and feasibility. Thus, the objective of this study is to perform a review of reviews in order to identify outcome indicators for use in Primary Care. Methodology A review of systematic reviews (umbrella review) was carried out. The following databases were consulted: MedLine, EMBASE, and CINAHL, using descriptors and free terms, limiting searches to documents published in English or Spanish. In addition, a search was made for free terms in different web pages. Those reviews that offered indicators that could be used in the Primary Care environment were included. Results This review included a total of 5 reviews on performance indicators in Primary Care, which consisted of indicators in the following areas or clinical care processes: in osteoarthritis, chronicity, childhood asthma, clinical effectiveness, and prescription safety indicators. A total of 69 performance indicators were identified, with the percentage of performance indicators ranging from 0% to 92.8%. None of the reviews identified performed an analysis of the measurement control (feasibility or sensitivity to change of indicators). Conclusions This paper offers a set of 69 performance indicators that have been identified and subsequently validated and prioritised by a panel of experts.
Databáze: OpenAIRE