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 |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
business.industry 030503 health policy & services Health Policy media_common.quotation_subject MEDLINE General Medicine CINAHL 03 medical and health sciences Identification (information) 0302 clinical medicine Systematic review Family medicine Health care Medicine Quality (business) 030212 general & internal medicine Performance indicator Medical prescription 0305 other medical science business media_common |
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 |
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