| Autor: |
Matthias Augustin, H. Schuster, M. Schindzielorz, C. Tonn, U. Imkamp, A. von Lienen, J. Bunse, R. Aschoff, M. May, B. Lange-Asschenfeldt, W. Vanscheidt, E. Valesky, Jochen Schmitt, R. U. Peter, F. Kamperhoff, T. Hirsch, T.R. Neubert, Christos C. Zouboulis, R. Kaufmann, S. Glau, M. Bischoff, S. Eming, H. Fansa, Kristina Heyer, A. Nast, B. Hartmann, Anke Mayer, R. Nagel, S. Gass, K. Waldvogel-Röcker, D. Hochlenert, H. Diener, T. Horn, T. Wild, T. Goerge, J. Helfrich, F. Flesch, M. Schmidt, S. Langer, C. van Montfrans, Eike Sebastian Debus, V. Großkopf, Kerstin Protz, Christine Blome, F. Gaiser, A.D. Niederbichler, M. Storck, Florian C. Beikert, T. Petzold, S. Gartner, Lisa Goepel, T. Eberlein, A. Sindrilaru, K. Scharffetter-Kochanek, C. Janetzko, E. Schäfer, C. Hampel-Kalthoff, Katharina Herberger, V. Gerber, W. Tigges, K.C. Münter, M. Jünger, J. Dissemond, J.O. Jost, A. Risse |
| Rok vydání: |
2014 |
| Předmět: |
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| Zdroj: |
Wound Medicine. 7:8-13 |
| ISSN: |
2213-9095 |
| Popis: |
Chronic wounds are of high socio-economic importance. Accurate and efficient treatment includes the use of outcomes measures in clinical care and in research. To date, consented standards for documentation of chronic wounds, agreements on interpretation of wound outcomes and harmonisation about standardised goal setting in wound treatment are lacking. Objective (1) To establish a national German consensus group for the definition of standards in outcomes measurement of chronic wounds, (2) to agree on recommendations for practice and research based on a continuous decision process, including implementation of the standards. Methods The national consensus group includes delegates from the German scientific medical societies involved in health care for chronic wounds, the national boards on nursing, and the chairs of regional wound networks. Moreover, the roof organisations of the German health insurances, the German ministry of health and further single wound experts were invited. The consensus work is based on a structured decision process. Results The consensus group consists of 58 representatives and co-representatives of 26 societies and organisations. Since 2012, in the regular bi-annual meetings a Delphi-based workflow has been followed starting with standards for documentation and outcomes measurement in patients with leg ulcers. Additionally, web-based decision processes are conducted and the results are presented for finalisation in the face-to-face meetings. The following application areas of particular interests were defined: clinical routine, health services research, clinical research, and health economics. In the meantime, 245 single decisions have been approved. Conclusions Based on a national joint process involving medical societies, nursing groups, German sickness funds and health politics, a continuous decision process on standards for outcomes measurement and interpretation could be established. The Delphi based decision processes showed high levels of participations, thus providing a valid and robust set of standards. First results are in process of approval by the societies. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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