Current status of multidisciplinary care in psoriatic arthritis in Spain: NEXUS 2.0 project
| Autor: | Francisco Maceiras, Jesús Rodríguez, J. Notario, Jose Luis Alvarez Vega, Carlos Manuel Feced Olmos, Raquel Rivera, Conrad Pujol, Silvia Pérez Barrio, Lourdes Rodríguez Fernandez Freire, Teresa Navío Marco, Manel Pujol Busquets, Antonio Vélez García-Nieto, Esteban Rubio Romero, M. Dolores López Montilla, Rubén Queiro, Merce Hergueta, Fernando J. Martinez, Pablo Coto, Jesús Luelmo, Beatriz Joven, Pablo de la Cueva, Mercè García Font, Eva Galindez, Laura Rodríguez Pazos, Jordi Gratacós, Ana Urruticoechea-Arana, José Pardo Sánchez, Basilio Narváez Moreno |
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| Rok vydání: | 2017 |
| Předmět: |
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03 medical and health sciences Psoriatic arthritis 0302 clinical medicine Nursing Excellence Multidisciplinary approach Quality standards for care Health care Psoriasis Medicine Humans Quality (business) 030212 general & internal medicine Program Development Estandar de calidad media_common Quality of Health Care 030203 arthritis & rheumatology Patient Care Team Artritis psoriasica business.industry Multidisciplinary care Arthritis Psoriatic Health Plan Implementation Standard of Care General Medicine medicine.disease Treatment Outcome Spain Health Care Surveys Rheumatologists business Nexus (standard) Atencion multidisciplinar Dermatologists |
| Zdroj: | Reumatologia Clinica r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe instname |
| ISSN: | 2173-5743 1699-258X |
| Popis: | Objective (1) To analyse the implementation of multidisciplinary care models in psoriatic arthritis (PsA) patients, (2) To define minimum and excellent standards of care. Methods A survey was sent to clinicians who already performed multidisciplinary care or were in the process of undertaking it, asking: (1) Type of multidisciplinary care model implemented; (2) Degree, priority and feasibility of the implementation of quality standards in the structure, process and result for care. In 6 regional meetings the results of the survey were presented and discussed, and the ultimate priority of quality standards for care was defined. At a nominal meeting group, 11 experts (rheumatologists and dermatologists) analysed the results of the survey and the regional meetings. With this information, they defined which standards of care are currently considered as minimum and which are excellent. Results The simultaneous and parallel models of multidisciplinary care are those most widely implemented, but the implementation of quality standards is highly variable. In terms of structure it ranges from 22% to 74%, in those related to process from 17% to 54% and in the results from 2% to 28%. Of the 25 original quality standards for care, 9 were considered only minimum, 4 were excellent and 12 defined criteria for minimum level and others for excellence. Conclusions The definition of minimum and excellent quality standards for care will help achieve the goal of multidisciplinary care for patients with PAs, which is the best healthcare possible. |
| Databáze: | OpenAIRE |
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