Quality Items Required for Running a Paediatric Inflammatory Bowel Disease Centre: An ECCO Paper
Autor: | Turner, Dan, Carle, Adam, Steiner, Steven J., Margolis, Peter A., Colletti, Richard B., Russell, Richard K., Levine, Arie, Kolho, Kaija-Leena, Ruemmele, Frank M., ImproveCareNow Network |
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Přispěvatelé: | Clinicum, Children's Hospital, Lastentautien yksikkö, HUS Children and Adolescents |
Rok vydání: | 2017 |
Předmět: |
INDICATORS
medicine.medical_specialty Referral Delphi Technique media_common.quotation_subject MULTICENTER Quality care Multidisciplinary team Inflammatory bowel disease Ambulatory Care Facilities 03 medical and health sciences 0302 clinical medicine 030225 pediatrics ADOLESCENTS Medicine Humans Quality (business) Registries Quality of care Child media_common Quality of Health Care Patient Care Team business.industry ACTIVITY INDEX Gastroenterology EDUCATION NATURAL-HISTORY General Medicine CARE medicine.disease Inflammatory Bowel Diseases CROHNS-DISEASE Patient volume Europe Patient support 3121 General medicine internal medicine and other clinical medicine Family medicine Physical therapy Workforce 030211 gastroenterology & hepatology business |
Zdroj: | Journal of Crohn'scolitis. 11(8) |
ISSN: | 1876-4479 |
Popis: | Background: The importance of a holistic approach with a comprehensive multidisciplinary team, including nutritional and psychosocial support, is becoming well recognised as a key contributor to optimal care in paediatric inflammatory bowel disease [IBD]. The Paediatric committee of ECCO [P-ECCO] aimed to determine important components that would contribute to quality of care in a paediatric IBD centre [henceforth 'quality items']. Methods: First, a list of items has been generated by a Delphi group of 111 international paediatric IBD experts. Through an iterative process, the group graded and ranked the items according to their perceived relative contribution to quality care. We then surveyed 101 paediatric IBD centres affiliated with the Porto and Interest groups of ESPGHAN in Europe and with the ImproveCareNow registry in North America, exploring the availability of the retained items in their centres. Results: A total of 68 items were generated and reduced to a list of 60 ranked order items, grouped in six domains: Facility, Personnel, Management, Supportive Services, Patient Support and Accessibility, and Academia and Communications. Of the retained items, 52 [88%] were present in most of the 101 high-performing paediatric IBD centres, and there was a trend for increased availability with increased patient volume at the centres. Conclusion: In this P-ECCO study, we attempted to tabulate, for the first time in paediatrics, 60 quality items that paediatric IBD referral centres may wish to include. |
Databáze: | OpenAIRE |
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