000 02390cam a2200301 4500500
005 20250121143243.0
041 _afre
042 _adc
100 1 0 _aBeaulieu, Marie-Dominique
_eauthor
700 1 0 _a Pomey, Marie-Pascale
_eauthor
700 1 0 _a Del Grande, Claudio
_eauthor
700 1 0 _a Côté, Brigitte
_eauthor
700 1 0 _a Tremblay, Éric
_eauthor
700 1 0 _a Ghorbel, Monia
_eauthor
700 1 0 _a Hua, Phuong
_eauthor
245 0 0 _aDevelopment of Quality of Care Indicators to Support Chronic Disease Management
260 _c2015.
500 _a25
520 _aIntroduction: This article presents the results of a project conducted by the Institut national d’excellence en santé et en services sociaux of Québec to develop quality of care indicators for the management of six chronic illnesses.Methods: Indicators were identified through literature searches and analysis of clinical practice guidelines (CPGs). Interdisciplinary expert panels assessed their validity and the strength of the evidence on which they were based. Representatives of patients (N = 19) and professionals (N = 29) were consulted on their relevance and acceptability. Indicators were categorized according to the Chronic Care Model (CCM).Results: A total of 164 indicators were developed, 126 specific to the illnesses under study and 38 on processes and outcomes generic to the CCM. There was convergence between patients and professionals on the relevance of a majority of indicators. Professionals expressed concerns on the indicators measured by means of patient surveys that they considered to be too subjective.Discussion: The importance given to CPGs as the main source of indicators resulted in a great number of indicators of the technical quality of care. Using the CCM contributed to a broader perspective of quality. The consultation process identified some of the concerns of professionals about indicator measurement, thus guiding future implementation initiatives.
690 _aquality indicators
690 _adisease management
690 _apractice guidelines
690 _achronic care model
690 _ahealth care
690 _aquality of health care
786 0 _nSanté Publique | Special issue | HS | 2015-03-18 | p. 67-75 | 0995-3914
856 4 1 _uhttps://shs.cairn.info/journal-sante-publique-2015-HS-page-67?lang=en&redirect-ssocas=7080
999 _c586716
_d586716