Development and use of guideline-derived quality indicators for community lymphoedema
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Development and use of guideline-derived quality indicators for community lymphoedema. / Herberger, K; Heyer, Kristina; Blome, C; Sandner, A; Altheide, F; Lader-Holtorf, M; Augustin, M.
in: J EUR ACAD DERMATOL, Jahrgang 27, Nr. 2, 2, 2013, S. 227-234.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Development and use of guideline-derived quality indicators for community lymphoedema
AU - Herberger, K
AU - Heyer, Kristina
AU - Blome, C
AU - Sandner, A
AU - Altheide, F
AU - Lader-Holtorf, M
AU - Augustin, M
N1 - © 2012 The Authors. Journal of the European Academy of Dermatology and Venereology © 2012 European Academy of Dermatology and Venereology.
PY - 2013
Y1 - 2013
N2 - BACKGROUND: Treatment of lymphoedema is complex and needs specific skills. There are no standards for the evaluation of quality of care.OBJECTIVE: Development and application of indicators for the measurement of quality of care in lymphoedema.METHODS: In a three-step process including a national Delphi expert consensus, quality indicators were derived from national and international guidelines. In a cross-sectional study involving a large spectrum of care providers, the quality of lymphoedema care in the community was assessed by transforming the indicators to one unweighted quality index (QI).RESULTS: A total of 12 quality indicators were identified and applied to n = 348 patients with lymphoedema and lipolymphoedema of any origin in the metropolitan area of Hamburg (90.8% female, mean age 57, SD 14.5 years). On average, 55% of the quality indicators were met, and 64.8% of the patients were satisfied with lymphoedema care. There was a significant correlation between QI and satisfaction.CONCLUSIONS: The quality indicators and the QI are feasible and valid for the evaluation of quality of care. They can support optimizing lymphoedema care.
AB - BACKGROUND: Treatment of lymphoedema is complex and needs specific skills. There are no standards for the evaluation of quality of care.OBJECTIVE: Development and application of indicators for the measurement of quality of care in lymphoedema.METHODS: In a three-step process including a national Delphi expert consensus, quality indicators were derived from national and international guidelines. In a cross-sectional study involving a large spectrum of care providers, the quality of lymphoedema care in the community was assessed by transforming the indicators to one unweighted quality index (QI).RESULTS: A total of 12 quality indicators were identified and applied to n = 348 patients with lymphoedema and lipolymphoedema of any origin in the metropolitan area of Hamburg (90.8% female, mean age 57, SD 14.5 years). On average, 55% of the quality indicators were met, and 64.8% of the patients were satisfied with lymphoedema care. There was a significant correlation between QI and satisfaction.CONCLUSIONS: The quality indicators and the QI are feasible and valid for the evaluation of quality of care. They can support optimizing lymphoedema care.
KW - Humans
KW - Male
KW - Aged
KW - Female
KW - Middle Aged
KW - Outcome Assessment (Health Care)
KW - Practice Guidelines as Topic
KW - Quality Indicators, Health Care
KW - Lymphedema/therapy
KW - Humans
KW - Male
KW - Aged
KW - Female
KW - Middle Aged
KW - Outcome Assessment (Health Care)
KW - Practice Guidelines as Topic
KW - Quality Indicators, Health Care
KW - Lymphedema/therapy
U2 - 10.1111/j.1468-3083.2012.04452.x
DO - 10.1111/j.1468-3083.2012.04452.x
M3 - SCORING: Journal article
C2 - 22339808
VL - 27
SP - 227
EP - 234
JO - J EUR ACAD DERMATOL
JF - J EUR ACAD DERMATOL
SN - 0926-9959
IS - 2
M1 - 2
ER -
