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Standards of care and quality indicators for multidisciplinary care models for psoriatic arthritis in Spain.

Abstract：

:To define and give priority to standards of care and quality indicators of multidisciplinary care for patients with psoriatic arthritis (PsA). A systematic literature review on PsA standards of care and quality indicators was performed. An expert panel of rheumatologists and dermatologists who provide multidisciplinary care was established. In a consensus meeting group, the experts discussed and developed the standards of care and quality indicators and graded their priority, agreement and also the feasibility (only for quality indicators) following qualitative methodology and a Delphi process. Afterwards, these results were discussed with 2 focus groups, 1 with patients, another with health managers. A descriptive analysis is presented. We obtained 25 standards of care (9 of structure, 9 of process, 7 of results) and 24 quality indicators (2 of structure, 5 of process, 17 of results). Standards of care include relevant aspects in the multidisciplinary care of PsA patients like an appropriate physical infrastructure and technical equipment, the access to nursing care, labs and imaging techniques, other health professionals and treatments, or the development of care plans. Regarding quality indicators, the definition of multidisciplinary care model objectives and referral criteria, the establishment of responsibilities and coordination among professionals and the active evaluation of patients and data collection were given a high priority. Patients considered all of them as important. This set of standards of care and quality indicators for the multidisciplinary care of patients with PsA should help improve quality of care in these patients.

journal_name

Rheumatol Int

journal_title

Rheumatology international

authors

Gratacós J,Luelmo J,Rodríguez J,Notario J,Marco TN,de la Cueva P,Busquets MP,Font MG,Joven B,Rivera R,Vega JLA,Álvarez AJC,Parera RS,Carrascosa JCR,Martínez FJR,Sánchez JP,Olmos CF,Pujol C,Galindez E,Barrio SP,Ara

doi

10.1007/s00296-018-3986-4

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

1115-1124

issue

6

eissn

0172-8172

issn

1437-160X

pii

10.1007/s00296-018-3986-4

journal_volume

38

pub_type

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