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Defining quality indicators for heart failure in general practice.

Abstract：

:Background: Quality indicators (QIs) are used to measure and evaluate quality of care. However, QIs to evaluate care for HF patients in general practice in Belgium are lacking. Therefore, this study aimed to determine which QIs, rooted in the electronic health record (EHR), are useful to monitor quality of care for patients with HF in general practice. Methods: The RAND/UCLA appropriateness method (a modified Delphi method) was used to define these assigned QIs. First, a literature review was performed to generate a list of possible QIs for HF. Second, by applying the SMART principle, 25 QIs were withheld. Third, an expert panel of health care providers experienced in HF (cardiologists, general practitioners and HF nurses) was convened. Finally, the panellists rated the QIs for appropriateness in three rounds. Results: The withheld QIs highlighted diverse aspects of HF care. In round 1, 20 of the 25 QIs were considered appropriate, and five were considered uncertain. In round 2, 19 QIs were rated appropriate, four inappropriate, and two uncertain. In round 3, the final 19 appropriate QIs were ranked to form a top 10. The top three began with the identification of the aetiology of HF, continued with the differentiation between HF with preserved and reduced ejection fraction, and concluded with the treatment of HF with an ACE-I and a β-blocker in third place. Conclusion: In this study, 19 QIs for HF in general practice, extractable from the EHR, were identified. These QIs should enable the qualitative monitoring of HF care.

journal_name

Acta Cardiol

journal_title

Acta cardiologica

authors

Smets M,Smeets M,Van den Bulck S,Janssens S,Aertgeerts B,Vaes B

doi

10.1080/00015385.2018.1492659

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

291-298

issue

4

eissn

0001-5385

issn

1784-973X

journal_volume

74

pub_type

共识发展会议,杂志文章,评审

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