5,6 However, despite the many specific national and international guidelines, the emAR II study, carried out in our country, 7,8 showed that approximately 60% of medical records contained no assessment of joint involvement or overall evaluation of the patient in 87% there was no record of a joint index, and in 84% no functional index. 1–4 In routine clinical practice, it is recommended that these patients should be assessed and managed according to objective clinical data and involved in decision-making. Patients with the disease should be assessed and correctly treated from their first visit, then indefinitely. Psoriatic arthritis (PsA) is a chronic, progressive multi-organ disease that is potentially serious and complex. ConclusionesĮsta norma de calidad debe ayudar en la mejora de la calidad de atención para el paciente con APs. En cuanto al nivel de exigencia a la hora de considerar por cumplido el estándar, algunos son de tipo sí/no, otros están desde el 50 al 100%, y en este rango muchos en el 80%. Otras fuentes serán la memoria del servicio y del hospital así como los buscadores bibliográficos. Para evaluar el cumplimiento de estos estándares en muchos casos se revisarán las historias clínicas. Se generaron 59 estándares de calidad, 18 de los cuales de cumplimiento obligatorio, agrupados en 4 bloques según unos objetivos específicos: 1) acortar el tiempo hasta el diagnóstico (n = 6) 2) optimizar el manejo de la enfermedad (n = 26) 3) mejorar la colaboración multidisciplinar (n = 9), y 4) mejorar la monitorización (n = 18). Se realizó un análisis descriptivo de los resultados. Metodología cualitativa que incluyó: 1) dos grupos focales (uno con pacientes con APs y otro con especialistas no reumatólogos implicados en su cuidado) 2) revisión de la literatura publicada sobre documentos en el ámbito de la calidad asistencial en APs 3) reunión de grupo nominal donde 15 expertos reumatólogos generaron, de forma consensuada, una serie de criterios de calidad así como fórmulas o medidas objetivas cuantificables para evaluarlas 4) Delphi para establecer la factibilidad, prioridad y grado de acuerdo con los criterios de calidad, y 5) generación de estándares de calidad y sus atributos. Generar una norma de calidad para el manejo del paciente con artritis psoriásica (APs). This set of standards of care should help improve quality of care in PsA patients. Regarding the level of compliance, for some of the standards of care this is yes/no for others, compliance ranges from 50% to 100% and, in this range, in many cases, compliance was 80%.
Other sources will be the records of the service and hospital and bibliographic databases. To assess compliance with these standards of care, in many cases, the medical records will be reviewed.
ResultsĪ total of 59 standards of care was generated, 18 of mandatory compliance, grouped into 4 blocks according to specific objectives: (1) early diagnosis ( n = 6) (2) optimising the management of the disease ( n = 26) (3) multidisciplinary collaboration ( n = 9) (4) monitoring improvement ( n = 18). A descriptive analysis of the results was carried out.
#RF ONLINE SKIN PALMAS SET SERIES#
We employed qualitative methodology that included: (1) Two focus groups (one with patients with PsA and another with non-rheumatologist specialists involved in the care of PsA patients) (2) A narrative literature review of published documents related to the quality of care in PsA (3) A nominal group meeting in which 15 expert rheumatologists generated and reached a consensus on a series of quality criteria, as well as formulas or quantifiable objective measures to evaluate them (4) The Delphi method to establish the feasibility, priority and agreement with the quality criteria (5) A final generation of standards of care and their attributes. To generate a quality standard for the management of patients with psoriatic arthritis (PsA).
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