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Quality indicators in the rational management of severe asthma: A Spanish multidisciplinary consensus.
Crespo-Lessmann, A; Marqués-Espi, J A; Dominguez-Ortega, J; Perez de Llano, L; Blanco-Aparicio, M; Santiñá, M; Palop-Cervera, M; Álvarez, F J; Fraj, J.
Afiliación
  • Crespo-Lessmann A; Servicio de Neumología y Alergia, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. Electronic address: acrespo@santpau.cat.
  • Marqués-Espi JA; Member of the SEDISA Executive Committee, Managing Director, Hospital Universitario Reina Sofía and Murcia Health Area VII, Spain.
  • Dominguez-Ortega J; Servicio de Alergología, Instituto de Investigación IDIPAZ, Hospital Universitario La Paz, CIBER de Enfermedades Respiratorias CIBERES, Madrid, Spain.
  • Perez de Llano L; Servicio de Neumología, Hospital Universitario Lucus Augusti, EOXI Lugo, Monforte, Cervo, Spain.
  • Blanco-Aparicio M; Unidad de Asma, Servicio de Neumología, Hospital Universitario A Coruña, Spain.
  • Santiñá M; Sociedad Española de Calidad Asistencial (SECA), Spain.
  • Palop-Cervera M; Servicio de Neumología, Hospital de Sagunto, Valencia, Spain.
  • Álvarez FJ; Unidad de Asma, Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Hospital Universitario Virgen del Rocio, Seville, Spain.
  • Fraj J; Servicio de Alergología, Consulta Monográfica de Asma Grave, Instituto Aragonés de Ciencias de la Salud (IACS), Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
J Healthc Qual Res ; 38(5): 277-283, 2023.
Article en En | MEDLINE | ID: mdl-37003928
AIM: Severe asthma is a complex, heterogeneous condition that can be difficult to control despite currently available treatments. Multidisciplinary severe asthma units (SAU) improve control in these patients and are cost-effective in our setting; however, their implementation and development can represent an organizational challenge. The aim of this study was to validate a set of quality care indicators in severe asthma for SAU in Spain. METHODS: The Carabela initiative, sponsored by SEPAR, SEAIC, SECA and SEDISA and implemented by leading specialists, analyzed the care processes followed in 6 pilot centers in Spain to describe the ideal care pathway for severe asthma. This analysis, together with clinical guidelines and SEPAR and SEAIC accreditation criteria for asthma units, were used to draw up a set of 11 quality of care indicators, which were validated by a panel of 60 experts (pulmonologists, allergologists, and health-policy decision-makers) using a modified Delphi method. RESULTS: All 11 indicators achieved a high level of consensus after just one Delphi round. CONCLUSIONS: Experts in severe asthma agree on a series of minimum requirements for the future optimization, standardization, and excellence of current SAUs in Spain. This proposal is well grounded on evidence and professional experience, but the validity of these consensus indicators must be evaluated in clinical practice.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asma / Indicadores de Calidad de la Atención de Salud Tipo de estudio: Guideline / Prognostic_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: J Healthc Qual Res Año: 2023 Tipo del documento: Article Pais de publicación: España
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asma / Indicadores de Calidad de la Atención de Salud Tipo de estudio: Guideline / Prognostic_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: J Healthc Qual Res Año: 2023 Tipo del documento: Article Pais de publicación: España