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首页> 外文期刊>International Journal for Quality in Health Care >Selecting indicators for the quality of cardiac care at the health system level in Organization for Economic Co-operation and Development countries
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Selecting indicators for the quality of cardiac care at the health system level in Organization for Economic Co-operation and Development countries

机译：在经济合作与发展组织国家中选择卫生系统一级心脏保健质量的指标

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Background. Cardiovascular (CV) diseases are major causes of morbidity and death in adults in the world. Major differences have been reported in the management strategies and the outcome of CV diseases within and between countries. To better understand and address these differences, there is a need for quantitative information on patient management, outcome, and prognosis. Objective. This article describes the development of a set of quality indicators for cardiac care and summarizes work under-taken by the Cardiac Care Panel of the GECD Health Care Quality Indicators Project. Methods. A list of 61 potential indicators was identified through a literature search, review of national measurement systems, and nomination from countries participating in the project. The cardiac Care Panel then used a modified Delphi process developed originally by RAND to select indicators. Panel members individually rated each indicator on a scale of 1-9 for scientific soundness and importance. All indicators receiving scores of 7 or more for both importance and soundness were included in the final set. Results. Seventeen cardiac indicators were selected for the final set of indicators from the following areas: acute coronary syndromes, cardiac interventions, secondary prevention, and congestive heart failure. Conclusions. The final set of 17 indicators selected by the Cardiac Care Panel constitutes a comprehensive set of measures for the most relevant domains of CV care. Nevertheless, gaps remain in the area of primary prevention and in particular in areas with rapidly changing technology and improving treatment options.
机译：背景。心血管（CV）疾病是世界成人发病和死亡的主要原因。据报道，国家内部和国家之间在管理策略和心血管疾病结果方面存在重大差异。为了更好地理解和解决这些差异，需要有关患者管理，结果和预后的定量信息。目的。本文介绍了一套用于心脏护理的质量指标，并总结了GECD卫生质量指标项目的心脏护理小组正在开展的工作。方法。通过文献检索，国家计量系统审查以及参与项目国家的提名，确定了61种潜在指标的清单。然后，心脏护理小组使用了由RAND最初开发的改良的Delphi工艺来选择指标。小组成员对每个指标的评分分别为1到9，以求科学合理和重要。所有在重要性和稳健性方面得分均达到7分或更高的指标都被包括在最后一组中。结果。从以下领域选择了17种心脏指标作为最终指标集：急性冠脉综合征，心脏干预，二级预防和充血性心力衰竭。结论心脏护理小组选择的最后17项指标构成了针对心血管护理最相关领域的一套全面的措施。然而，在初级预防领域，特别是在技术日新月异和治疗方法不断改进的领域，仍然存在差距。

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