論文

査読有り
2017年4月

Development of quality indicators for care of chronic kidney disease in the primary care setting using electronic health data: a RAND-modified Delphi method

Clinical and Experimental Nephrology
  • Shingo Fukuma
  • Sayaka Shimizu
  • Kakuya Niihata
  • Ken ei Sada
  • Motoko Yanagita
  • Tsuguru Hatta
  • Masaomi Nangaku
  • Ritsuko Katafuchi
  • Yoshiro Fujita
  • Junji Koizumi
  • Shunzo Koizumi
  • Kenjiro Kimura
  • Shunichi Fukuhara
  • Yugo Shibagaki
  • 全て表示

21
2
開始ページ
247
終了ページ
256
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s10157-016-1274-8
出版者・発行元
SPRINGER

The prevalence of chronic kidney disease (CKD) has recently increased, and maintaining high quality of CKD care is a major factor in preventing end-stage renal disease. Here, we developed novel quality indicators for CKD care based on existing electronic health data.We used a modified RAND appropriateness method to develop quality indicators for the care of non-dialysis CKD patients, by combining expert opinion and scientific evidence. A multidisciplinary expert panel comprising six nephrologists, two primary care physicians, one diabetes specialist, and one rheumatologist assessed the appropriateness of potential indicators extracted from evidence-based clinical guidelines, in accordance with predetermined criteria. We developed novel quality indicators through a four-step process: selection of potential indicators, first questionnaire round, face-to-face meeting, and second questionnaire round.Ten expert panel members evaluated 19 potential indicators in the first questionnaire round, of which 7 were modified, 12 deleted, and 4 newly added during subsequent face-to-face meetings, giving a final total of 11 indicators. Median rate of these 11 indicators in the final set was at least 7, and percentages of agreement exceeded 80 % for all but one indicator. All indicators in the final set can be measured using only existing electronic health data, without medical record review, and 9 of 11 are process indicators.We developed 11 quality indicators to assess quality of care for non-dialysis CKD patients. Strengths of the developed indicators are their applicability in a primary care setting, availability in daily practice, and emphasis on modifiable processes.

リンク情報
DOI
https://doi.org/10.1007/s10157-016-1274-8
J-GLOBAL
https://jglobal.jst.go.jp/detail?JGLOBAL_ID=201702207010443120
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/27145768
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000399298600008&DestApp=WOS_CPL
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84965071632&origin=inward
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=84965071632&origin=inward
ID情報
  • DOI : 10.1007/s10157-016-1274-8
  • ISSN : 1342-1751
  • eISSN : 1437-7799
  • J-Global ID : 201702207010443120
  • PubMed ID : 27145768
  • SCOPUS ID : 84965071632
  • Web of Science ID : WOS:000399298600008

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