Muñoz-Fernández S, Carmona L, Collantes E, Mulero J, García-Yébenes MJ, de Miguel E, Almodovar R, Fernández-Carballido C, Llorente JFG, Gobbo M. A model for the development and implementation of a national plan for the optimal management of early spondyloarthritis: the Esperanza Program.
Ann Rheum Dis 2011;
70:827-30. [PMID:
21242234 DOI:
10.1136/ard.2010.141200]
[Citation(s) in RCA: 32] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES
To evaluate the performance of a healthcare programme in early spondyloarthritis (SpA).
METHODS
Based on previous analyses and expectations of a nominal group, the following were set: (1) minimum standards to create early SpA units; (2) standard operating procedures; and (3) eight performance indicators that can be measured in real time using a web-based platform.
RESULTS
At the end of the evaluation of the programme the expected level of performance was achieved in three of the indicators: 'referral reliability' (standard (S) >50%, real value (RV) 92%), 'accessibility' (S >90%, RV=91%) and 'duration of first visit' (S >50%, RV=53%). The performance in the remaining indicators was inferior: 'success of referral criteria' (S >50%, RV=28%), 'clinical reports issued' (S >90%, RV=25%), 'feedback guarantee' (S >85%, RV=2%), 'missing data' (S <10%, RV=24%) and 'frequency of review' (S >90%, RV=84%). Explanations for the low performance are provided.
CONCLUSIONS
It is possible to implement a large-scale programme that is measurable.
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