Quality of integrated care for patients with head and neck cancer: Development and measurement of clinical indicators.
until further notice
SourceHead and Neck-Journal for the Sciences and Specialties of the Head and Neck, 29, 4, (2007), pp. 378-386
Article / Letter to editor
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Centre for Quality of Care Research
Head and Neck-Journal for the Sciences and Specialties of the Head and Neck
SubjectDCN 1: Perception and Action; EBP 4: Quality of Care; N4i 3: Poverty-related infectious diseases; NCEBP 12: Human Reproduction; NCEBP 4: Quality of hospital and integrated care; ONCOL 1: Hereditary cancer and cancer-related syndromes; ONCOL 3: Translational research; ONCOL 4: Quality of Care; UMCN 1.3: Tumor microenvironment
BACKGROUND: To improve the quality of integrated care, we developed indicators for assessing current practice in a large reference center for head and neck oncology. METHODS: We defined a set of indicators based on integrated care literature, national evidence-based guidelines for patients with head and neck cancer, and the opinions of professionals and patients. We tested this set regarding assessment of current practice and clinimetric characteristics. RESULTS: The final set consisted of 8 integrated care indicators and 23 specific indicators for patients with head and neck cancer. Current practice assessment produced high scores for the integrated care indicators, but the specific indicators showed room for improvement. The practice test showed that 9 indicators had good applicability. CONCLUSIONS: The indicators, while based on evidence-based guidelines and the principles of integrated care, should incorporate patients' opinions and include a practice test. Our results show that the quality of integrated care for patients with head and neck cancer could be improved.
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