Headache service quality: evaluation of quality indicators in 14 specialist-care centres

Schramm, Sara; Uludüz, Derya; Gil‐Gouveia, Raquel; Jensen, Rigmor Højland; Síva, Aksel; Uygunoğlu, Uğur; Giorgadze, Gvantsa; Mania, Maka; Braschinsky, Mark; Филатова, Е. Г.; Latysheva, N. V.; Осипова, В. В.; Skorobogatykh, Kirill; Azimova, Julia; Straube, Andreas; Eren, Ozan; Martelletti, Paolo; Angelis, Valerio De; Negro, Andrea; Linde, Mattias; Hagen, Knut; Radojičić, Aleksandra; Zidverc-Trajković, Jasna; Podgorac, Ana; Paemeleire, Koen; Pue, Annelien De; Lampl, Christian; Steiner, Timothy J.; Katsarava, Zaza

doi:10.1186/s10194-016-0707-9

Cited by 26 publications

(30 citation statements)

References 17 publications

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“…Despite the differences in language and institutions (a university teaching hospital versus a private hospital), the findings were comparable in the two countries, suggesting operational validity in the evaluation of headache care. A subsequent pan-European study confirmed this in 14 specialist headache centres [7]. Further evaluations are nonetheless needed, and here we conduct a multicentre national study, extending implementation to the quality assessment of six Italian specialist headache centres (level three according to the EHF/LTB standard [8]) and examining acceptability and ease of use of the assessment instrument in another language and country.…”

Section: Introductionmentioning

confidence: 91%

Quality indicators in headache care: an implementation study in six Italian specialist-care centres

et al. 2017

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BackgroundHeadache disorders are highly prevalent, and have a substantial and negative impact on health worldwide. They are largely treatable, but differences in structure, objectives, organization and delivery affect the quality of headache care. In order to recognize and remedy deficiencies in care, the Global Campaign against Headache, in collaboration with the European Headache Federation, recently developed a set of quality indicators for headache services. These require further assessment to demonstrate fitness for purpose. This is their first implementation to evaluate quality in headache care as a multicentre national study.MethodsBetween September and December 2016, we applied the quality indicators in six Italian specialist headache centres (Bologna, Firenze, Modena, Padova, Roma Campus Bio-Medico and Roma Sapienza). We used five previously developed assessment instruments, translated into Italian according to Lifting The Burden’s translation protocol for hybrid documents. We took data from 360 consecutive patients (60 per centre) by questionnaire and from their medical records, and by different questionnaires from their health-care providers (HCPs), including physicians, nurses, psychologists and nursing assistants.ResultsThe findings, comparable between centres, confirmed the feasibility and practicability of using the quality indicators in Italian specialist headache centres. The questionnaires were easily understood by HCPs and patients, and were not unduly time-consuming. Diagnoses were almost all (> 97%) according to ICHD criteria, and routinely (100%) reviewed during follow-up. Diagnostic diaries were regularly used by 96% of physicians. Referral pathways from primary to specialist care existed in five of the six clinics, as did urgent referral pathways. Instruments to assess disability and quality of life were not used regularly, a deficiency that needs to be addressed.ConclusionThis Italy-wide survey confirmed in six specialist centres that the headache service quality indicators are fit for purpose. By establishing majority practice, identifying commonalities and detecting deficits as a guide to quality improvement, the quality indicators may be used to set benchmarks for quality assessment. The next step is extend use and evaluation of the indicators into non-specialist care.

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Section: Introductionmentioning

confidence: 91%

Quality indicators in headache care: an implementation study in six Italian specialist-care centres

et al. 2017

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“…In addition, methods were developed for measuring headache service quality (service quality evaluation), and the Europe-wide study was the first to evaluate indicators for headache care to guide quality improvement [7]. This approach was also used for evaluating headache service quality indicators in six Italian specialist headache centres [8].…”

Section: Introductionmentioning

confidence: 99%

Management of Migraine and the Accessibility of Specialist Care: Findings from an Extended Multinational Survey (My Migraine Center Survey)

Wongsiriroj¹,

Grillo²,

Levi³

et al. 2020

Neurol Ther

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Introduction: The parent study was a survey in 28 headache centers (6 countries) which identified five potential root causes for long waiting lists that limit patient access to specialist care. Here we performed an extension of the parent study to increase the panel of centers contacted, the representativeness of the analysis, and the statistical validity of the results, and to explore the role of dedicated headache clinics, triage, and specialized nurses. Methods: We conducted a 19-question survey using a sample of 239 headache centers (16 countries). The five-area framework identified Digital Features To view digital features for this article go to

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“… 2 Untreated or poorly managed headaches result in reduction of work productivity and economic consequences. 4 An assessment of the trigger factors of headache will be beneficial and important in the management of headache. 5 Moreover, the headaches which are presented to the secondary or tertiary care clinics are burdensome to the patients.…”

Section: Introductionmentioning

confidence: 99%

Dietary trigger factors of migraine and tension-type headache in a South East Asian country

Tai¹,

Yap²,

Goh³

2018

JPR

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BackgroundThe literature on the dietary trigger factors of headache among the South East Asians is limited.ObjectiveThe objective of the study was to examine the dietary trigger factors of migraine and tension-type headache (TTH) in Malaysian patients, consisting of Malays, Chinese and Indians.MethodsIn this prospective cross-sectional study, patients presenting with migraine and TTH to a neurology clinic between April 2010 and June 2017 were recruited. The patients were given a comprehensive dietary list consisting of 25 specified types of food and drink items as well as other unspecified types of food and drink items which were possible dietary triggers. The data on these dietary triggers and missing meals were collected.ResultsA total of 684 patients with headache (319 migraine and 365 TTH patients) were recruited. One hundred and fifty-eight (23.1%) patients had missing meals as trigger. Two hundred and fifty-five (37.3%) patients had dietary triggers; 141 (44.2%) patients with migraine and 114 (31.2%) patients with TTH had dietary triggers. Eighty-four (52.8%) Malay, 28 (41.8%) Chinese, 25 (32.5%) Indian migraine patients and five (38.5%) migraine patients from other ethnic groups, had dietary triggers. Some 58 (40.0%) Malay, 27 (25.2%) Chinese, 22 (23.9%) Indian patients and 7 (29.2%) patients from other ethnic groups with TTH had dietary triggers. The most common dietary trigger factors were coffee (19.9%), chocolate (7.5%) and food rich in monosodium glutamate (5.6%). Logistic regression showed that chocolate (OR 2.16, 95% CI 1.06–4.41, p = 0.035) and coffee (OR 1.73, 95% CI 1.12–2.68, p = 0.014) were significantly associated with migraine compared to TTH.ConclusionChocolate and coffee significantly triggered migraine compared to TTH. Inter-ethnic differences were observed for dietary trigger factors.

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Headache service quality: evaluation of quality indicators in 14 specialist-care centres

Cited by 26 publications

References 17 publications

Quality indicators in headache care: an implementation study in six Italian specialist-care centres

Quality indicators in headache care: an implementation study in six Italian specialist-care centres

Management of Migraine and the Accessibility of Specialist Care: Findings from an Extended Multinational Survey (My Migraine Center Survey)

Dietary trigger factors of migraine and tension-type headache in a South East Asian country

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