Specific model for the coordination of primary and hospital care for patients with diabetes mellitus. Evaluation of two-year results (2015–2017)

Mateo-Gavira, Isabel; Carrasco-García, Salvador; Larran, Laura; Fierro, M. J. Ceñal González; Zarallo, Antonio; Sánchez, Eduardo Mayoral; Aguilar‐Diosdado, Manuel; Iemac-Cad, Cádiz en nombre del Grupo de Trabajo; IEMAC-Cádiz, Grupo de Trabajo

doi:10.1016/j.endien.2021.05.002

Cited by 3 publications

(9 citation statements)

References 15 publications

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“…Accessibility, timeliness, and affordability , defined as reducing unwanted waits and harmful delays for both those who receive and those who give care, reducing access barriers and financial risk for patients, families and communities and promoting affordable care for the system, are presented in full or as one/two of the component-aims in 20 of the scientific papers we have reviewed [21,29,31,38–39,42–43,45–47,49–50,52,56–59,60–61,64], and implied in two more [27,40]. The full aim is presented in two grey literature [15,70] and as one/two of the component-aims in four more [14,79,83,87].…”

Section: Resultsmentioning

confidence: 99%

“…A respondent indicated that: "Inequity has always been a major challenge, not only due to socioeconomic classes, but also due to clientelism practiced by politicians, including health ministers, whereby 'connected' persons had better access to healthcare." Accessibility, timeliness, and affordability, defined as reducing unwanted waits and harmful delays for both those who receive and those who give care, reducing access barriers and financial risk for patients, families and communities and promoting affordable care for the system, are presented in full or as one/two of the component-aims in 20 of the scientific papers we have reviewed [21,29,31,[38][39][42][43][45][46][47][49][50]52,[56][57][58][59][60][61]64], and implied in two more [27,40]. The full aim is presented in two grey literature [15,70] and as one/two of the component-aims in four more [14,79,83,87].…”

Section: Specifying Aims For Good Quality Chronic Carementioning

confidence: 99%

“…Person-centredness is defined by WHO [70] as the approach to care that consciously adopts the perspectives of individuals, carers, families and communities as participants in, and beneficiaries of, trusted health systems organized around the comprehensive needs of Version 3.0 people rather than individual diseases, and respects social preferences. This is a central dimension in 36 of the scientific papers [18,20,29,[31][32][33][34][35][36][37][38][39][41][42][43][44][48][49][50][51][52][53]58,[62][63][64][65] and ranges from outright mentions of patient-/person-centredness to implicit indications that relate to collaborating with and engaging PwCC in their care and self-management. It is also included in 19 more grey literature [3][4]12,[14][15]68,71,[73][74][75][76][77][80][81][82][83][84]…”

Section: Specifying Aims For Good Quality Chronic Carementioning

confidence: 99%

“…It is also explicitly included as a quality dimension in five [23,29,37,40,49] of the scientific literature we retained and implied in 17 more [19][20][21]28,31,33,37,39,[41][42][51][52]56,57,59,61,63].…”

Section: Specifying Aims For Good Quality Chronic Carementioning

confidence: 99%

“…[iii] Management continuity, where patient-related information regarding their case management is communicated to relevant HCP and shared with the PwCC themselves and/or their informal caregivers. This way, care is delivered across different health sectors and by multiple HCP as well as by the PwCC themselves and/or their informal caregivers in a coherent, logical and timely fashion [19,21,28,31,33,37,39,[41][42]49,56,61,63].…”

Section: Specifying Aims For Good Quality Chronic Carementioning

confidence: 99%

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Quality of care for chronic conditions: Identifying specificities of quality aims based on scoping review and Delphi survey

Ku,

van de Put,

Katsuva

et al. 2024

Preprint

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Background There is a need to implement good quality chronic care to address the ballooning burden of chronic conditions affecting all countries globally. However, to our knowledge, no systematic attempts have yet been made to define and specify aims for chronic care quality. Objective We conducted a scoping review and Delphi survey to establish and validate a comprehensive specification of chronic care quality aims. Methodology The Institute of Medicine (IOM) quality of care definition and aims was utilised as our base. We purposively selected scientific and grey literature that have acknowledged and unpacked the plurality of quality in chronic care and which proposed/made use of frameworks and studied their implementation or investigated minimum two IOM care quality aims and their implementation. We critically analysed the literature deductively and inductively. We validated our findings through Delphi survey involving international chronic care experts, mostly coming from/have expertise on low-and-middle-income countries. Results We considered the natural history of chronic conditions and the journey of a person with chronic condition to define and identify aims of chronic care quality. We noted that the six IOM aims apply but with additional meanings. We identified a seventh aim, continuity, which relates well to the issue of chronicity. Our panellists agreed with the specifications. Several provided contextualised interpretations and concrete examples. Conclusions Chronic conditions pose specific challenges underscoring the relevance of tailoring quality of care aims. Operationalization of this tailored definition and specified aims to improve, measure and assure quality of chronic care can be next steps.

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Section: Resultsmentioning

confidence: 99%

Section: Specifying Aims For Good Quality Chronic Carementioning

confidence: 99%

Section: Specifying Aims For Good Quality Chronic Carementioning

confidence: 99%

Section: Specifying Aims For Good Quality Chronic Carementioning

confidence: 99%

Section: Specifying Aims For Good Quality Chronic Carementioning

confidence: 99%

See 3 more Smart Citations

Quality of care for chronic conditions: Identifying specificities of quality aims based on scoping review and Delphi survey

Ku,

van de Put,

Katsuva

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

Quality of care for chronic conditions: identifying specificities of quality aims based on scoping review and Delphi survey

Ku,

van de Put,

Katsuva

et al. 2024

Global Health Action

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There is a growing need to implement high quality chronic care to address the global burden of chronic conditions. However, to our knowledge, there have been no systematic attempts to define and specify aims for chronic care quality. To address this gap, we conducted a scoping review and Delphi survey to establish and validate comprehensive specifications. The Institute of Medicine’s (IOM) quality of care definition and aims were used as the foundation. We purposively selected articles from the scientific (n=48) and grey literature (n=26). We sought papers that acknowledged and unpacked the plurality of quality in chronic care and proposed or utilised frameworks, studied their implementation, or investigated at least two IOM quality care aims and implementation. Articles were analysed both deductively and inductively. The findings were validated through a Delphi survey involving 49 international chronic care experts with varied knowledge of, and experience in, low-and-middle-income countries. Considering the natural history of chronic conditions and the journey of a person with a chronic condition, we defined and identified the aims of chronic care quality. The six IOM aims apply with specific meanings. We identified a seventh aim, continuity, which relates to the issue of chronicity. The group endorsed our specifications and several participants gave contextualised interpretations and concrete examples. Chronic conditions pose specific challenges underscoring the relevance of tailoring quality of care aims. The next steps require a tailored definition and specific aims to improve, measure and assure the quality of chronic care.

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A framework for chronic care quality: results of a scoping review and Delphi survey

Ku,

Van De Put,

Katsuva

et al. 2024

Preprint

View full text Add to dashboard Cite

Frameworks conceptualising quality of care abound and vary; some concentrate on specific aspects (e.g., safety, access, effectiveness), others all-encompassing. However, to our knowledge, tailoring to systematically arrive at a comprehensive care for chronic conditions quality (CCCQ) framework has never been done. We conducted scoping review and Delphi survey to produce a CCCQ framework, comprehensively delineating aims, determinants and measurable attributes.With the assumption that specific groups (people with chronic conditions, care providers, financiers, policy-makers, etc) view quality of care differently, we analysed 48 scientific and 26 grey literature deductively and inductively using the Institute of Medicine’s quality of care framework as the foundation. We produced a zero-version of the quality of chronic care framework, detailing aims, healthcare system determinants, and measurement mechanisms. This was presented in a Delphi survey to 49 experts with diverse chronic care expertise/experience around the world. Consensus was obtained after the first round, with the panel providing suggestions and justifications to expand the agreed-upon components. Through this exercise, a comprehensive CCCQ framework encompassing the journey through healthcare of people with chronic conditions was developed. The framework specifies seven CCCQ ‘aims’ and identifies health system determinants which can be acted upon with ‘organising principles’ and measured through chronic care quality ‘attributes’ related to structures, processes and outcomes. Tailoring quality of care based on the nature of the diseases/conditions and considering different views can be done to ensure a comprehensive offer of healthcare services, and towards better outcomes that are acceptable to both the health system and PwCCs.

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Specific model for the coordination of primary and hospital care for patients with diabetes mellitus. Evaluation of two-year results (2015–2017)

Cited by 3 publications

References 15 publications

Quality of care for chronic conditions: Identifying specificities of quality aims based on scoping review and Delphi survey

Quality of care for chronic conditions: Identifying specificities of quality aims based on scoping review and Delphi survey

Quality of care for chronic conditions: identifying specificities of quality aims based on scoping review and Delphi survey

A framework for chronic care quality: results of a scoping review and Delphi survey

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