Estándares de calidad en Atención Primaria para pacientes con espondiloartritis axialuna revisión de la literatura

  1. Emilio Ignacio García 1
  2. Jimmy Martin-Delgado 2
  3. Julio Navaz Tejero 3
  4. Pedro Zarco-Montejo 4
  5. Xavier Juanola Roura 5
  6. José Joaquín Mira Solves 6
  1. 1 Universidad de Cádiz. Cádiz
  2. 2 Grupo de Investigación Atenea. Fundación para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO). Sant Joan d’Alacant
  3. 3 Centro de Atención Primaria Gracia-Merinales. Sabadell
  4. 4 Hospital Universitario Fundación Alcorcón. Madrid
  5. 5 Hospital Bellvitge. Barcelona
  6. 6 Departamento de Salud Alicante-Sant Joan. Alicante (España). Universidad Miguel Hernández. Elche
Mostrar afiliaciones +
Revista:
Revista Clínica de Medicina de Familia

ISSN: 2386-8201

Año de publicación: 2022

Volumen: 15

Número: 3

Páginas: 143-146

Tipo: Artículo

DOI: 10.55783/RCMF.150304 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Revista Clínica de Medicina de Familia

Objetivos de desarrollo sostenible

Resumen

Introduction: axial spondyloarthritis is a chronic inflammatory disease of the axial skeleton. Its insidious onset and low prevalence make early diagnosis difficult. Therefore, the involvement of primary care and family physicians is becoming more relevant for adequate coordination for control of the disease and the timely detection of comorbidities. The aim of this study was to identify quality standards for the care of Sp-Ax patients with a special emphasis on primary care. Methods: a literature review was performed in the following databases: MEDLINE, EMBASE, and Cochrane Library to identify publications and grey literature that validate or report quality standards for the care of Sp-Ax patients with a special emphasis on primary care. No language, date or document type restrictions were made to obtain a broader search. Result: a total of 161 documents were identified of which three met the inclusion criteria. The standards were grouped according to the Donabedian model, seven structure standards, three process standards, and 10 outcome standards. Conclusions: improving clinical practice depends on identifying opportunities for improvement. Quality standards pursue this objective to reduce clinical variability, improve outcomes and increase people's satisfaction with the care provided.

€ Ver financiación

Información de financiación

Financiadores

Referencias bibliográficas

  • Abad MÁ, Ariza RA, Aznar JJ, Batlle E, Beltrán E, De Dios Cañete J, et al. Standards of care for patients with spondyloarthritis. Rheumatol Int. 2014;34(2):165-70.
  • Adan Civera A, Andreu Sánchez JL, Armario Hita JC, Casado Durandez P, Casellas Jorda F, Diaz Diaz RM, et al. Guía práctica para la implantación de un modelo asistencial para la atención integral de personas con enfermedades IMID. 2018.
  • Barber CEH, Marshall DA, Mosher DP, Akhavan P, Tucker L, Houghton K, et al. Development of System-level Performance Measures for Evaluation of Models of Care for Inflammatory Arthritis in Canada. J Rheumatol. 2016;43(3):530-40.
  • Donabedian A. Evaluating the Quality of Medical Care. Milbank Q. 2005;83(4):691-729.
  • García EI, Martin-Delgado J, Queiro R, Pérez Venegas JJ, Gratacos J, Sanz J, et al. Propuesta de norma de certificación de calidad «SpACE» para unidades de tratamiento de pacientes con espondiloartritis axial. Reumatol Clínica. 2022;18(5):299-303.
  • Institute of Medicine. Crossing the Quality Chasm. Washington, D.C.: National Academies Press; 2001.
  • Kiltz U, Landewé RBM, Van Der Heijde D, Rudwaleit M, Weisman MH, Akkoc N, et al. Development of ASAS quality standards to improve the quality of health and care services for patients with axial spondyloarthritis. Ann Rheum Dis. 2019;193-201.
  • López-Medina C, Moltó A. Update on the epidemiology, risk factors, and disease outcomes of axial spondyloarthritis. Best Pract Res Clin Rheumatol. 2018;32(2):241-53.
  • Mira JJ, Nuño-Solinís R, Guilabert-Mora M, Solas-Gaspar O, Fernández-Cano P, González-Mestre MA, et al. Development and Validation of an Instrument for Assessing Patient Experience of Chronic Illness Care. Int J Integr Care. 2016;16(3):13.
  • Mitchell JI, Graham ID, Nicklin W. The unrecognized power of health services accreditation: more than external evaluation. Int J Qual Heal Care. 2020;32(7):445-55.
  • Muñoz Fernández S, Lázaro y De Mercado P, Alegre López J, Almodóvar González R, Alonso Ruiz A, Ballina García FJ, et al. Estándares de calidad asistencial para las consultas de enfermería en reumatología. Reumatol Clínica. 2013;9(4):206-15.
  • Muñoz-Fernández S, De Miguel E, Cobo-Ibáñez T, Carmona L, Steiner M, Descalzo MA, et al. Early spondyloarthritis: results from the pilot registry ESPIDEP. Clin Exp Rheumatol. 2010;28(4):498-503.
  • National Institute for Health and Care Excellence. Spondyloarthritis (QS170). 2018.
  • Otón T, Sastre C, Carmona L. The journey of the non-radiographic axial spondyloarthritis patient: the perspective of professionals and patients. Clin Rheumatol. 2021;40(2):591-600.
  • Petersson IF, Strömbeck B, Andersen L, Cimmino M, Greiff R, Loza E, et al. Development of healthcare quality indicators for rheumatoid arthritis in Europe: the eumusc.net project. Ann Rheum Dis. 2014;73(5):906-8.
  • Sanz Sanz J, Beltrán E, Díaz-Miguel Pérez MC, Fernández-Carballido C, Galíndez E, García Porrua C, et al. Norma de calidad para el manejo del paciente con artritis psoriásica: proyecto QUANTUM. Reumatol Clínica. 2020;16(3):203-15.
  • Sieper J, Poddubnyy D. Axial spondyloarthritis. Lancet. 2017;390(10089):73-84.
  • Sociedad Española de Reumatología. ESPOGUÍA: Guía de práctica clínica para el tratamiento de la espondiloartritis axial y la artritis psoriásica. Madrid: Sociedad Española de Reumatología; 2018.
  • Solomon DH, Gabriel SE. Quality Measures 101: what every rheumatologist should know. Clin Exp Rheumatol. 2007;25(6 Suppl 47):18-21.
  • Van Rossen L, Withrington RH. Improving the Standard of Care for People with Ankylosing Spondylitis and a New Approach to Developing Specialist ESP-Led AS Clinics. Musculoskeletal Care. 2012;10(3):171-7.
  • Velez NF, Wei-Passanese EX, Husni ME, Mody EA, Qureshi AA. Management of psoriasis and psoriatic arthritis in a combined dermatology and rheumatology clinic. Arch Dermatol Res. 2012;304(1):7-13.
  • Wilson BA, Cooper M, Barber CEH. Standards of care for inflammatory arthritis: A literature review. Semin Arthritis Rheum. 2017;47(1):22-8.
Fuente de los datos: Dialnet