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Multicriteria Decision Analysis for Updating of Quality Indicators for Inflammatory Bowel Disease Comprehensive Care Units in Spain

2022; Oxford University Press; Volume: 16; Issue: 11 Linguagem: Inglês

10.1093/ecco-jcc/jjac068

1876-4479

Xavier Calvet, Julián Panés, Javier Gallardo-Escudero, Alberto de la Cuadra-Grande, Elena Bartolomé, Laura Marín, Fernando de la Portilla, Ester Navarro-Correal, Ana Gutiérrez, Pilar Nos, Ruth Serrano, Miguel Á. Casado, Manuel Barreiro‐de Acosta, Pilar Varela, José L ́zaro Pérez-Calle, Montserrat Rivero, Cristina Rodríguez, Javier Vaquero, María Esteve, Eugeni Domènech, Javier P. Gisbert, María Chaparro, María Dolores Martín, Olga Merino-Ochoa, S. Maceda García, Jesús Barrio, Merce Navarro, Alejandro Amo, Montse Rebollal, Pilar Soriano, José Díaz Diego, Fernando Zulliani, Diana C. Muñoz-Lasso, Noelia Cano, Salvadora Benito, Elena S ́nchez, Jesús Noci, Ana Castañón López, Alberto Parajó, Antonio Arroyo, Inmaculada Mediavilla, Manuel Satiña,

Health Systems, Economic Evaluations, Quality of Life

Abstract Background and Aims Management of inflammatory bowel disease [IBD] is complex and IBD Comprehensive Care Units [ICCUs] facilitate the delivery of quality care to IBD patients. The objective of this study was to update the existing set of quality indicators [QIs] for ICCUs, based on a nationwide quality certification programme carried out in Spain, from a multi-stakeholder perspective and using multicriteria decision analysis [MCDA] methodology. Methods An MCDA comprising three different phases was conducted. In phase 1, a systematic literature review was performed, and after validation by a scientific committee comprising 11 experts, a preliminary set of QIs was developed. In phase 2, a larger group of 49 experts determined the relevance and relative importance of each QI by prioritising and weighing the preliminary set. Finally in phase 3, the scientific committee reviewed the results and made a final selection via a deliberative process. Results The final set comprised 67 QIs, classified as Structure [23 QIs], Process [35 QIs] and Outcome [9 QIs], which were ranked according to their relative importance. Multidisciplinary management was the most important requirement in ICCUs, followed by continuity of care, standardisation of clinical care and, especially, the incorporation of patients’ reported outcomes. Conclusions This updated set of QIs comprises a weighted and prioritised set of items that represent the essential minimum of criteria for ensuring appropriate quality of care in the management of IBD patients.