Objective: The study was a collaboration between Lifting The Burden (LTB) and the European Headache Federation (EHF). Its aim was to evaluate the implemetation of quality indicators for headache care Europe-wide in specialist headache centres (level-3 according to the EHF/LTB standard). Methods: Employing previously-developed instruments, we made enquiries in each of 14 specialist headache cen- tres of health-care providers (doctors, nurses, psycholo- gists, physiotherapists) and 50 patients, and analysed the medical records of 50 patients. Enquiries were in 9 domains: diagnostic accuracy, individualized management, referral pathways, patient’s education and reassurance, convenience and comfort, patient’s satisfaction, equity and efficiency of the headache care, outcome assessment, and safety. Results: Our study showed that highly experienced head- ache centres treated their patients in general very well. Health-care staff were content with their work and their patients were content with their treatment. Including qual- ity-of-life evaluation and protocols regarding safety proved problematic: better standards for these are needed. Some centres had difficulties with follow-up: many specialised centres operated in one-touch systems, with no possibility of controlling long-term management or the success of treatments dependent on this. Conclusion: This first Europe-wide quality study showed that the quality indicators were workable in specialist care. They demonstrated common trends, producing evidence of what is majority practice. They also uncovered deficits that might be remedied in order to improve quality. They offer the means of setting benchmarks against which ser- vice quality may be judged. The next steps are to take the evaluation process into non-specialist care (EHF/LTB levels 1 and 2).

How to measure headache service quality. evaluation of quality indicators in 14 european specialist-care centres / Schramm, S; Uluduz, D; Gil Gouveia, R; Jensen, R; Siva, A; Uygunoglu, U; Gvantsa, G; Maka, M; Braschinsky, M; Filatova, E; Latysheva, N; Osipova, V; Skorobogatykh, K; Azimova, J; Straube, A; Eren, Oe; Martelletti, P; Angelis, V; Negro, A; Linde, M; Hagen, K; Radojicic, A; Zidverc-Trajkovic, J; Podgorac, A; Paemeleire, K; De Pue, A; Lampl, C; Steiner, T; Katsarava, Z. - In: CEPHALALGIA. - ISSN 0333-1024. - ELETTRONICO. - 36:Supplement 1(2016), pp. 181-182. (Intervento presentato al convegno 5th European Headache and Migraine Trust International Congress tenutosi a Glasgow, United Kingdom) [10.1177/0333102416670318].

How to measure headache service quality. evaluation of quality indicators in 14 european specialist-care centres

Martelletti, P;Negro, A;
2016

Abstract

Objective: The study was a collaboration between Lifting The Burden (LTB) and the European Headache Federation (EHF). Its aim was to evaluate the implemetation of quality indicators for headache care Europe-wide in specialist headache centres (level-3 according to the EHF/LTB standard). Methods: Employing previously-developed instruments, we made enquiries in each of 14 specialist headache cen- tres of health-care providers (doctors, nurses, psycholo- gists, physiotherapists) and 50 patients, and analysed the medical records of 50 patients. Enquiries were in 9 domains: diagnostic accuracy, individualized management, referral pathways, patient’s education and reassurance, convenience and comfort, patient’s satisfaction, equity and efficiency of the headache care, outcome assessment, and safety. Results: Our study showed that highly experienced head- ache centres treated their patients in general very well. Health-care staff were content with their work and their patients were content with their treatment. Including qual- ity-of-life evaluation and protocols regarding safety proved problematic: better standards for these are needed. Some centres had difficulties with follow-up: many specialised centres operated in one-touch systems, with no possibility of controlling long-term management or the success of treatments dependent on this. Conclusion: This first Europe-wide quality study showed that the quality indicators were workable in specialist care. They demonstrated common trends, producing evidence of what is majority practice. They also uncovered deficits that might be remedied in order to improve quality. They offer the means of setting benchmarks against which ser- vice quality may be judged. The next steps are to take the evaluation process into non-specialist care (EHF/LTB levels 1 and 2).
2016
5th European Headache and Migraine Trust International Congress
04 Pubblicazione in atti di convegno::04d Abstract in atti di convegno
How to measure headache service quality. evaluation of quality indicators in 14 european specialist-care centres / Schramm, S; Uluduz, D; Gil Gouveia, R; Jensen, R; Siva, A; Uygunoglu, U; Gvantsa, G; Maka, M; Braschinsky, M; Filatova, E; Latysheva, N; Osipova, V; Skorobogatykh, K; Azimova, J; Straube, A; Eren, Oe; Martelletti, P; Angelis, V; Negro, A; Linde, M; Hagen, K; Radojicic, A; Zidverc-Trajkovic, J; Podgorac, A; Paemeleire, K; De Pue, A; Lampl, C; Steiner, T; Katsarava, Z. - In: CEPHALALGIA. - ISSN 0333-1024. - ELETTRONICO. - 36:Supplement 1(2016), pp. 181-182. (Intervento presentato al convegno 5th European Headache and Migraine Trust International Congress tenutosi a Glasgow, United Kingdom) [10.1177/0333102416670318].
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