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| Development of quality indicators for colorectal cancer care in Chinese hospital |
| Zhang Huimin, Bao Han, Fu Rong, Liu Dan, Liu Meina |
| Biostatistics Department of Harbin Medical University,Harbin 150081,China |
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Abstract Objective To develop a set of quality indicators for patients treated in Chinese hospitals to evaluate the quality of colorectal cancer care in China, which could provide reference for improving the clinical treatments of colorectal cancer, eventually enhance the quality of colorectal cancer care. Methods A framework is designed to evaluate colorectal cancer care , basing on the framework of structure, process and outcome. Collecting candidate quality indicators by searching related literatures, further refering to the American NCCN guidline and the rules of diagnosis and treatment of colorectal cancer care in China. Inviting experts to join the consult panel. Using 3-step modified Delphi approach to collect experts′views, consulting panel members were asked to score the indicators. Applying SAS 9.1.3 to calculate the average, coefficient of variation and agreement rate of indicators. Inclusion criteria: mean≥4, CV≤0.25, p≥81.25%. Results According the traits of colorectal cancer, five domains of new framework were developed,including structure, process, communicating and advising, symptoms and side-effects management, outcome. 16 experts were invited to join the panel ,all the advisory tables were regained, the response rate was 100%. 26 out of 98 candidate indicators were selected and modified after three rounds. There are 1 structure indicator, 20 process indicators, 1 communicating and advising-related indicator, 4 outcome indicators. Conclusion The developed quality indicators of colorectal cancer care conforms to Chinese national conditions, the multidimensional quality indicators can be used to comprehensively evaluate the quality of colorectal caner care , which committing to the enhancement of quality for colorectal cancer.
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Received: 16 September 2014
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