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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Elaborar est&#225;ndares de calidad asistencial y de tiempos de los procesos reumatol&#243;gicos&#46;</p> <span class="elsevierStyleSectionTitle">Material y m todos</span><p class="elsevierStyleSimplePara elsevierViewall">Tras una revisi&#243;n sistem&#225;tica de la literatura un grupo de trabajo&#44; constituido por 10 reumat&#243;logos y 2 metod&#243;logos&#44; ha seleccionado 164 indicadores de calidad y de tiempos de proceso&#46; Un panel de 65 expertos los ha puntuado mediante metodolog&#237;a Delphi&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Entre los 164 est&#225;ndares obtenidos destacan&#58; n&#250;mero m&#225;ximo de habitantes por reumat&#243;logo &#40;40&#46;000-50&#46;000&#41;&#59; n&#250;mero m&#237;nimo de reumat&#243;logos en una unidad de reumatolog&#237;a &#40;3&#41;&#59; tiempo de duraci&#243;n de la primera consulta &#40;30 min&#41; y la sucesiva &#40;19 min&#41;&#44; relaci&#243;n sucesiva&#47;primera consulta &#40;3&#44;2&#41;&#59; un reumat&#243;logo no debe atender m&#225;s de 5 primeras visitas&#47;d&#237;a y no m&#225;s de 11 consultas sucesivas&#47;d&#237;a&#44; no debe pasar consulta m&#225;s de 5 h&#47;d&#237;a&#44; ni m&#225;s de 4 d&#237;as&#47;semana&#59; el tiempo m&#225;ximo de espera para la primera consulta no ser&#225; superior a 4 semanas&#59; el tiempo necesario para la visita de pacientes ingresados &#40;43 min al ingreso&#44; 17 min la visita diaria y 40 min el alta&#41;&#59; tiempo para la realizaci&#243;n de las t&#233;cnicas m&#225;s frecuentes en reumatolog&#237;a &#40;12 min para artrocentesis e infiltraciones y 17 min para an&#225;lisis del l&#237;quido sinovial&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Este estudio fija est&#225;ndares b&#225;sicos de calidad&#44; organizaci&#243;n y tiempo&#44; y es un instrumento &#250;til para la organizaci&#243;n de una unidad de reumatolog&#237;a&#44; ya que facilita el di&#225;logo con los gestores sanitarios y contribuye a mejorar la calidad de la pr&#225;ctica reumatol&#243;gica&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To developed standards for quality of care and processing times in rheumatology&#46;</p> <span class="elsevierStyleSectionTitle">Materials and methods</span><p class="elsevierStyleSimplePara elsevierViewall">After a systematic review of the literature&#44; a working group of 10 rheumatologists and 2 methodologists selected 164 indicators of quality of care and processing times&#46; A panel of 65 experts rated the indicators following a Delphi methodology&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Among the most important of the 164 standards obtained were&#58; maximum number of inhabitants per rheumatologist &#40;40&#44;000-50&#44;000&#41;&#59; minimum number of rheumatologists in a Rheumatology Unit &#40;3&#41;&#59; duration of the first visit &#40;30 minutes&#41; and successive visits &#40;19 minutes&#41;&#44; ratio of successive&#47;first visits &#40;3&#46;2&#41;&#59; a rheumatologist should receive no more than 5 first visits&#47;day and no more than 11 successive visits&#47;day&#44; and should spend no more than 5 hours on patients visits&#47;day nor more than 4 days&#47;week&#59; the maximum waiting time for first visits should not exceed 4 weeks&#59; the time needed to visit hospitalised patients &#40;43 minutes on admission&#44; 17 minutes for daily visit and 40 minutes at discharge&#41;&#59; and time to carry out some of the most frequent procedures in rheumatology &#40;12 minutes for arthrocentesis and infiltrations and 17 minutes for synovial fluid analysis&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">This study establishes basic standards for quality of care&#44; organisation and process times&#46; It is a useful tool for organizing a Rheumatology Unit which can facilitate dialogue with health administrators and help improve the quality of rheumatology care&#46;</p>"
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Vol. 3. Núm. 5.
Páginas 218-225 (septiembre - octubre 2007)
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Vol. 3. Núm. 5.
Páginas 218-225 (septiembre - octubre 2007)
Originales
Acceso a texto completo
Estándares de calidad asistencial en reumatología
Asistance quality standards in rheumatology
Visitas
11607
Alberto Alonso Ruiza,
Autor para correspondencia
alonsoru@teleline.es

Correspondencia: Dr. A. Alonso Ruiz. Servicio de Reumatología. Hospital de Cruces. Plaza de Cruces, s/n. 48903 Barakaldo. Vizcaya. España.
, Javier Vidal Fuentesb, Jesús Tornero Molinab, Jordi Carbonell Abellóc, Pablo Lázaroa, de Mercadod, M. Dolores Aguilar Conesad
a Servicio de Reumatología. Hospital de Cruces. Barakaldo. Vizcaya. España
b Servicio de Reumatología. Hospital Universitario de Guadalajara. Guadalajara. España
c Servicio de Reumatología. Hospital del Mar. Barcelona. España
d Técnicas Avanzadas de Investigación en Servicios de Salud (TAISS). Madrid. España
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Estadísticas
Objetivo

Elaborar estándares de calidad asistencial y de tiempos de los procesos reumatológicos.

Material y m todos

Tras una revisión sistemática de la literatura un grupo de trabajo, constituido por 10 reumatólogos y 2 metodólogos, ha seleccionado 164 indicadores de calidad y de tiempos de proceso. Un panel de 65 expertos los ha puntuado mediante metodología Delphi.

Resultados

Entre los 164 estándares obtenidos destacan: número máximo de habitantes por reumatólogo (40.000-50.000); número mínimo de reumatólogos en una unidad de reumatología (3); tiempo de duración de la primera consulta (30 min) y la sucesiva (19 min), relación sucesiva/primera consulta (3,2); un reumatólogo no debe atender más de 5 primeras visitas/día y no más de 11 consultas sucesivas/día, no debe pasar consulta más de 5 h/día, ni más de 4 días/semana; el tiempo máximo de espera para la primera consulta no será superior a 4 semanas; el tiempo necesario para la visita de pacientes ingresados (43 min al ingreso, 17 min la visita diaria y 40 min el alta); tiempo para la realización de las técnicas más frecuentes en reumatología (12 min para artrocentesis e infiltraciones y 17 min para análisis del líquido sinovial).

Conclusiones

Este estudio fija estándares básicos de calidad, organización y tiempo, y es un instrumento útil para la organización de una unidad de reumatología, ya que facilita el diálogo con los gestores sanitarios y contribuye a mejorar la calidad de la práctica reumatológica.

Palabras clave:
Estándares
Calidad asistencial
Reumatología
Objective

To developed standards for quality of care and processing times in rheumatology.

Materials and methods

After a systematic review of the literature, a working group of 10 rheumatologists and 2 methodologists selected 164 indicators of quality of care and processing times. A panel of 65 experts rated the indicators following a Delphi methodology.

Results

Among the most important of the 164 standards obtained were: maximum number of inhabitants per rheumatologist (40,000-50,000); minimum number of rheumatologists in a Rheumatology Unit (3); duration of the first visit (30 minutes) and successive visits (19 minutes), ratio of successive/first visits (3.2); a rheumatologist should receive no more than 5 first visits/day and no more than 11 successive visits/day, and should spend no more than 5 hours on patients visits/day nor more than 4 days/week; the maximum waiting time for first visits should not exceed 4 weeks; the time needed to visit hospitalised patients (43 minutes on admission, 17 minutes for daily visit and 40 minutes at discharge); and time to carry out some of the most frequent procedures in rheumatology (12 minutes for arthrocentesis and infiltrations and 17 minutes for synovial fluid analysis).

Conclusions

This study establishes basic standards for quality of care, organisation and process times. It is a useful tool for organizing a Rheumatology Unit which can facilitate dialogue with health administrators and help improve the quality of rheumatology care.

Key words:
Standards
Quality of care
Rheumatology
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Este estudio ha sido financiado íntegramente por la Sociedad Española de Reumatología (SER) durante las presidencias de los Dres. Jordi Carbonell Abelló y Jesús Tornero Molina.

Copyright © 2007. Elsevier España S.L Barcelona
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