AI Article Synopsis

  • A set of quality indicators (QIs) was created to enhance care for children with juvenile idiopathic arthritis (JIA) in the Asia-Pacific region.
  • The development process involved a systematic literature review and input from a Delphi panel of pediatric rheumatologists and stakeholders, narrowing down from 32 initial QIs to a final list of 22.
  • These QIs cover six areas of care, focusing on improving access, clinical assessments, medication management, screening, counseling, and patient satisfaction to ultimately boost health outcomes for children with JIA.

Article Abstract

Objective: To develop a set of quality indicators (QIs) tailored to improve the care provided to children with juvenile idiopathic arthritis (JIA) in countries across the Asia-Pacific region.

Methods: An adaptation of the Research and Development Corporation (RAND)/University of California, Los Angeles (UCLA) Appropriateness Method (RAM) was used. An initial set of 32 QIs was developed after a systematic search of the literature. These were presented to members of a Delphi panel composed of pediatric rheumatologists and other relevant stakeholders from the Asia Pacific League of Associations for Rheumatology Pediatric Special Interest Group (APLAR-Pediatric SIG). After each round, the mean scores for validity and reliability, level of disagreement, and median absolute deviation from the mean were calculated.

Results: The panelists were presented with 32 QIs in two rounds of voting, resulting in the formulation of a final set of 22 QIs for JIA. These QIs are categorized within six domains of care, including access to care, clinical assessment, medications and medication monitoring, screening for comorbidities, counseling, and self-efficacy and satisfaction with care.

Conclusion: These QIs have been developed to evaluate and improve the quality of care provided to children with JIA, aiming to enhance health outcomes and ensure that healthcare services are tailored to the unique needs of this patient population.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11439632PMC
http://dx.doi.org/10.4078/jrd.2023.0071DOI Listing

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