Evaluation of an integrated system for classification, assessment and comparison of services for long-term care in Europe: the eDESDE-LTC study

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Título: Evaluation of an integrated system for classification, assessment and comparison of services for long-term care in Europe: the eDESDE-LTC study
Autor/es: Salvador Carulla, Luis | Álvarez Gálvez, Javier | Romero, Cristina | Gutiérrez Colosía, Mencia R. | Weber, Germain | McDaid, David | Dimitrov, Hristo | Sprah, Lilijana | Kalseth, Birgitte | Tibaldi, Giuseppe | Salinas Pérez, José A. | Lagares Franco, Carolina | Romá-Ferri, María Teresa | Johnson, Sonia
Grupo/s de investigación o GITE: Procesamiento del Lenguaje y Sistemas de Información (GPLSI)
Centro, Departamento o Servicio: Universidad de Alicante. Departamento de Enfermería
Palabras clave: Health service research | Health system research | Healthcare terminology | Healthcare taxonom | Healthcare instrument
Área/s de conocimiento: Enfermería
Fecha de publicación: 15-jun-2013
Editor: BioMed Central
Cita bibliográfica: BMC Health Services Research. 2013, 13: 218. doi:10.1186/1472-6963-13-218
Resumen: Background: The harmonization of European health systems brings with it a need for tools to allow the standardized collection of information about medical care. A common coding system and standards for the description of services are needed to allow local data to be incorporated into evidence-informed policy, and to permit equity and mobility to be assessed. The aim of this project has been to design such a classification and a related tool for the coding of services for Long Term Care (DESDE-LTC), based on the European Service Mapping Schedule (ESMS). Methods: The development of DESDE-LTC followed an iterative process using nominal groups in 6 European countries. 54 researchers and stakeholders in health and social services contributed to this process. In order to classify services, we use the minimal organization unit or “Basic Stable Input of Care” (BSIC), coded by its principal function or “Main Type of Care” (MTC). The evaluation of the tool included an analysis of feasibility, consistency, ontology, inter-rater reliability, Boolean Factor Analysis, and a preliminary impact analysis (screening, scoping and appraisal). Results: DESDE-LTC includes an alpha-numerical coding system, a glossary and an assessment instrument for mapping and counting LTC. It shows high feasibility, consistency, inter-rater reliability and face, content and construct validity. DESDE-LTC is ontologically consistent. It is regarded by experts as useful and relevant for evidence-informed decision making. Conclusion: DESDE-LTC contributes to establishing a common terminology, taxonomy and coding of LTC services in a European context, and a standard procedure for data collection and international comparison.
Patrocinador/es: The eDESDE-LTC project has been funded by the Executive Agency of Health and Consumer (EAHC) Project Ref. 2007/116. We also acknowledge the Spanish Research Agency, Instituto Carlos III, for funding the related work on the European Service Mapping Schedule (ESMS-II); and the REFINEMEMT project (Ec-Ga Nº261459-2010) - VII Framework Programme of the EU, European Commission.
URI: http://hdl.handle.net/10045/36346
ISSN: 1472-6963
DOI: 10.1186/1472-6963-13-218
Idioma: eng
Tipo: info:eu-repo/semantics/article
Derechos: © 2013 Salvador-Carulla et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Revisión científica: si
Versión del editor: http://dx.doi.org/10.1186/1472-6963-13-218
Aparece en las colecciones:INV - GPLSI - Artículos de Revistas

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