[Indicators for ambulatory quality management in patients with bronchial asthma].
The process of quality assurance and quality improvement in ambulatory care is bound to the development of quality indicators. The performance and outcomes of medical services offered by physicians have to be assessed on the basis of valid, reliable and practicable indicators. The aim of this analysis was to identify relevant process and outcome measures which could be used as quality indicators in ambulatory care of asthmatic patients in Germany. Therefore, the process of routine ambulatory care of asthmatic patients was analyzed and compared to existing management guidelines of national and international expert panels. A set of 51 indicators was derived from this analysis and a systematic review of 96 articles on quality management of asthma care selected after research in MEDLINE 1966-1997. This list of quality indicators should be discussed in quality circles for practicability in ambulatory care settings.
Oedekoven
C
C
Medizinische Kernklinik und Poliklinik, Universitätskrankenhaus Eppendorf, Hamburg.
Volmer
T
T
Meyer
A
A
D000553:Ambulatory Care; D018927:Anti-Asthmatic Agents / Q000009:adverse effects / Q000627:therapeutic use; D001249:Asthma / Q000534:rehabilitation*; D003131:Combined Modality Therapy; D005858:Germany; D006801:Humans; D008332:Management Quality Circles; D011785:Quality Assurance, Health Care; D017749:Total Quality Management
D018927:Anti-Asthmatic Agents