title: [The Development of Quality Indicators for Management of Patients with ADHD in Social Paediatrics].
abstract: OBJECTIVE
  Attention deficit/hyperactivity disorder (ADHD) with an estimated prevalence of 5% and its increased risk for comorbidities is of significant relevance for the health care system and is as well of socio-political significance. There is a lack of established methods for the evaluation of the diagnostic and therapeutic treatment of the patients. In this study, we have developed a set of evidence- and consensus-based meaningful indicators for the treatment of children with ADHD.
  
  
  METHODS
  Following a thorough examination of the literature and published Guidelines, a first set of 90 quality indicators was created after redundancy reduction and addition of newly developed indicators. The further development of the indicator set was based on a modified version of the 2-step RAND/UCLA expert evaluation method.
  
  
  RESULTS
  After assessment in 2 rounds of ratings, a set of 39 homogeneously positively rated indicators was established. 28 indicators apply to the quality of the diagnostic and therapeutic process, 4 to structural conditions and 3 rely on outcome.
  
  
  CONCLUSIONS
  This is the first study covering the aspect of quality measurement in children with developmental disorders, especially ADHD. For the next step a pilot evaluation is necessary to complete the evaluation of the quality indicators.
authors.affiliation: HELIOS Klinikum Wuppertal, Zentrum für Kinder- und Jugendmedizin, Wuppertal.
authors.forename: M
authors.initials: M
authors.lastname: Skrundz
authors.affiliation: HELIOS Klinikum Wuppertal, Zentrum für Kinder- und Jugendmedizin, Wuppertal.
authors.forename: P
authors.initials: P
authors.lastname: Borusiak
authors.affiliation: Lebenszentrum-Königsborn, Sozialpädiatrisches Zentrum, Unna.
authors.forename: K A
authors.initials: KA
authors.lastname: Hameister
authors.affiliation: Fakultät für Gesundheit, Institut für Gesundheitssystemforschung, Witten.
authors.forename: M
authors.initials: M
authors.lastname: Geraedts
mesh_terms: D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis* / Q000628:therapy*; D002648:Child; D000067576:Child Health / Q000592:standards; D002675:Child, Preschool; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D010372:Pediatrics / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000592:standards*; D019984:Quality Indicators, Health Care / Q000592:standards*; D012936:Social Medicine / Q000592:standards*