title: [Development of a Conceptual Framework for the Assessment of Chronic Care in the Spanish National Health System].
abstract: The aim was to develop a conceptual framework for the assessment of new healthcare initiatives on chronic diseases within the Spanish National Health System. A comprehensive literature review between 2002 and 2013, including systematic reviews, meta-analysis, and reports with evaluation frameworks and/or assessment of initiatives was carried out; integrated care initiatives established in Catalonia were studied and described; and semistructured interviews with key stakeholders were performed. The scope and conceptual framework were defined by using the brainstorming approach.Of 910 abstracts identified, a total of 116 studies were included. They referred to several conceptual frameworks and/or assessment indicators at a national and international level. An overall of 24 established chronic care initiatives were identified (9 integrated care initiatives); 10 in-depth interviews were carried out. The proposed conceptual framework envisages: 1)the target population according to complexity levels; 2)an evaluation approach of the structure, processes, and outcomes considering the health status achieved, the recovery process and the maintenance of health; and 3)the dimensions or attributes to be assessed. The proposed conceptual framework will be helpful has been useful to develop indicators and implement them with a community-based and result-oriented approach and a territorial or population-based perspective within the Spanish Health System. This will be essential to know which are the most effective strategies, what are the key elements that determine greater success and what are the groups of patients who can most benefit.
authors.affiliation: Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona and Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC). mespallargues@gencat.cat.
authors.forename: Mireia
authors.initials: M
authors.lastname: Espallargues
authors.affiliation: Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona and CIBER de Epidemiología y Salud Pública (CIBERESP).
authors.forename: Vicky
authors.initials: V
authors.lastname: Serra-Sutton
authors.affiliation: Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona and CIBER de Epidemiología y Salud Pública (CIBERESP).
authors.forename: Maite
authors.initials: M
authors.lastname: Solans-Domènech
authors.affiliation: Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona and Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC).
authors.forename: Elena
authors.initials: E
authors.lastname: Torrente
authors.affiliation: Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona and CIBER de Epidemiología y Salud Pública (CIBERESP).
authors.forename: Montse
authors.initials: M
authors.lastname: Moharra
authors.affiliation: Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona.
authors.forename: Dolors
authors.initials: D
authors.lastname: Benítez
authors.affiliation: Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona and Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC).
authors.forename: Noemí
authors.initials: N
authors.lastname: Robles
authors.affiliation: Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona and Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC).
authors.forename: Laia
authors.initials: L
authors.lastname: Domíngo
authors.affiliation: Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC ) and Hospital Clínic de Barcelona and Pla Director de les Malalties Respiratòries (PDMAR). Departament de Salut.
authors.forename: Joan
authors.initials: J
authors.lastname: Escarrabill Sanglas
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D003695:Delivery of Health Care / Q000592:standards*; D019033:Delivery of Health Care, Integrated / Q000592:standards*; D006801:Humans; D009313:National Health Programs / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000379:methods*; D019984:Quality Indicators, Health Care; D013030:Spain
keywords: Cardiovascular Diseases; Chronic Disease; Consensus; Diabetes Mellitus; Evaluation Studies [Publication Type]; Outcome Assessment (Health Care); Patient Outcome Assessment; Pulmonary Disease, Chronic Obstructive; Quality of Health Care; Spain