title: Rheumatologists' perception of systemic lupus erythematosus quality indicators: significant interest and perceived barriers.
abstract: Differences in quality of care may contribute to health disparities in systemic lupus erythematosus (SLE). Studies show low physician adherence rates to the SLE quality indicators but do not assess physician perception of SLE quality indicators or quality improvement. Using a cross-sectional survey of rheumatologists in the southeastern USA, we assessed the perception and involvement of rheumatologists in quality improvement and the SLE quality indicators. Using electronic mail, an online survey of 32 questions was delivered to 568 rheumatologists. With a response rate of 19% (n = 106), the majority of participants were male, Caucasian, with over 20 years of experience, and seeing adult patients in an academic setting. Participants had a positive perception toward quality improvement (81%) with a majority responding that the SLE quality indicators would significantly impact quality of care (54%). While 66% of respondents were familiar with the SLE quality indicators, only 18% of respondents reported using them in everyday practice. The most commonly reported barrier to involvement in quality improvement and the SLE quality indicators was time. Rheumatologists had a positive perception of the SLE quality indicators and agreed that use of the quality indicators could improve quality of care in SLE; however, they identified time as a barrier to implementation. Future studies should investigate methods to increase use of the SLE quality indicators.
authors.affiliation: Department of Medicine, Vanderbilt University Medical Center, 1161 21st Avenue South, T3113 MCN, Nashville, TN, 37232, USA.
authors.forename: Carolyn
authors.initials: C
authors.lastname: Casey
authors.affiliation: Department of Medicine, Vanderbilt University Medical Center, 1161 21st Avenue South, T3113 MCN, Nashville, TN, 37232, USA.
authors.forename: Cecilia P
authors.initials: CP
authors.lastname: Chung
authors.affiliation: Department of Medicine, Vanderbilt University Medical Center, 1161 21st Avenue South, T3113 MCN, Nashville, TN, 37232, USA.
authors.forename: Leslie J
authors.initials: LJ
authors.lastname: Crofford
authors.affiliation: Department of Medicine, Vanderbilt University Medical Center, 1161 21st Avenue South, T3113 MCN, Nashville, TN, 37232, USA. april.barnado@vanderbilt.edu.
authors.forename: April
authors.initials: A
authors.lastname: Barnado
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet; D008180:Lupus Erythematosus, Systemic / Q000175:diagnosis* / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D058996:Quality Improvement; D019984:Quality Indicators, Health Care; D000072140:Rheumatologists; D012219:Rheumatology / Q000379:methods* / Q000592:standards; D015144:Southeastern United States; D011795:Surveys and Questionnaires
keywords: Quality improvement; Quality indicators; Survey; Systemic lupus erythematosus