From: Headache service quality evaluation: implementation of quality indicators in primary care in Europe
Domain and indicator | Information source(s) | Enquiry | Germany | Turkey | Latvia | Portugal | Average |
---|---|---|---|---|---|---|---|
A1a | Patients’ records | Is duration of presenting complaint recorded in patient’s record? | 43 | 98 | 20 | 51 | 47 |
A1b | Patients’ records | Are frequency or days/month of symptoms recorded in patient’s record? | 25 | 88 | 8 | 30 | 32 |
A2a | Patients’ records | Is diagnosis recorded in patient’s record? | 100 | 65 | 82 | missing | 83 |
A2b | Patients’ records | Does diagnostic record use ICHD terminology? | 72 | 46 | 53 | 41 | 53 |
A3 | Patients’ records | Is working diagnosis at first visit recorded in patient’s record? | 59 | 62 | 86 | 72 | 72 |
A4 | Patients’ records | Is definitive diagnosis recorded in patient’s record or, if not, has an appointment for review been given? | 68 | 46 | 77 | 62 | 66 |
A5 | Doctors | Is it routine practice in your headache service to review a patient’s diagnosis during follow-up? | 78 | 75 | 100 | 95 | 93 |
A6 | Doctors, manager | Are diagnostic diaries available in your headache service? | 0 | 25 | 30 | 26 | 23 |
B1a | Doctors, manager, secretary | Does a formal triage system exist in your headache service? | 52 | 8 | 47 | 17 | 23 |
B1b | Doctors, manager, secretary | (If yes) Is your triage system designed to pick out potentially urgent cases for early appointments? | 100 | 100 | 100 | 73 | 85 |
B2a | Patients | Time per visit in minutes (mean ± SD) | 17 ± 8 | 8 ± 4 | 17 ± 7 | 24 ± 12 | 16 ± 9 |
B2b | Patients | Satisfaction with time per visit (“about right”) | 84 | 83 | 71 | 99 | 82 |
B2c | Doctors, other HCPs | Are you satisfied that sufficient time is allocated to each patient’s visit to enable a good management? | 63 | 50 | 50 | 31 | 36 |
B4 | Doctors, other HCPs, manager | Does an access route to psychological therapies exist in your headache service? | 67 | 33 | 33 | 67 | 63 |
B5 | Doctors, other HCPs, manager | Is an instrument for disability assessment available in your headache service? | 7 | 8 | 33 | 21 | 19 |
B6a | Doctors, other HCPs, manager | Does your headache service allow follow-up of every patient who needs it? | 97 | 67 | 100 | missing | 91 |
B6b | Doctors, other HCPs, manager | Is a follow up diary or calendar available in your headache service? | 23 | 25 | 40 | 24 | 25 |
C1 | Doctors, manager, secretary | Does a referral pathway exist? | 85 | 0 | 33 | 90 | 80 |
C2 | Doctors, manager, secretary | (If yes) Does this pathway permit, and respond to, urgent referral when needed? | 83 | 0 | 100 | 83 | 84 |
D1a | Doctors, other HCPs, manager | Are information leaflets available? | 27 | 0 | 60 | 14 | 18 |
D1b | Patients | Doctor provides patient with information | 48 | 81 | 96 | 99 | 81 |
D1c | Patients | (If yes) Information given understandable? | 100 | 97 | 92 | 99 | 96 |
D1d | Patients | (If yes) Amount of information about right | 83 | 88 | 67 | 94 | 81 |
D2 | Patients | Patients were given reassurance | 91 | 82 | 86 | 97 | 88 |
E1a | Patients | Service environment clean and comfortable | 98 | 82 | 96 | 98 | 93 |
E1b | Doctors, other HCPs | Service environment clean and comfortable | 88 | 75 | 90 | 43 | 52 |
E2 | Patients | Satisfaction with welcome | 99 | 96 | 90 | 100 | 96 |
E3a | Patients | How long were you kept waiting to see the doctor (in minutes)? (mean ± SD) | 57 ± 53 | 6 ± 7 | 15 ± 15 | 24 ± 28 | 24 ± 36 |
E3b | Doctors, other HCPs | Satisfaction with waiting time | 67 | 100 | 100 | 85 | 84 |
E3c | Patients | Satisfaction with waiting time | |||||
reasonable | 60 | 75 | 79 | 83 | 74 | ||
too long | 23 | 17 | 16 | 15 | 18 | ||
much too long | 17 | 8 | 5 | 2 | 8 | ||
F1 | Patients | Satisfaction with overall management | |||||
very good | 38 | 9 | 9 | 26 | 19 | ||
good | 39 | 36 | 40 | 28 | 37 | ||
adequate | 15 | 46 | 37 | 45 | 35 | ||
poor | 7 | 7 | 13 | 1 | 8 | ||
very poor | 1 | 2 | 1 | 0 | 1 | ||
G1 | Manager | Protocol to limit wastage exists | 33 | 25 | 20 | 42 | 33 |
G2 | Manager | Record of input costs exists | 83 | 0 | 0 | 58 | 44 |
G3 | Doctors, other HCPs, manager | Policy to ensure equal access exists | 100 | 67 | 93 | 81 | 83 |
H1 | Doctors, other HCPs, manager | Outcome measures include Headache Under-Response to Treatment questionnaire (HURT) or similar | 10 | 25 | 13 | 5 | 7 |
H2 | Doctors, other HCPs, manager | Outcome measures include Headache-Attributed Lost Time index (HALT) or similar | 0 | 8 | 0 | 3 | 3 |
H3 | Doctors, other HCPs, manager | Outcome measures include World Health Organization Quality of Life questionnaire (WHOQoL) or similar | 3 | 0 | 13 | 3 | 4 |
I1 | Doctors, other HCPs, manager | Protocol for reporting serious adverse events exists | 73 | 25 | 80 | 58 | 60 |