Quality indicators to ensure excellence in glaucoma care: the GlauCCare Spanish consensus

Topic To develop quality indicators to be included for the certification of excellence care in glaucoma units in Spain.Clinical relevance The certificate of excellence in care in glaucoma units is expected to enhance clinical outcomes and patient satisfaction, but also to optimise the use of resourc...

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Main Authors: Julian Garcia-Feijoo, Elena Milla, Francisco J Muñoz-Negrete, Luis Pablo-Júlvez, Javier A Urcola, Cristina Camunas-Sevilla, Félix Rubial-Bernárdez, María C Rodríguez-Vázquez
Format: Article
Language:English
Published: BMJ Publishing Group 2025-05-01
Series:BMJ Open Ophthalmology
Online Access:https://bmjophth.bmj.com/content/10/1/e002078.full
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author Julian Garcia-Feijoo
Elena Milla
Francisco J Muñoz-Negrete
Luis Pablo-Júlvez
Javier A Urcola
Cristina Camunas-Sevilla
Félix Rubial-Bernárdez
María C Rodríguez-Vázquez
author_facet Julian Garcia-Feijoo
Elena Milla
Francisco J Muñoz-Negrete
Luis Pablo-Júlvez
Javier A Urcola
Cristina Camunas-Sevilla
Félix Rubial-Bernárdez
María C Rodríguez-Vázquez
author_sort Julian Garcia-Feijoo
collection DOAJ
description Topic To develop quality indicators to be included for the certification of excellence care in glaucoma units in Spain.Clinical relevance The certificate of excellence in care in glaucoma units is expected to enhance clinical outcomes and patient satisfaction, but also to optimise the use of resources and promote an efficient and effective patient care system.Methods The Delphi methodology was used to obtain a consensus on quality indicators in glaucoma care. The scientific committee and an advisory group created a 182-item questionnaire classified by indicator type: care structure, care process and outcomes. A two-round Delphi survey was conducted among a panel of expert ophthalmologists in Spain, and a 9-point Likert-type scale was used for data analysis.Results After the two rounds, 39 panellists reached consensus on 166 out of 182 items (91.2%). By indicator type, consensus was reached on 38 (88.4%) indicators related to care structure, on 85 (87.6%) indicators related to care process and on all indicators 42 (100%) related to outcomes.Conclusion This consensus identified a set of quality indicators that will help to develop the certification of excellence in glaucoma care units. This certification will facilitate best clinical practices and better health outcomes for glaucoma patients. Limitations of the study include the consensus nature of results, potential bias from the lengthy questionnaire and the focus on experts only in Spain, limiting generalisability.
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spelling doaj-art-3e30f20c8a714b4b8bcaa5f087bd90282025-08-20T02:37:39ZengBMJ Publishing GroupBMJ Open Ophthalmology2397-32692025-05-0110110.1136/bmjophth-2024-002078Quality indicators to ensure excellence in glaucoma care: the GlauCCare Spanish consensusJulian Garcia-Feijoo0Elena Milla1Francisco J Muñoz-Negrete2Luis Pablo-Júlvez3Javier A Urcola4Cristina Camunas-Sevilla5Félix Rubial-Bernárdez6María C Rodríguez-Vázquez7Ophthalmology, Hospital Clínico Universitario San Carlos, Madrid, SpainOphthalmology, Hospital Clinic de Barcelona, Barcelona, SpainOphthalmology, Hospital Universitario Ramón y Cajal, Madrid, SpainOphthalmology, Hospital Universitario Miguel Servet, Zaragoza, SpainOphthalmology, Hospital Universitario de Álava, Vitoria, SpainQuality, Hospital Universitario de Toledo, Toledo, SpainÁrea Sanitaria de Lugo, A Mariña e Monforte de Lemos, Lugo, SpainMarket Access, Santen Pharmaceutical Spain S.L, Madrid, SpainTopic To develop quality indicators to be included for the certification of excellence care in glaucoma units in Spain.Clinical relevance The certificate of excellence in care in glaucoma units is expected to enhance clinical outcomes and patient satisfaction, but also to optimise the use of resources and promote an efficient and effective patient care system.Methods The Delphi methodology was used to obtain a consensus on quality indicators in glaucoma care. The scientific committee and an advisory group created a 182-item questionnaire classified by indicator type: care structure, care process and outcomes. A two-round Delphi survey was conducted among a panel of expert ophthalmologists in Spain, and a 9-point Likert-type scale was used for data analysis.Results After the two rounds, 39 panellists reached consensus on 166 out of 182 items (91.2%). By indicator type, consensus was reached on 38 (88.4%) indicators related to care structure, on 85 (87.6%) indicators related to care process and on all indicators 42 (100%) related to outcomes.Conclusion This consensus identified a set of quality indicators that will help to develop the certification of excellence in glaucoma care units. This certification will facilitate best clinical practices and better health outcomes for glaucoma patients. Limitations of the study include the consensus nature of results, potential bias from the lengthy questionnaire and the focus on experts only in Spain, limiting generalisability.https://bmjophth.bmj.com/content/10/1/e002078.full
spellingShingle Julian Garcia-Feijoo
Elena Milla
Francisco J Muñoz-Negrete
Luis Pablo-Júlvez
Javier A Urcola
Cristina Camunas-Sevilla
Félix Rubial-Bernárdez
María C Rodríguez-Vázquez
Quality indicators to ensure excellence in glaucoma care: the GlauCCare Spanish consensus
BMJ Open Ophthalmology
title Quality indicators to ensure excellence in glaucoma care: the GlauCCare Spanish consensus
title_full Quality indicators to ensure excellence in glaucoma care: the GlauCCare Spanish consensus
title_fullStr Quality indicators to ensure excellence in glaucoma care: the GlauCCare Spanish consensus
title_full_unstemmed Quality indicators to ensure excellence in glaucoma care: the GlauCCare Spanish consensus
title_short Quality indicators to ensure excellence in glaucoma care: the GlauCCare Spanish consensus
title_sort quality indicators to ensure excellence in glaucoma care the glauccare spanish consensus
url https://bmjophth.bmj.com/content/10/1/e002078.full
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