TY - JOUR
T1 - Evaluation of an integrated system for classification, assessment and comparison of services for long-term care in Europe
T2 - The eDESDE-LTC study
AU - Salvador-Carulla, Luis
AU - Alvarez-Galvez, Javier
AU - Romero, Cristina
AU - Gutiérrez-Colosía, Mencia R.
AU - Weber, Germain
AU - McDaid, David
AU - Dimitrov, Hristo
AU - Sprah, Lilijana
AU - Kalseth, Birgitte
AU - Tibaldi, Giuseppe
AU - Salinas-Perez, Jose A.
AU - Lagares-Franco, Carolina
AU - Romá-Ferri, Maria Teresa
AU - Johnson, Sonia
N1 - Funding Information:
The eDESDE-LTC project has been funded by the Executive Agency of Health and Consumer (EAHC) Project Ref. 2007/116. We also acknowledge the Spanish Research Agency, Instituto Carlos III, for funding the related work on the European Service Mapping Schedule (ESMS-II); and the REFINEMEMT project (Ec-Ga Nº261459-2010) - VII Framework Programme of the EU, European Commission. The collaborating partners in the eDESDE-LTC project have been: Department of Mental Health Sciences, University College of London (UK); Centro Studi e Ricerche (ASL-4, Italy), Department of Research & Development, Division of Mental Health Services. Akershus University Hospital (Norway), ETEA University of Cordoba (Spain), University of Alicant (Spain), Universidad Politécnica de Barcelona (Spain), OECD - Health Division (France), National Center for Public Health Protection (Ministry of Health, Bulgaria), General Directorate of Health Planning (Catalan Department of Health, Spain), Psychiatry Research Unit of Cantabria (WHO collaborating Centre) Univ. Hospital “Marqués de Valdecilla”(Spain), Fundació Villablanca (Spain), Equity & Health Department (Municipality of Jerez, Spain). Additionally, we want to acknowledge the reviewers whose comments have contributed to improve our final work. Other members of the eDESDE-LTC Group are: José Almenara, Federico Alonso, Jordi Balot, Murielle Bendeck, Anne Mette Bjerkan, Barbara Brehmer, Britt Venner, Angel Broshtilov, María Dolores Crespo, Mojca Z. Dernovsek, Nikolina Djurova, Monica Duaigües, Josep Fusté, Ana Fernández, Luis Gaite, Carlos García-Alonso, Juan Carlos García Gutiérrez, José García-Ibañez, Karina Gibert, Juan Luis Gonzalez-Caballero, Birgitte Kalseth, Martin Knapp, Carolina Lagares, Paula Llull , Teresa Marfull, Rafael Martínez-Leal, Tihana Matosevic, Cristina Molina, Valerie Moran, Carlos Mur, Carmen Omist, Miriam Poole, Manuel Palomar, Rayna Popova, Eugeni Rojas, Torleiff Ruud, Antoni Serrano, Daniela Seyrlehner, Josep Solans, José Luis Vázquez-Barquero, and Elisabeth Zeilinger.
PY - 2013/6/15
Y1 - 2013/6/15
N2 - Background: The harmonization of European health systems brings with it a need for tools to allow the standardized collection of information about medical care. A common coding system and standards for the description of services are needed to allow local data to be incorporated into evidence-informed policy, and to permit equity and mobility to be assessed. The aim of this project has been to design such a classification and a related tool for the coding of services for Long Term Care (DESDE-LTC), based on the European Service Mapping Schedule (ESMS). Methods. The development of DESDE-LTC followed an iterative process using nominal groups in 6 European countries. 54 researchers and stakeholders in health and social services contributed to this process. In order to classify services, we use the minimal organization unit or "Basic Stable Input of Care" (BSIC), coded by its principal function or "Main Type of Care" (MTC). The evaluation of the tool included an analysis of feasibility, consistency, ontology, inter-rater reliability, Boolean Factor Analysis, and a preliminary impact analysis (screening, scoping and appraisal). Results: DESDE-LTC includes an alpha-numerical coding system, a glossary and an assessment instrument for mapping and counting LTC. It shows high feasibility, consistency, inter-rater reliability and face, content and construct validity. DESDE-LTC is ontologically consistent. It is regarded by experts as useful and relevant for evidence-informed decision making. Conclusion: DESDE-LTC contributes to establishing a common terminology, taxonomy and coding of LTC services in a European context, and a standard procedure for data collection and international comparison.
AB - Background: The harmonization of European health systems brings with it a need for tools to allow the standardized collection of information about medical care. A common coding system and standards for the description of services are needed to allow local data to be incorporated into evidence-informed policy, and to permit equity and mobility to be assessed. The aim of this project has been to design such a classification and a related tool for the coding of services for Long Term Care (DESDE-LTC), based on the European Service Mapping Schedule (ESMS). Methods. The development of DESDE-LTC followed an iterative process using nominal groups in 6 European countries. 54 researchers and stakeholders in health and social services contributed to this process. In order to classify services, we use the minimal organization unit or "Basic Stable Input of Care" (BSIC), coded by its principal function or "Main Type of Care" (MTC). The evaluation of the tool included an analysis of feasibility, consistency, ontology, inter-rater reliability, Boolean Factor Analysis, and a preliminary impact analysis (screening, scoping and appraisal). Results: DESDE-LTC includes an alpha-numerical coding system, a glossary and an assessment instrument for mapping and counting LTC. It shows high feasibility, consistency, inter-rater reliability and face, content and construct validity. DESDE-LTC is ontologically consistent. It is regarded by experts as useful and relevant for evidence-informed decision making. Conclusion: DESDE-LTC contributes to establishing a common terminology, taxonomy and coding of LTC services in a European context, and a standard procedure for data collection and international comparison.
KW - Health service research
KW - Health system research
KW - Healthcare instrument
KW - Healthcare taxonom
KW - Healthcare terminology
UR - http://www.scopus.com/inward/record.url?scp=84878893820&partnerID=8YFLogxK
U2 - 10.1186/1472-6963-13-218
DO - 10.1186/1472-6963-13-218
M3 - Article
C2 - 23768163
AN - SCOPUS:84878893820
SN - 1472-6963
VL - 13
SP - 1
EP - 12
JO - BMC Health Services Research
JF - BMC Health Services Research
IS - 1
M1 - 218
ER -