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SCORE study: quality indicators for rheumatology nursing clinics

  • Health Services Research
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Abstract

Nursing clinics in rheumatology (NCR) are organizational care models that provide care centred within the scope of nurses abilities. To analyse patients differences in the knowledge of the disease, adherence to the treatment, quality indicators of the Rheumatology Departments included quality perceived by the patients with and without NCR. National multicenter observational prospective cohort study 1 year follow-up, comparing patients attending rheumatology services with and without NCR. NCR was defined by the presence of: (1) office itself; (2) at least one dedicated nurse; (3) its own appointment schedule, and (4) phone. Variables included were (baseline and 12 months) Batalla, Haynes–Sackett, Morisky–Green and quality perceived tests. In addition, another specific questionnaire was drawn up to collect the healthcare, teaching and research activities of each Rheumatology Department. A total of 393 patients were included; 181 NCR and 212 not NCR, corresponding to 39 units, 21 with NCR and 18 without NCR (age 53 ± 11.8 vs 56 ± 13.5 years). Significant differences in favour of the NCR group were found in Haynes–Sackett (p = 0.033) and Morisky–Green (p = 0.03) tests in the basal visit. Significant differences were found in questions about “the courtesy and/or kindness received by the nurse”, being “good or very good” in greater proportion in the NCR group. The publications from the last 5 years were significantly higher in the NCR group in both, national (p = 0.04) and international (p = 0.03) journals. A higher research activity and quality perceived by the patients are observed in the Rheumatology Departments with NCR.

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Author information

Authors and Affiliations

  1. Department of Rheumatology, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes (Madrid), Universidad Europea, Paseo de Europa 34, San Sebastián de los Reyes, 28702, Madrid, Spain

    Santiago Muñoz-Fernández

  2. Independent researcher in the field of Health Services Research, Madrid, Spain

    Ma. Dolores Aguilar & Pablo Lázaro

  3. Rheumatology Unit, Hospital Universitario Fundación Alcorcón, Madrid, Spain

    Raquel Almodóvar

  4. Rheumatology Clinical Management Unit, Institute for Biomedical Research in Malaga (Instituto de Investigación biomédica de Málaga, IBIMA), Hospital Regional de Málaga, Universidad de Málaga, Málaga, Spain

    Laura Cano-García

  5. Rheumatology Section, Hospital de Sagunto, Valencia, Spain

    Sandra Fortea

  6. Rheumatology Department Research Unit, Hospital Universitario y Politécnico La Fe, Valencia, Spain

    Cristina Patricia Alcañiz-Escandell

  7. Hospital General de Vic, Vic, Barcelona, Spain

    José R. Rodríguez

  8. Hospital Universitario Infanta Leonor, Madrid, Spain

    Laura Cebrián

Authors
  1. Santiago Muñoz-Fernández
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  2. Ma. Dolores Aguilar
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  3. Raquel Almodóvar
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  4. Laura Cano-García
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  5. Sandra Fortea
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  6. Cristina Patricia Alcañiz-Escandell
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  7. José R. Rodríguez
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  8. Laura Cebrián
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  9. Pablo Lázaro
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Consortia

Representing the SCORE working group

Corresponding author

Correspondence to Santiago Muñoz-Fernández.

Ethics declarations

Funding

This work was supported by an unrestricted grant from the Spanish Society of Rheumatology and Abbvie.

Conflict of interest

Santiago Muñoz-Fernández, Ma. Dolores Aguilar, Raquel Almodóvar, Laurra Cano-García, Sandra Fortea, Cristina Patricia Alcañiz-Escandell, J. Ramón Rodríguez, Laura Cebrián and Pablo Lázaro declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 19,634 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

The SCORE working group has been processed in Appendix section.

Appendix

Appendix

SCORE working group

Hospital

l Investigator

H. Universitario de Burgos (Burgos)

Javier Alegre López

H. Universitario Dr. Peset (Valencia)

Juan José Alegre Sancho

H. Universitario Donostia (San Sebastián-Guipuzcoa)

Joaquín Belzunegui Otano

H. Universitario Virgen de la Arrixaca (Murcia)

Alberto Bermúdez Torrente

H. Universitario de Canarias (San Cristóbal de La Laguna-Tenerife)

Sagrario Bustabad Reyes

H. General Universitario de Valencia (Valencia)

Javier Calvo Catalá

H. Puerta de Hierro (Majadahonda - Madrid)

José Campos Esteban

H. Universitario de San Juan (San Juan-Alicante)

Amelia Carbonell Jorda

H. Universitario Joan XXIII (Tarragona)

Sonia Castro Oreiro

H. Moisès Broggi (Sant Joan Despí - Barcelona)

Dacia Cerdà Gabaroi

H. Universitario Reina Sofía (Córdoba)

Eduardo Collantes Estevez

H. Nuestra Señora de Sonsoles (Ávila)

Montserrat Corteguera Coro

H. Universitario Son Espases (Palma de Mallorca)

Lluis Espadaler Poch

H. General de Elda (Elda - Alicante)

Cristina Fernández Carballido

H. General Carlos Haya (Málaga)

Antonio Fernández Nebro

H. de Galdakao (Usansolo, Vizcaya)

Manuel Flores Torre

H. Universitario de la Princesa (Madrid)

Rosario García de Vicuña

H. de Basurto (Bilbao-Vizcaya)

Ma. Luz García Vivar

H. Sierrallana (Torrelavega-Cantabria)

Ma. Victoria Gómez España

H. de Sagunto (Sagunto-Valencia)

Sandra Fortea

H. Son Llatzer (Palma de Mallorca)

Antonio Juan Mas

H. Corporació Sanitària Parc Taulí (Sabadell-Barcelona)

Marta Larrosa Padró

H. Universitario Miguel Servet (Zaragoza)

Javier Manero Ruiz

H. Universitario La Paz (Madrid)

Emilio Martín Mola

H. Universitario Doce de Octubre (Madrid)

Isabel Mateo Bernardo

H. de la Santa Creu i Sant Pau (Barcelona)

Patricia Moya Alvarado

H. General Universitario de Elche (Elche-Alicante)

José Raúl Noguera Pons

H. Universitario de Bellvitge (Bellvitge-Barcelona)

Joan Miquel Nolla Solé

H. Universitario Marqués de Valdecilla (Santander)

Enriqueta Peiró Callizo

H. de León (León)

Trinidad Pérez Sandoval

H. General Universitario Morales Meseguer (Murcia)

Francisca Pina Pérez

H. Universitario de Salamanca (Salamanca)

Javier Pino del Montes

H. Fundación Hospital Calahorra (Calahorra-Logroño)

Miguel Ángel Polo Ostariz

H. Universitario de Getafe (Getafe-Madrid)

José Manuel Rodríguez Heredia

H. Dr. Negrín (Las Palmas de Gran Canaria-Gran Canaria)

Carlos Rodríguez Lozano

H. Universitario La Fe (Valencia)

Cristina Patricia Alcañiz

H. Provincial de Pontevedra (Pontevedra)

Susana Romero Yuste

H. General San Jorge (Huesca)

Rosa Roselló Pardo

H. Universitari Mútua de Terrassa (Terrassa-Barcelona)

María Rusiñol Badals

H. Virgen de la Salud (Toledo)

Juana Sampedro Álvarez

H. Príncipe de Asturias (Alcalá de Henares-Madrid)

Ana Isabel Sánchez Atrio

H. Complejo Hospitalario Lucus Augusti (Lugo)

Amalia Sánchez-Andrade Fernández

H. Monte Naranco (Oviedo)

Juan Carlos Torre Alonso

H. Universitario de Sanchinarro (Madrid)

Marta Valero Expósito

H. Ramón y Cajal (Madrid)

Mónica Vázquez Díaz

H. Universitario de Fuenlabrada (Fuenlabrada–Madrid)

Raúl Veiga Cabello

Hospital Universitario Infanta Leonor

Teresa Navío

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Muñoz-Fernández, S., Aguilar, M.D., Almodóvar, R. et al. SCORE study: quality indicators for rheumatology nursing clinics. Rheumatol Int 37, 353–361 (2017). https://doi.org/10.1007/s00296-016-3644-7

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  • DOI: https://doi.org/10.1007/s00296-016-3644-7

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