Author(s)
Quirland C1, Solà I2, Leache L3, Saiz LC3, Gutiérrez-Valencia M3, Álamo-Junquera D4, Rubio-Valera M5, Aznar I5, Requeijo-Lorenzo C1, Santero M1, Savall O1, Breton I6, de Miguel-Díez J7, Bonfill X2
1Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau - (II Sant Pau), Barcelona, Spain, 2Public Health and Clinical Epidemiology Service-IIB Sant Pau, CIBERESP, Barcelona, Spain, 3Unit of Innovation and Organization, Navarre Health Service (Spain). Navarra Medical Research Institute (IdiSNA), Pamplona, Spain, 4Servicio de Medicina Preventiva, Comité para la Mejora de la Adecuación de la Práctica Asistencial y Clínica (MAPAC). Hospital Universitario Germans Trias i Pujol, Badalona, Spain, 5Parc Sanitari Sant Joan de Déu, CIBERESP, Barcelona, Spain, 6Servicio de Endocrinología y Nutrición, Hospital General Universitario Gregorio Marañon, Madrid, Spain, 7Servicio de Neumología, Hospital General Universitario Gregorio Marañon, Madrid, Spain
BACKGROUND: Facing the sustainability challenge, health systems are increasingly interested in the appropriate use of resources to improve healthcare quality and performance. OBJECTIVES: To describe and quantify the extension and variability of potentially inappropriate practices in Spain. METHODS: Scoping review based on the Joanna Briggs Institute guidance. Structured searches for Medline and Embase were conducted, authors suggested known relevant evidence and systematic reviews were included as reference lists. Any type of quantitative design study published after the year 2000 reporting estimations of inappropriate clinical practices in Spain and considering an evidence-based standard of appropriate care, has been included. Twelve reviewers arranged in pairs are screening all records in duplicate and every two weeks they discuss the application of inclusion criteria to the body of evidence to assure selection replicability. RESULTS: 4.274 references have been identified through database searches, 961 were duplicates and 164 were published before 2000, hence excluded. We have considered 3.149 references for title and abstract screening. We will extract information about inappropriate use type (overuse, underuse, and misuse), source of evidence (systematic reviews, guidelines, or quality indicators), population, type of intervention (diagnostics or treatment), study design, year of publication, and location. CONCLUSIONS: Appropriateness research has increased over the last 20 years in Spain. A wide range of study designs has been identified, including systematic reviews, randomized controlled trials; pragmatic trials; case series; cross sectional, cohort and pre-post studies and interrupted time series. We expect this scoping review to provide useful information about variability of practices, and areas of potential appropriateness improvement.
Conference/Value in Health Info
2022-11, ISPOR Europe 2022, Vienna, Austria
Value in Health, Volume 25, Issue 12S (December 2022)
Code
HSD47
Disease
No Additional Disease & Conditions/Specialized Treatment Areas