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Evaluation: Quality in Headache Services

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Societal Impact of Headache

Part of the book series: Headache ((HEAD))

Abstract

This chapter sets out a multidimensional definition of quality in the context of headache care, along with a related set of quality indicators currently undergoing evaluation. Both were developed for the purposes, inter alia, of guiding implementation of structured headache services in countries that lack them and improving them elsewhere.

The domains of quality, and indicators, relate to structure and process rather than outcomes. Whereas outcome indicators can summarize all aspects of care, they may offer little or no guidance as to what needs improving when deficiencies are revealed. Outcome measures are influenced by many factors, not all dependent on quality of care. Most challengingly, outcome measures, if used to evaluate quality of care, require objective standards, which cannot be set independently of circumstances, setting and patient mix. Quality assured in structure and process is, therefore, the best available guarantor of quality in outcome.

Initial studies are described of implementation of these quality indicators.

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Author information

Authors and Affiliations

  1. Department of Neuromedicine and Movement Science, NTNU Norwegian University of Science and Technology, Trondheim, Norway

    Timothy J. Steiner

  2. Division of Brain Sciences, Imperial College London, London, UK

    Timothy J. Steiner

  3. Department of Neurology, Danish Headache Centre, University of Copenhagen, Rigshospitalet Glostrup, Glostrup, Denmark

    Rigmor Jensen

  4. Hospital da Luz Headache Center, Lisbon, Portugal

    Raquel Gil-Gouveia

  5. Evangelical Hospital Unna, Unna, Germany

    Zaza Katsarava

  6. Department of Neurology, University of Duisburg-Essen, Essen, Germany

    Zaza Katsarava

  7. EVEX Medical Corporation, Tbilisi, Georgia

    Zaza Katsarava

  8. IM Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation

    Zaza Katsarava

Authors
  1. Timothy J. Steiner
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  2. Rigmor Jensen
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  3. Raquel Gil-Gouveia
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  4. Zaza Katsarava
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Corresponding author

Correspondence to Timothy J. Steiner .

Editor information

Editors and Affiliations

  1. Department of Neuromedicine and Movement Science, NTNU Norwegian University of Science and Technology, Trondheim, Norway

    Timothy J. Steiner

  2. Department of Neuromedicine and Movement Science, NTNU Norwegian University of Science and Technology, Trondheim, Norway

    Lars Jacob Stovner

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Steiner, T.J., Jensen, R., Gil-Gouveia, R., Katsarava, Z. (2019). Evaluation: Quality in Headache Services. In: Steiner, T., Stovner, L. (eds) Societal Impact of Headache. Headache. Springer, Cham. https://doi.org/10.1007/978-3-030-24728-7_16

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  • DOI: https://doi.org/10.1007/978-3-030-24728-7_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-24726-3

  • Online ISBN: 978-3-030-24728-7

  • eBook Packages: MedicineMedicine (R0)

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