Advertisement

Evaluation: Quality in Headache Services

  • Timothy J. SteinerEmail author
  • Rigmor Jensen
  • Raquel Gil-Gouveia
  • Zaza Katsarava
Chapter
Part of the Headache book series (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.

Keywords

Headache disorders Public health Health policy Structured headache services Service organization and delivery Service quality evaluation European Headache Federation Global Campaign against Headache 

References

  1. 1.
    Shewhart WA. Statistical method from the viewpoint of quality control. Mineola, NY: Dover Publications; 1939.Google Scholar
  2. 2.
    ACT Academy, NHS Improvement Plan, Do, Study, Act (PDSA) cycles and the model for improvement. https://improvement.nhs.uk/documents/2142/plan-do-study-act.pdf.
  3. 3.
    Lawrence M, Olesen F, for the EQuiP Working Party on Indicators. Indicators of quality in health care. Eur J Gen Pract. 1997;3:103–8.CrossRefGoogle Scholar
  4. 4.
    Grol R, Baker R, Moss F. Quality improvement research: the science of change in health care. In: Grol R, Baker R, Moss F, editors. Quality improvement research. Understanding the science of change in health care. London: BMJ Books; 2004. p. 1–5.Google Scholar
  5. 5.
    Campbell SM, Braspenning J, Hutchinson A, Marshall MN. Research methods used in developing and applying quality indicators in primary care. BMJ. 2003;326:816–9.CrossRefGoogle Scholar
  6. 6.
    Donabedian A. The quality of care. How can it be assessed. JAMA. 1988;260:1743–8.CrossRefGoogle Scholar
  7. 7.
    Donabedian A. The seven pillars of quality. Arch Pathol Lab Med. 1990;114:1115–8.PubMedGoogle Scholar
  8. 8.
    Institute of Medicine, Committee to Design a Strategy for Quality Review and Assurance in Medicare. Medicare: a strategy for quality assurance, vol. 1. Washington, DC: National Academies Press; 1990.Google Scholar
  9. 9.
    Marshall M, Campbell S. Introduction to quality assessment in general practice. In: Marshall M, Campbell S, Hacker J, Roland M, editors. Quality indicators for general practice. A practical guide to clinical quality indicators for primary care health professionals and managers. London: Royal Society of Medicine Press; 2002. p. 1–6.Google Scholar
  10. 10.
    Campbell S, Braspenning J, Hutchinson A, Marshall M. Research methods used in developing and applying quality indicators in primary care. In: Grol R, Baker R, Moss F, editors. Quality improvement research. Understanding the science of change in health care. London: BMJ Books; 2001. p. 6–28.Google Scholar
  11. 11.
    McGlynn EA, Asch SM. Developing a clinical performance measure. Am J Prev Med. 1998;14(3 Suppl):14–21.CrossRefGoogle Scholar
  12. 12.
    Mant J. Process versus outcome indicators in the assessment of quality of health care. Int J Qual Health Care. 2001;13:475–80.CrossRefGoogle Scholar
  13. 13.
    Buse DC, Sollars CM, Steiner TJ, Jensen RH, Al Jumah MA, Lipton RB. Why HURT? A review of clinical instruments for headache management. Curr Pain Headache Rep. 2012;16:237–54.CrossRefGoogle Scholar
  14. 14.
    Powell A, Davies H, Thomson R. Using routine comparative data to assess the quality of health care: understanding and avoiding common pitfalls. In: Grol R, Baker R, Moss F, editors. Quality improvement research. Understanding the science of change in health care. London: BMJ Books; 2004. p. 29–50.Google Scholar
  15. 15.
    Steiner TJ, Lipton RB on behalf of Lifting The Burden: The Global Campaign against Headache. The headache-attributed lost time (HALT) indices: measures of burden for clinical management and population-based research. J Headache Pain. 2018;19:12.Google Scholar
  16. 16.
    World Health Organization and Lifting The Burden. Atlas of headache disorders and resources in the world 2011. Geneva: WHO; 2011. http://www.who.int/mental_health/management/atlas_headache_disorders/en/2011.
  17. 17.
    Sheftell FD, Tepper SJ, Bigal ME. Migraine: barriers for care. Neurol Sci. 2005;26(Suppl 2):s140–2.CrossRefGoogle Scholar
  18. 18.
    Ravishankar K. Barriers to headache care in India and efforts to improve the situation. Lancet Neurol. 2004;3:564–7.CrossRefGoogle Scholar
  19. 19.
    McGlynn EA, Asch SM, Adams J, Keesey J, Hicks J, DeCristofaro A, Kerr EA. The quality of health care delivered to adults in the United States. NEJM. 2003;348:2635–45.CrossRefGoogle Scholar
  20. 20.
    Loder EW, Sheftell F. The quality of headache treatment in the United States: review and analysis of recent data. Headache. 2005;45:939–46.CrossRefGoogle Scholar
  21. 21.
    O’Flynn N, Ridsdale L. Headache. In: Marshall M, Campbell S, Hacker J, Roland M, editors. Quality indicators in general practice. A practical guide to clinical quality indicators for primary health care professionals and managers. London: Royal Society of Medicine Press; 2002. p. 112–20.Google Scholar
  22. 22.
    Steiner TJ. Lifting The Burden: the global campaign against headache. Lancet Neurol. 2004;3:204–5.CrossRefGoogle Scholar
  23. 23.
    Steiner TJ. Lifting The Burden: the global campaign to reduce the burden of headache worldwide. J Headache Pain. 2005;6:373–7.CrossRefGoogle Scholar
  24. 24.
    Lifting The Burden. The Global Campaign against Headache. http://www.l-t-b.org.
  25. 25.
    Peters M, Perera S, Loder E, Jenkinson C, Gil Gouveia R, Jensen R, Katsarava Z, Steiner TJ. Quality in the provision of headache care. 1: systematic review of the literature and commentary. J Headache Pain. 2012;13:437–47.CrossRefGoogle Scholar
  26. 26.
    Peters M, Jenkinson C, Perera S, Loder E, Jensen R, Katsarava Z, Gil Gouveia R, Broner S, Steiner T. Quality in the provision of headache care. 2: defining quality and its indicators. J Headache Pain. 2012;13:449–57.CrossRefGoogle Scholar
  27. 27.
    Katsarava Z, Gil Gouveia R, Jensen R, Gaul C, Schramm S, Schoppe A, Steiner TJ. Evaluation of headache service quality indicators: pilot implementation in two specialist-care centres. J Headache Pain. 2015;16:53.CrossRefGoogle Scholar
  28. 28.
    Schramm S, Uluduz D, Gil Gouveia R, Jensen R, Siva A, Uygunoglu U, Gvantsa G, Mania M, Braschinsky M, Filatova E, Latysheva N, Osipova V, Skorobogatykh K, Azimova J, Straube A, Emre Eren O, Martelletti P, De Angelis V, Negro A, Linde M, Hagen K, Radojicic A, Zidverc-Trajkovic J, Podgorac A, Paemeleire K, De Pue A, Lampl C, Steiner TJ, Katsarava Z. Headache service quality: evaluation of quality indicators in 14 specialist-care centres. J Headache Pain. 2016;17:111.CrossRefGoogle Scholar
  29. 29.
    Pellesi L, Benemei S, Favoni V, Lupi C, Mampreso E, Negro A, Paolucci M, Steiner TJ, Ulivi M, Cevoli S, Guerzoni S. Quality indicators in headache care: an implementation study in six Italian specialist-care centres. J Headache Pain. 2017;18:55.CrossRefGoogle Scholar
  30. 30.
    Steiner TJ, Buse DC, Al Jumah M, Westergaard ML, Jensen RH, Reed ML, Prilipko L, Mennini FS, Láinez MJA, Ravishankar K, Sakai F, Yu S-Y, Fontebasso M, Al Khathami A, MacGregor EA, Antonaci F, Tassorelli C, Lipton RB on behalf of Lifting The Burden: The Global Campaign against Headache. The headache under-response to treatment (HURT) questionnaire, an outcome measure to guide follow-up in primary care: development, psychometric evaluation and assessment of utility. J Headache Pain. 2018;19:15.Google Scholar
  31. 31.
    Schmidt S, Mühlan H, Power M. The EUROHIS-QOL 8-item index: psychometric results of a cross-cultural field study. Eur J Pub Health. 2005;16:420–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Timothy J. Steiner
    • 1
    • 2
    Email author
  • Rigmor Jensen
    • 3
  • Raquel Gil-Gouveia
    • 4
  • Zaza Katsarava
    • 5
    • 6
    • 7
    • 8
  1. 1.Department of Neuromedicine and Movement ScienceNTNU Norwegian University of Science and TechnologyTrondheimNorway
  2. 2.Division of Brain SciencesImperial College LondonLondonUK
  3. 3.Department of Neurology, Danish Headache CentreUniversity of Copenhagen, Rigshospitalet GlostrupGlostrupDenmark
  4. 4.Hospital da Luz Headache CenterLisbonPortugal
  5. 5.Evangelical Hospital UnnaUnnaGermany
  6. 6.Department of NeurologyUniversity of Duisburg-EssenEssenGermany
  7. 7.EVEX Medical CorporationTbilisiGeorgia
  8. 8.IM Sechenov First Moscow State Medical University (Sechenov University)MoscowRussian Federation

Personalised recommendations