Projects per year
Methods: A staged and consultative methodology was used across a broad group of relevant stakeholders to develop a national audit tool, with reference to pre-existing standards of care for JIA. The tool comprises key service delivery quality measures assessed against two aspects of impact, namely disease related outcome measures and patient/carer reported outcome (PROM) and experience measures (PREM).
Results: Eleven service-related quality measures were identified, including those that map to current standards for commissioning of JIA clinical services in the UK. The 3-variable JADAS composite disease activity score and presence/absence of sacro-iliitis in patients with enthesitis related arthritis were identified as the primary disease-related outcome measures, with presence/absence of uveitis a secondary outcome. Novel PROMs and PREMs were developed and face validity confirmed by relevant patient/carer groups.
Conclusion: A tool for national audit of JIA has been developed with the aim of benchmarking current clinical practice and setting future standards and targets for improvement. Staged implementation of this national audit tool should facilitate investigation of variability in levels of care and drive quality improvement. This will require engagement from patients and carers, clinical teams and commissioners of JIA services.
- Juvenile idiopathic arthritis
- patient reported outcome measure
- patient reported experience measure
- standards of care
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- 2 Finished