Healthcare models, quality indicators and quality of care in the management of patients with chronic kidney disease in Spain: Results from the CARABELA-CKD initiative
Background and objectives: Chronic kidney disease (CKD) poses a significant public health challenge worldwide and its prevalence is rising due to aging populations and increasing risk factors. The CARABELA-CKD initiative aims to address CKD management inefficiencies. Materials and methods: The CARAB...
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Elsevier
2025-04-01
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| Series: | Nefrología |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0211699524001103 |
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| author | Mercedes Salgueira Pedro Ruiz Jesús Ignacio Diago Manuel Pérez Maraver |
| author_facet | Mercedes Salgueira Pedro Ruiz Jesús Ignacio Diago Manuel Pérez Maraver |
| author_sort | Mercedes Salgueira |
| collection | DOAJ |
| description | Background and objectives: Chronic kidney disease (CKD) poses a significant public health challenge worldwide and its prevalence is rising due to aging populations and increasing risk factors. The CARABELA-CKD initiative aims to address CKD management inefficiencies. Materials and methods: The CARABELA-CKD initiative was structured into four phases. The methodology involved five pilot center studies, conducted to characterize CKD healthcare models (Phase 1), followed by the validation of disease care models, improvement areas, potential solutions, and strategic healthcare quality indicators in a National Multidisciplinary Workshop (Phase 2). Regional meetings were then held to refine all these aspects from a regional perspective and to determine the cocreation of solutions with subsequent quantitative validation of results using the two-round Delphi method (Phase 3B). Dissemination and implementation included integrating findings into digital questionnaires creating digital Playbooks and organizing local workshops (Phase 4). Results: The study identified three CKD care models in Spanish hospitals, each with distinct levels of specialization and resource availability. Twenty-five healthcare quality indicators were validated in a national meeting to assess various aspects of care quality and transformation. Improvement areas were identified, leading to the formulation of solutions to enhance CKD care models in Spain. Conclusions: The CARABELA-CKD initiative, a collaborative effort between Scientific Societies involved in the CKD care process and AstraZeneca, is a nationwide attempt in Spain to create a framework to promote solutions in healthcare delivery and improvements in the quality of care that result in better health outcomes and higher standards of care quality, improved quality of life for patients, and increased efficiency of the Healthcare Service. Resumen: Antecedentes y objetivo: La enfermedad renal crónica (ERC) representa un desafío significativo para la salud pública a nivel mundial. Su prevalencia está en aumento debido al envejecimiento poblacional y a factores de riesgo crecientes. La iniciativa CARABELA-CKD busca abordar las ineficiencias en el manejo de la ERC. Materiales y métodos: La iniciativa CARABELA-CKD se estructuró en 4 fases. En la primera fase, se caracterizaron los modelos de atención de la ERC en 5 centros piloto. En una segunda fase en una reunión nacional se validaron estos modelos, las áreas de mejora y las soluciones potenciales, además de indicadores de calidad en el manejo de la ERC. En la tercera fase se procedió a realizar reuniones regionales que facilitaron el refinamiento de las soluciones bajo una perspectiva regional con validación cuantitativa de resultados mediante un proceso Delphi (Fase 3B). En la cuarta fase se integraron los hallazgos en cuestionarios digitales permitiendo, mediante talleres, la diseminación e implementación local de CARABELA-CKD. Resultados: El estudio identificó 3 modelos de atención de la ERC en hospitales españoles, cada uno con niveles distintos de especialización y disponibilidad de recursos. Se validaron 25 indicadores para evaluar varios aspectos de la calidad de atención y transformación. Se identificaron áreas de mejora, lo que llevó a la formulación de soluciones para mejorar los modelos de atención de la ERC en España. Conclusiones: La iniciativa CARABELA, entre las sociedades científicas relacionadas con el manejo de la ERC y AstraZeneca, es una iniciativa multidisciplinar a nivel nacional de crear un marco para promover cambios en la atención sanitaria, que resulten en mejoras en los resultados en salud y en estándares más altos de calidad asistencial, mejora en calidad de vida de los pacientes y eficiencia del sistema sanitario. |
| format | Article |
| id | doaj-art-dcd8a569adef46e9be05b45e0a12bfbb |
| institution | DOAJ |
| issn | 0211-6995 |
| language | Spanish |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
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| series | Nefrología |
| spelling | doaj-art-dcd8a569adef46e9be05b45e0a12bfbb2025-08-20T02:49:20ZspaElsevierNefrología0211-69952025-04-0145428529310.1016/j.nefro.2024.11.001Healthcare models, quality indicators and quality of care in the management of patients with chronic kidney disease in Spain: Results from the CARABELA-CKD initiativeMercedes Salgueira0Pedro Ruiz1Jesús Ignacio Diago2Manuel Pérez Maraver3Spanish Society of Nephrology (S.E.N.), Spain; Nephrology Department, University Hospital Virgen Macarena, Seville, SpainSpanish Society for Healthcare Quality (SECA), Spain; AMCA – Asociación Madrileña de Calidad Asistencial, Madrid, SpainAstraZeneca Medical Department, Madrid, SpainSpanish Society of Endocrinology and Nutrition (SEEN), Spain; Endocrinology Department, Bellvitge University Hospital, Barcelona, Spain; Corresponding author.Background and objectives: Chronic kidney disease (CKD) poses a significant public health challenge worldwide and its prevalence is rising due to aging populations and increasing risk factors. The CARABELA-CKD initiative aims to address CKD management inefficiencies. Materials and methods: The CARABELA-CKD initiative was structured into four phases. The methodology involved five pilot center studies, conducted to characterize CKD healthcare models (Phase 1), followed by the validation of disease care models, improvement areas, potential solutions, and strategic healthcare quality indicators in a National Multidisciplinary Workshop (Phase 2). Regional meetings were then held to refine all these aspects from a regional perspective and to determine the cocreation of solutions with subsequent quantitative validation of results using the two-round Delphi method (Phase 3B). Dissemination and implementation included integrating findings into digital questionnaires creating digital Playbooks and organizing local workshops (Phase 4). Results: The study identified three CKD care models in Spanish hospitals, each with distinct levels of specialization and resource availability. Twenty-five healthcare quality indicators were validated in a national meeting to assess various aspects of care quality and transformation. Improvement areas were identified, leading to the formulation of solutions to enhance CKD care models in Spain. Conclusions: The CARABELA-CKD initiative, a collaborative effort between Scientific Societies involved in the CKD care process and AstraZeneca, is a nationwide attempt in Spain to create a framework to promote solutions in healthcare delivery and improvements in the quality of care that result in better health outcomes and higher standards of care quality, improved quality of life for patients, and increased efficiency of the Healthcare Service. Resumen: Antecedentes y objetivo: La enfermedad renal crónica (ERC) representa un desafío significativo para la salud pública a nivel mundial. Su prevalencia está en aumento debido al envejecimiento poblacional y a factores de riesgo crecientes. La iniciativa CARABELA-CKD busca abordar las ineficiencias en el manejo de la ERC. Materiales y métodos: La iniciativa CARABELA-CKD se estructuró en 4 fases. En la primera fase, se caracterizaron los modelos de atención de la ERC en 5 centros piloto. En una segunda fase en una reunión nacional se validaron estos modelos, las áreas de mejora y las soluciones potenciales, además de indicadores de calidad en el manejo de la ERC. En la tercera fase se procedió a realizar reuniones regionales que facilitaron el refinamiento de las soluciones bajo una perspectiva regional con validación cuantitativa de resultados mediante un proceso Delphi (Fase 3B). En la cuarta fase se integraron los hallazgos en cuestionarios digitales permitiendo, mediante talleres, la diseminación e implementación local de CARABELA-CKD. Resultados: El estudio identificó 3 modelos de atención de la ERC en hospitales españoles, cada uno con niveles distintos de especialización y disponibilidad de recursos. Se validaron 25 indicadores para evaluar varios aspectos de la calidad de atención y transformación. Se identificaron áreas de mejora, lo que llevó a la formulación de soluciones para mejorar los modelos de atención de la ERC en España. Conclusiones: La iniciativa CARABELA, entre las sociedades científicas relacionadas con el manejo de la ERC y AstraZeneca, es una iniciativa multidisciplinar a nivel nacional de crear un marco para promover cambios en la atención sanitaria, que resulten en mejoras en los resultados en salud y en estándares más altos de calidad asistencial, mejora en calidad de vida de los pacientes y eficiencia del sistema sanitario.http://www.sciencedirect.com/science/article/pii/S0211699524001103Enfermedad renal crónicaModelos asistencialesIndicadoresCalidad asistencialManejo |
| spellingShingle | Mercedes Salgueira Pedro Ruiz Jesús Ignacio Diago Manuel Pérez Maraver Healthcare models, quality indicators and quality of care in the management of patients with chronic kidney disease in Spain: Results from the CARABELA-CKD initiative Nefrología Enfermedad renal crónica Modelos asistenciales Indicadores Calidad asistencial Manejo |
| title | Healthcare models, quality indicators and quality of care in the management of patients with chronic kidney disease in Spain: Results from the CARABELA-CKD initiative |
| title_full | Healthcare models, quality indicators and quality of care in the management of patients with chronic kidney disease in Spain: Results from the CARABELA-CKD initiative |
| title_fullStr | Healthcare models, quality indicators and quality of care in the management of patients with chronic kidney disease in Spain: Results from the CARABELA-CKD initiative |
| title_full_unstemmed | Healthcare models, quality indicators and quality of care in the management of patients with chronic kidney disease in Spain: Results from the CARABELA-CKD initiative |
| title_short | Healthcare models, quality indicators and quality of care in the management of patients with chronic kidney disease in Spain: Results from the CARABELA-CKD initiative |
| title_sort | healthcare models quality indicators and quality of care in the management of patients with chronic kidney disease in spain results from the carabela ckd initiative |
| topic | Enfermedad renal crónica Modelos asistenciales Indicadores Calidad asistencial Manejo |
| url | http://www.sciencedirect.com/science/article/pii/S0211699524001103 |
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