• 作者：M. Á ; ngeles de Marino y Gó ; mez-Sandoval^a ; Fé ; lix Miguel Garcí ; a^a ; Alejandra Garcí ; a Ortiz^a ; ^{agarcia@grs.sacyl.es} ; Nieves Martí ; n Sobrino^a ; Siro Lleras Muñ ; oz^b ; M. Á ; ngeles Guzm&#225 ; n Fern&#225 ; ndez^b
• 关键词：Normas té ; cnicas de tratamiento ; Calidad ; Prescripció ; n ; Cartera de servicios
• 刊名：Revista de Calidad Asistencial
• 出版年：2006
• 期刊代码：pca305_1134282X
• 类别：med
• 出版时间：September 2006
• 卷：21
• 期：5
• 页码：264-270
• 文件大小：199 K

This study aims to describe the procedure followed to design treatment technical norms (TTN) to be included in the catalogue of services in primary care, the wording of the four TTN included, and interobserver agreement.

The technical-scientific bases of the TTN were written in a technical report that included a list of references and a copy of the most important articles. The initial proposals were published in a special issue of the bulletin Ojo de Markov (Markov鈥檚 Eye), which is aimed at health professionals. Simultaneously, a debate among professionals was fostered on both the contents and the pertinence of this kind of norms. Suggestions and opinions were collected by means of a poll. A study to estimate the level of agreement among three independent observers was performed in a sample of 300 clinical records. The scientific evidence and health professionals鈥?suggestions were evaluated by panel of experts who wrote the final version of the TTN.

The proposal to include the TTN in the catalogue of services in primary care as a tool for measuring quality and supporting clinical decisions was received by health professionals with different degrees of agreement. The main part of each norm defines the treatment of choice, while other clinical situations based on guidelines were included as an explanation for the evaluation. The NTT defined showed good interobserver agreement.