{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:35:21Z","timestamp":1777581321994,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,4,17]],"date-time":"2023-04-17T00:00:00Z","timestamp":1681689600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["DL57\/2016\/CP1336\/CT0001"],"award-info":[{"award-number":["DL57\/2016\/CP1336\/CT0001"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["LA\/P\/0064\/2020"],"award-info":[{"award-number":["LA\/P\/0064\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UIDB\/04750\/2020"],"award-info":[{"award-number":["UIDB\/04750\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Performance assessments are essential to tracking and improving quality in health care systems. Key aspects of the care process that act as indicators must be measured in order to gain an in-depth understanding of a care unit's operation. Without standardized quality indicators (QIs), it is difficult to characterize and compare the abilities of institutions to achieve excellence. The aim of this study is to reach a consensus among glaucoma specialists concerning the development of a set of QIs to assess the performance of glaucoma care units.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A two-round Delphi technique was performed among glaucoma specialists in Portugal, using a 7-point Likert scale. Fifty-three initial statements (comprising process, structure, and outcome indicators) were evaluated and participants had to agree on which ones would be part of the final set of QIs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>By the end of both rounds, 28 glaucoma specialists reached consensus on 30\/53 (57%) statements, including 19 (63%) process indicators (mainly relating to the proper implementation of complementary exams and the setting of follow-up intervals), 6 (20%) structure indicators, and 5 (17%) outcome indicators. Of the indicators that were part of the final list, functional and structural aspects of glaucoma progression and the availability of surgical\/laser procedures were the most prevalent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A set of 30 QIs for measuring the performance of glaucoma units was developed using a consensus methodology involving experts in the field. Their use as measurement standards would provide important information about unit operations and allow further implementation of quality improvements.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721231170033","type":"journal-article","created":{"date-parts":[[2023,4,18]],"date-time":"2023-04-18T01:20:40Z","timestamp":1681780840000},"page":"217-225","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Nationwide consensus on quality indicators to assess glaucoma care: A modified Delphi approach"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2867-3680","authenticated-orcid":false,"given":"Flavio","family":"Iorio-Aranha","sequence":"first","affiliation":[{"name":"EPIUnit, Institute of Public Health, University of Porto, Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade Populacional (ITR), Porto, Portugal"},{"name":"Ophthalmology, Faculty of Medicine, Universidade de Brasilia, Brasilia, Brasil"}]},{"given":"Cl\u00e1udia","family":"de Freitas","sequence":"additional","affiliation":[{"name":"EPIUnit, Institute of Public Health, University of Porto, Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade Populacional (ITR), Porto, Portugal"},{"name":"Department of Public Health and Forensic Sciences and Medical Education, Faculdade de Medicina da Universidade do Porto, Porto, Portugal"}]},{"given":"Am\u00e2ndio","family":"Rocha-Sousa","sequence":"additional","affiliation":[{"name":"UnIC@RISE, Department of Surgery and Physiology, Faculdade de Medicina da Universidade do Porto, Porto, Portugal"},{"name":"Department of Ophthalmology, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o, Porto, Portugal"}]},{"given":"Ana","family":"Azevedo","sequence":"additional","affiliation":[{"name":"EPIUnit, Institute of Public Health, University of Porto, Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade Populacional (ITR), Porto, Portugal"},{"name":"Department of Public Health and Forensic Sciences and Medical Education, Faculdade de Medicina da Universidade do Porto, Porto, Portugal"},{"name":"Hospital Epidemiology Center, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o, Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7816-816X","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Barbosa-Breda","sequence":"additional","affiliation":[{"name":"UnIC@RISE, Department of Surgery and Physiology, Faculdade de Medicina da Universidade do Porto, Porto, Portugal"},{"name":"Department of Ophthalmology, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o, Porto, Portugal"},{"name":"Department of Neurosciences, KULeuven, Research Group Ophthalmology, Leuven, Belgium"}]}],"member":"179","published-online":{"date-parts":[[2023,4,17]]},"reference":[{"key":"bibr1-11206721231170033","unstructured":"Institute of Medicine. Measuring the quality of health care. Washington, DC: The National Academies Press, 1999: p. 42. https:\/\/doi.org\/10.17226\/6418. Available at: https:\/\/www.nap.edu\/catalog\/6418\/measuring-the-quality-of-health-care. Accessed Jan 18, 2021."},{"key":"bibr2-11206721231170033","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1988.03410120089033"},{"key":"bibr3-11206721231170033","doi-asserted-by":"publisher","DOI":"10.3109\/13814789709160336"},{"key":"bibr4-11206721231170033","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2013.05.017"},{"key":"bibr5-11206721231170033","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2019.03.009"},{"key":"bibr6-11206721231170033","unstructured":"Core Outcome Measures in Effectiveness Trials (COMET Initiative). Available at: http:\/\/www.comet-initiative.org\/. 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