The Journal of International
Advanced Otology
Original Article

Designing a Method with Physician Participation to Assess and Improve Quality of Healthcare in Otolaryngology


Department of Health Information Management, University Hospital Fundación Jiménez Díaz, Madrid, Spain


Department of Nephrology, University Hospital Fundación Jiménez Díaz, Madrid, Spain


Department of Otolaryngology, University Hospital Fundación Jiménez Díaz, Madrid, Spain


Department of Otolaryngology, University Hospital Canarias, Las Palmas, Spain

J Int Adv Otol 2017; 13: 128-135
DOI: 10.5152/iao.2017.2880
Read: 1456 Downloads: 704 Published: 03 September 2019


OBJECTIVE: Patient choice of healthcare centers to be treated for specific diseases is compromised by the low accessibility of understandable information. Physicians are rarely involved in healthcare quality assessment, despite their potentially valuable input. The purpose of this study was to develop a methodology for evaluating the quality of care that specifically incorporates advice from medical specialists and provides accessible information for patients in search of high-quality healthcare.


MATERIALS and METHODS: A pilot Delphi study was conducted among 28 Spanish otolaryngology experts, seeking their opinion on the quality-of-care indicators and on their ability to recommend the most suitable department for the treatment of specific otolaryngologic diseases.


RESULTS: The average acceptance rate was 91.9% for quality-of-care indicator and 96.5% for the resources needed for improving the quality of care. Furthermore, 93% experts reported that patients frequently ask for physician advice on which center provides better care for a specific disease, 92.6% experts believe they could recommend the best centers for specific otolaryngologic diseases, and 80% experts agreed that expert opinion on the quality of care offered by different centers would be a valuable addition to quality-of-care assessment.


CONCLUSION: The incorporation of physician advice into healthcare quality assessment may improve the usefulness of healthcare quality indicators for patients. Assessment tools incorporating physician advice should be developed and validated.

EISSN 2148-3817