Table 2. Quality indicators for measuring the quality of care in liver cirrhosis .
Quality indicators | ||
Structure domain | Process domain | Outcome domain |
Special cirrhosis clinic Assigned hepatologist presence Coordinator/special nurse presence Day care center facility Facilities for paracentesis Facilities for lab tests Accessibility of pharmacy Insurance support level Endoscopy unit Paper data bank registry Electronic data bank registry Facilities for telephone calls Informative brochures Published suitable guidelines Simple health care access for patients Hospital services Liver intensive care unit Liver transplantation unit Transplantation list waiting time |
Indicated abdominal paracentesis Primary SBP prophylaxis Secondary SBP prophylaxis Prescription of diuretics at discharge HCC screening adherence Variceal screening adherence Referral for transplantation assessment SBP antibiotic prophylaxis HBV, HAV vaccinations rate Bone and mineral density evaluation Vitamin D testing Education of patients Education of family members |
Safety Cost Iatrogenic complications Free transplantation survival HRQL score Hospital re-admission rate DALYs Days of work loss Patients’ satisfaction PROMs In hospital mortality Short term mortality Long term mortality |
HRQL: Health Related Quality of Life, DALYs: Disability Adjusted Life Years. PROMs: Patient Reported Outcome Measures, SBP: Spontaneous Bacterial Peritonitis, HCC; Hepatocellular Carcinoma, HAV; Hepatitis A Virus, HBV; Hepatitis B Virus