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BMC Health Services Research
Published in: BMC Health Services Research 1/2013

Open Access 01-12-2013 | Research article

Evaluation of an integrated system for classification, assessment and comparison of services for long-term care in Europe: the eDESDE-LTC study

Authors: Luis Salvador-Carulla, Javier Alvarez-Galvez, Cristina Romero, Mencia R Gutiérrez-Colosía, Germain Weber, David McDaid, Hristo Dimitrov, Lilijana Sprah, Birgitte Kalseth, Giuseppe Tibaldi, Jose A Salinas-Perez, Carolina Lagares-Franco, Maria Teresa Romá-Ferri, Sonia Johnson

Published in: BMC Health Services Research | Issue 1/2013

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Abstract

Background

The harmonization of European health systems brings with it a need for tools to allow the standardized collection of information about medical care. A common coding system and standards for the description of services are needed to allow local data to be incorporated into evidence-informed policy, and to permit equity and mobility to be assessed. The aim of this project has been to design such a classification and a related tool for the coding of services for Long Term Care (DESDE-LTC), based on the European Service Mapping Schedule (ESMS).

Methods

The development of DESDE-LTC followed an iterative process using nominal groups in 6 European countries. 54 researchers and stakeholders in health and social services contributed to this process. In order to classify services, we use the minimal organization unit or “Basic Stable Input of Care” (BSIC), coded by its principal function or “Main Type of Care” (MTC). The evaluation of the tool included an analysis of feasibility, consistency, ontology, inter-rater reliability, Boolean Factor Analysis, and a preliminary impact analysis (screening, scoping and appraisal).

Results

DESDE-LTC includes an alpha-numerical coding system, a glossary and an assessment instrument for mapping and counting LTC. It shows high feasibility, consistency, inter-rater reliability and face, content and construct validity. DESDE-LTC is ontologically consistent. It is regarded by experts as useful and relevant for evidence-informed decision making.

Conclusion

DESDE-LTC contributes to establishing a common terminology, taxonomy and coding of LTC services in a European context, and a standard procedure for data collection and international comparison.
Appendix
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Metadata
Title
Evaluation of an integrated system for classification, assessment and comparison of services for long-term care in Europe: the eDESDE-LTC study
Authors
Luis Salvador-Carulla
Javier Alvarez-Galvez
Cristina Romero
Mencia R Gutiérrez-Colosía
Germain Weber
David McDaid
Hristo Dimitrov
Lilijana Sprah
Birgitte Kalseth
Giuseppe Tibaldi
Jose A Salinas-Perez
Carolina Lagares-Franco
Maria Teresa Romá-Ferri
Sonia Johnson
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2013
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-13-218

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