Birgitte, Kalsethá

Dimitrov, Hristo

Gutiérrez, M.

Lagares Franco, Carolina

Mcdaid, David

Roma Ferri, María Teresa

Romero Morales, C.

Romero, C.

Salinas Pérez, José Alberto

Salvador Carulla, Luis

Sprah, Lilijana

Tibaldi, Guiseppe

Weber, G.

Álvarez Gálvez, Javier

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

Romero, Cristina

Ruiz Gutierrez-Colosia, Mencía

Weber, Germain

Kalsethá, Birgitte

Johnson, Sonia

Brújula - Repositorio Institucional

BMC Health Services Research

English

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

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

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