Background: Independent peer review of healthcare services can complement existing internal-, institutional-, and national-level regulatory mechanisms aimed at improving quality of healthcare. However, this has not been reported for paediatric endocrinology services in the UK. We aimed to test feasibility and acceptability through a first cycle of a national peer review of paediatric endocrine services. Methods: Tertiary centres in paediatric endocrinology across the UK were assessed against 54 quality standards, developed by the British Society for Paediatric Endocrinology and Diabetes (BSPED) in five domains of healthcare by a team comprising paediatric endocrinologists and specialist nurses. The evaluation was supported by a self-assessment. A post-peer-review questionnaire was used as feedback. Results: All 22 centres in the UK underwent independent peer review between 2011 and 2017. Each served a median population of 2.6 million (range 1–8 million) and offered 1,872 (range 779–6,738) outpatient consultations annually. A total of 43 (range 30–49) standards were met in combined evaluation of all centres. Variance of adherence for essential standards ranged from 52 to 97% at individual centres with 90% adherence demonstrated by 32% of centres. Post-review feedback showed 20/22 (95%) validating the utility of the peer review. Conclusions: The BSPED peer review of all UK centres providing paediatric endocrine services is shown to be feasible and provides a quality benchmark for replication by national services.
Horm Res Paediatr

中文翻译：

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英国儿科内分泌服务同行评审：质量和服务改进模板


背景：医疗保健服务的独立同行评审可以补充现有的旨在提高医疗保健质量的内部、机构和国家层面的监管机制。然而，英国儿科内分泌服务尚未有相关报道。我们的目的是通过儿科内分泌服务国家同行评审的第一周期来测试可行性和可接受性。方法：根据英国儿科内分泌和糖尿病学会 (BSPED) 在五个医疗保健领域制定的 54 项质量标准，由儿科内分泌学家和专科护士组成的团队对英国三级儿科内分泌中心进行了评估。该评估得到了自我评估的支持。使用同行评审后的调查问卷作为反馈。结果： 2011 年至 2017 年间，英国所有 22 个中心均接受了独立同行评审。每个中心服务的中位人口为 260 万（范围 1-800 万），每年提供 1,872 次（范围 779-6,738）门诊咨询。所有中心的综合评估总共达到了 43 项（范围 30-49）标准。各个中心对基本标准的遵守率差异从 52% 到 97% 不等，其中 32% 的中心的遵守率为 90%。评审后反馈显示 20/22 (95%) 验证了同行评审的实用性。结论：对所有提供儿科内分泌服务的英国中心进行的 BSPED 同行评审被证明是可行的，并为国家服务机构的复制提供了质量基准。
 儿科激素