Patient-reported quality of care in anthroposophic and integrative medicine: A scoping review

Autor: Erik W. Baars, Evi B. Koster, Diana M. J. Delnoij
Přispěvatelé: Health Care Governance (HCG)
Rok vydání: 2020
Předmět:
Zdroj: Patient Education and Counseling, 103(2), 276-285. Elsevier Ireland Ltd
ISSN: 0738-3991
DOI: 10.1016/j.pec.2019.09.010
Popis: Objective To investigate how, and to what extent, patient-reported quality of care is measured in Anthroposophic and Integrative Medicine (AM/IM). Methods Scoping review of evaluation studies of patient-reported quality of care and development studies of PREMs and/or PROMs in AM/IM, using five stages of Arksey’s methodological framework. Search strategy: Literature search in twelve relevant databases. Data extraction: Basic information, added categories: Focus; PREMs/PROMs; Evaluation measures; Patient involvement; Use of results. Results Sixty-four included studies: 30 quantitative, 20 qualitative and 14 mixed-methods studies. Quantitative studies showed a wide variety of instruments and qualitative studies showed a meaningful list of evaluation themes. Most prevalent themes: Agency & Empowerment; Patient-provider relationship; Perceived effectiveness; Coping & Psychological functioning; Inner awareness; Meaning; and General wellbeing. Seven studies report concrete, coherent, patient-derived evaluation measures with emphasis on PROMs and/or PREMs. Conclusion Patient-reported quality of care was not measured in a standardised way. Knowledge gap: in general, quantitative studies lack patient-derived measures and qualitative studies lack development of concrete evaluation measures. Many AM/IM evaluation aspects connect with patient-centred care. Practice implication The international field of AM/IM would benefit from the development of a core set of validated PROMs and PREMs to further enhance its scientific underpinning.
Databáze: OpenAIRE