Patient-centered outcomes on quality of life and anthroposophic healthcare
| Autor: | Erik W. Baars, Evi B. Koster, Diana M. J. Delnoij |
|---|---|
| Přispěvatelé: | Tranzo, Scientific center for care and wellbeing, Huisarts & Ziekenhuis |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
Patient-centered care media_common.quotation_subject Qualitative property 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Nursing anthroposophic healthcare Surveys and Questionnaires Outcome Assessment Health Care Health care Humans Medicine Quality (business) 030212 general & internal medicine Qualitative Research media_common Qualitative triangulation business.industry Patientreported outcomes measures Patient-centered outcomes Quality of care Public Health Environmental and Occupational Health Middle Aged 030205 complementary & alternative medicine Patient Outcome Assessment Quality of Life Female Patient-reported outcome business Autonomy Qualitative research |
| Zdroj: | Quality of Life Research, 25(9). Springer Quality of Life Research, 25, 2257-2267. Springer |
| ISSN: | 1573-2649 0962-9343 |
| Popis: | PurposeTo provide a qualitative investigation of aspects that matter to patients regarding quality of life (QOL) and other perceived treatment effects of anthroposophic healthcare (AH). It is a first step in the development of patient reported outcome measures (PROMs) for AH. Hence, it will contribute to the evaluation of AH quality from patients’ perspectives.MethodWithin-method triangulation of four qualitative data sources is: (1) Survey of 2063 patients of AH general practitioners; single open item; (2) Survey of 34 patients of AH nurses; single open item; (3) and (4) Sixteen semi-structured interviews with patients. The data sources contained patients’ qualitative reports on contribution of treatment to QOL, other perceived treatment effects and/or quality of care aspects. Content analysis Construction of items and domains by open, axial and selective coding.ResultsTwelve domains regarding quality of life are found: Recovery/Symptom reduction, Active contribution/Autonomy, General well-being, Meaning, Rest/Relaxation, Functioning, Energy/Strength, Care relationship, Natural healing, Mindful inner attitude, Being well informed and Social relations. The interviews demonstrate relations between domains.ConclusionsThe findings give a comprehensive insight into aspects of care that are relevant to patients, providing a first step to develop PROMs for AH. Findings show a broadening of domains compared to existing measurement instruments and show close similarities with the recently developed concept of “positive health.” Extending QOL instruments with a broader set of domains would give concrete tools to improve evaluation of quality of care and make this evaluation more in line with aspects that matter to AH patients.KeywordsQuality of life, Quality of care, Patient reported outcomes measures, Patient-centered care, Anthroposophic healthcare, Qualitative triangulation |
| Databáze: | OpenAIRE |
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