Quality of acute internal medicine: A patient-centered approach. Validation and usage of the Patient Reported Measure-acute care in the Netherlands
| Autor: | Sander M. J. van Kuijk, Prabath W. B. Nanayakkara, Marjolein N. T. Kremers, Yvonne A. E. Simons, Elsemieke E. M. Mols, Harm R. Haak, Frits Holleman |
|---|---|
| Přispěvatelé: | Health Services Research, RS: CAPHRI - R1 - Ageing and Long-Term Care, MUMC+: KIO Kemta (9), Epidemiologie, RS: CAPHRI - R2 - Creating Value-Based Health Care, Interne Geneeskunde, General Internal Medicine, Amsterdam Gastroenterology Endocrinology Metabolism, Internal medicine, ACS - Diabetes & metabolism, APH - Quality of Care, APH - Digital Health |
| Rok vydání: | 2020 |
| Předmět: |
Male
Critical Care and Emergency Medicine Quality management SATISFACTION Health Care Providers Social Sciences Geographical locations Cognition Learning and Memory 0302 clinical medicine Patient-Centered Care Surveys and Questionnaires Acute care Health care Medicine and Health Sciences Content validity Quality of Care Psychology Medicine Attention Medical Personnel 030212 general & internal medicine DISCHARGE INSTRUCTIONS Netherlands Aged 80 and over HEALTH-STATUS Multidisciplinary 030503 health policy & services Middle Aged Quality Improvement Europe Professions Patient Satisfaction Memory Recall Female Patient-reported outcome Emergency Service Hospital 0305 other medical science Research Article Adult medicine.medical_specialty Critical Care Psychometrics Patients Science Pain 03 medical and health sciences Signs and Symptoms Quality of life (healthcare) Memory Physicians Internal medicine Internal Medicine Humans Patient Reported Outcome Measures European Union COMPREHENSION Aged Quality of Health Care business.industry Cognitive Psychology Biology and Life Sciences Construct validity Emergency department EMERGENCY-DEPARTMENT Health Care People and Places Quality of Life Cognitive Science Population Groupings Clinical Medicine business Neuroscience |
| Zdroj: | Kremers, M N T, Mols, E E M, Simons, Y A E, van Kuijk, S M J, Holleman, F, Nanayakkara, P W B & Haak, H R 2020, ' Quality of acute internal medicine: A patient-centered approach. Validation and usage of the Patient Reported Measure-acute care in the Netherlands ', PLoS ONE, vol. 15, no. 12 December, e0242603 . https://doi.org/10.1371/journal.pone.0242603 PLoS ONE, Vol 15, Iss 12, p e0242603 (2020) PLOS ONE, 15(12):0242603. Public Library of Science PLoS ONE, 15(12 December):e0242603. Public Library of Science PLoS ONE |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0242603 |
| Popis: | BackgroundProviding high quality care is important and has gained more attention since the introduction of value-based healthcare. Value should be measured by outcomes achieved, relevant for patients. Patient-centeredness is one domain for quality improvement determined by the Institute of Medicine, aiming to deliver care responsive to the patient. The development and implementation of patient reported outcome- and experience measures can be used for this goal. Recently, we developed the Patient Reported Measure (PRM)-acute care, based on five relevant domains to evaluate and improve the quality of care in the Emergency Department (ED).ObjectiveTo validate the PRM-acute care, in order to evaluate and improve patient-centered care in the ED.MethodsWe performed a prospective questionnaire-based study. Patients ≥18 years presenting for internal medicine in the ED were eligible. The validity of the PRM-acute care was evaluated according to the COSMIN-criteria. We performed hypotheses testing to evaluate construct validity. The perceived quality of care was evaluated by statistical analysis.ResultsFace- and content validity was evaluated based on previously performed research and deemed good. Construct validity was supported by demonstrated differences between subgroups; patients with severe symptoms had a higher perceived quality of care. The correlation between overall satisfaction and the total mean score of the PRM-acute care (r = 0,447, p = 0.01) was significant. Overall, patients reported a mean perceived quality of care of 4.67/6.0.ConclusionThe PRM-acute care is a valid instrument to measure the perceived quality of care in an acute setting for internal medicine patients. Additionally, patients reported a good perceived quality of care in the ED with scores ranging from moderate to well for each of the relevant domains. Therefore, we believe that the PRM-acute care can be implemented in daily practice to evaluate the perceived quality of care and to improve the quality of acute care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|