Evaluation of the quality of care of a haemodialysis public-private partnership programme for patients with end-stage renal disease
| Autor: | Eric Yuk Fai Wan, Karina H. Y. Chan, Cindy L. K. Lam, Julie Y. Chen, Frank W. K. Chan, Anca Ka Chun Chan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Community centre
Audit Public-Private Sector Partnerships Health Services Accessibility End stage renal disease Study Protocol Hospital 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Nursing Renal Dialysis Humans Medicine Longitudinal Studies Patient Reported Outcome Measures 030212 general & internal medicine Action research Action learning Quality Indicators Health Care Shared care Hospitals Public business.industry 030503 health policy & services Quality of care Service provider Haemodialysis Outcome and Process Assessment Health Care Research Design Nephrology General partnership Hong Kong Kidney Failure Chronic 0305 other medical science business Program Evaluation |
| Zdroj: | BMC Nephrology |
| Popis: | Background Haemodialysis (HD) is one of the life-saving options for patients with end stage renal disease but demand for this treatment exceeds capacity in publicly funded hospitals. One novel approach to addressing this problem is through a shared-care model whereby government hospitals partner with qualified private HD service providers to increase the accessibility of HD for needy patients. The aim of this study is to evaluate and enhance the quality of care (QOC) provided in such a shared-care programme in Hong Kong, the Haemodialysis Public-Private Partnership Programme (HD-PPP). Methods/Design This is a longitudinal study based on Action Learning and Audit Spiral methodologies to measure the achievement of pre-set target standards for the HD-PPP programme over three evaluation cycles. The QOC evaluation framework is comprised of structure, process and outcome criteria with target standards in each domain developed from review of the evidence and in close collaboration with the HD-PPP working group. During each evaluation cycle, coordinators of each study site complete a questionnaire to determine adherence with structural criteria of care. Process and clinical outcomes, such as adverse events and dialysis adequacy, are extracted from the patient records of consenting study participants while face-to-face interviews are conducted to ascertain patient-reported outcomes such as self-efficacy and health-related quality of life. Discussion The study relies on the successful implementation of partnership-based action research to develop an evidence-based and pragmatic framework for evaluation of quality of care in an iterative fashion, and to use it to identify possible areas of quality enhancements in a shared-care programme for HD patients. The approach we take in this study emphasizes partnership and engagement with the clinical and administrative programme team, a robust but flexible evaluation framework, direct observation and the potential to realize positive change. The experience will be useful to inform the process of coordinating research studies involving multiple stakeholders and results will help to guide service planning and policy decision making. Trial registration US Clinical Trial Registry NCT02307903 Electronic supplementary material The online version of this article (doi:10.1186/s12882-016-0284-9) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|