TY - JOUR
T1 - Quality of acute internal medicine
T2 - A patient-centered approach. Validation and usage of the Patient Reported Measure-acute care in the Netherlands
AU - Kremers, Marjolein N. T.
AU - Mols, Elsemieke E. M.
AU - Simons, Yvonne A. E.
AU - van Kuijk, Sander M. J.
AU - Holleman, Frits
AU - Nanayakkara, Prabath W. B.
AU - Haak, Harm R.
N1 - Funding Information:
MK received funding for research activities from teh Netherlands Association of Internal Medicine, without a grant number available. www.internisten.nl The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. We would like to thank Myriam Blokland, Eva Groot, Sani Kreca, Lara Pladet, Kaithlyn Tjong and Eline Velker, all medical students of Amsterdam UMC, for their help in recruiting participants.
Publisher Copyright:
© 2020 Kremers et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2020/12/1
Y1 - 2020/12/1
N2 - 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.
AB - 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.
KW - EMERGENCY-DEPARTMENT
KW - DISCHARGE INSTRUCTIONS
KW - HEALTH-STATUS
KW - SATISFACTION
KW - COMPREHENSION
U2 - 10.1371/journal.pone.0242603
DO - 10.1371/journal.pone.0242603
M3 - Article
C2 - 33259508
SN - 1932-6203
VL - 15
JO - PLOS ONE
JF - PLOS ONE
IS - 12
M1 - 0242603
ER -