Gratiana Steinkamp1, Katja Stahl2, Helmut Ellemunter3, Eberhard Heuer4, Silke van Koningsbruggen-Rietschel5, Melanie Busche2, Wilhelm Bremer6, Carsten Schwarz7. 1. Clinical Research, Schwerin, Germany; Physicians Working Group (AGAM) in the German CF Association (Mukoviszidose e.V.), Germany. 2. Picker Institut Deutschland gGmbH, Hamburg, Germany. 3. CF Centre, Medical University Innsbruck, Innsbruck, Austria. 4. CF Centre Hamburg-Altona, Germany. 5. CF Centre Cologne, Germany. 6. Patient Experience Working Group in the German CF Association (Mukoviszidose e.V.), Germany. 7. CF Centre Berlin Charité, Germany; Physicians Working Group (AGAM) in the German CF Association (Mukoviszidose e.V.), Germany. Electronic address: Carsten.Schwarz@charite.de.
Abstract
UNLABELLED: The patients' perspective is an important aspect of quality management. A newly developed disease-specific questionnaire was used to assess the patients' experiences with care provided in specialised cystic fibrosis (CF) care centres. METHODS: 90 CF centres in Germany were invited to participate. Centre staff collected patient consent forms and sent the patients' addresses to the study centre. The questionnaires for adults and parents had 100 and 104 items respectively, with 3-6 response categories each. Items were dichotomised into "problem scores" (PS), indicating the presence or absence (PS 0%) of a reported problem. RESULTS: 56 CF centres took part in the survey and recruited 1642 adults with CF and 1205 parents. The response rates were 74% in each group, with 1221 completed questionnaires from adults and 891 from parents. Participants reported good experiences with care. Factor analysis revealed 10 factors covering 70 items. Participants reported the best results for the factors "Physiotherapists" (PS 6%) and "Physician-Patient Relationship" (PS 9%). Factors with the highest problem scores were inpatient and outpatient "Facilities, Hygiene and Services". CF centres received reports of their own results and mean problem scores of all participating institutions. The problem scores differed considerably between CF centres. CONCLUSIONS: The nation-wide CF-specific patient experience survey identified specific shortcomings which were mainly related to communication, centre organisation, and facilities. Centre staff can use the results to improve the quality of care. We suggest that patients' views should become an integral component of efforts to promote patient-centred care.
UNLABELLED: The patients' perspective is an important aspect of quality management. A newly developed disease-specific questionnaire was used to assess the patients' experiences with care provided in specialised cystic fibrosis (CF) care centres. METHODS: 90 CF centres in Germany were invited to participate. Centre staff collected patient consent forms and sent the patients' addresses to the study centre. The questionnaires for adults and parents had 100 and 104 items respectively, with 3-6 response categories each. Items were dichotomised into "problem scores" (PS), indicating the presence or absence (PS 0%) of a reported problem. RESULTS: 56 CF centres took part in the survey and recruited 1642 adults with CF and 1205 parents. The response rates were 74% in each group, with 1221 completed questionnaires from adults and 891 from parents. Participants reported good experiences with care. Factor analysis revealed 10 factors covering 70 items. Participants reported the best results for the factors "Physiotherapists" (PS 6%) and "Physician-Patient Relationship" (PS 9%). Factors with the highest problem scores were inpatient and outpatient "Facilities, Hygiene and Services". CF centres received reports of their own results and mean problem scores of all participating institutions. The problem scores differed considerably between CF centres. CONCLUSIONS: The nation-wide CF-specific patient experience survey identified specific shortcomings which were mainly related to communication, centre organisation, and facilities. Centre staff can use the results to improve the quality of care. We suggest that patients' views should become an integral component of efforts to promote patient-centred care.
Authors: Edith T Zemanick; Thida Ong; Cori L Daines; Elisabeth P Dellon; Marianne S Muhlebach; Charles R Esther Journal: Pediatr Pulmonol Date: 2016-04-13