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Enhancing Quality of Care: A Consumer Perspective on Eating Disorders

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moesha
17 diapositives · 320 Views · Aug 21, 2014

This project focuses on the consumer perspective of quality of care regarding eating disorders, highlighting the impact of government policy and market dynamics in healthcare. It discusses definitions of quality, evaluation methods, and the importance of including consumer feedback in developing care guidelines. Key findings reveal challenges patients face in seeking care, emphasizing the need for stronger relationships between providers and patients, improved accessibility, and better communication. Ultimately, integrating consumer perspectives can lead to more effective, patient-centered healthcare solutions.

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  1. Consumer perspective on quality of care Simone de la Rie1, Eric van Furth1, Greta Noordenbos2, Liesbeth Libbers3, 1Robert-Fleury Foundation, 2University of Leiden, 3SABN, The Netherlands srie@robertfleury.nl

  2. Outline • Consumer perspective in health care: government policy • Quality of care and consumer perspective • Quality of care for eating disorders from a consumer perspective srie@robertfleury.nl

  3. Consumer perspective and government policy • Patient as a consumer (1987) • Introduction of market forces of demand and supply in health care • Strengthening the consumer perspective in health care • “Choosing with care” (2001) srie@robertfleury.nl

  4. Government measures • Judicial position • Financial aid for consumer/ patient organisations • Improvement of accessibility of information about health care • Evaluation of quality of care • Certification of high quality care • Guidelines srie@robertfleury.nl

  5. Development of guidelines Definition of a guideline (CBO): “ a guideline is a compilation of general acknowledged directions regarding medical care in a specific domain. It serves as a guiding principle” srie@robertfleury.nl

  6. Guideline for eating disorders • Evidence based - scientific state of the art • Practice based - consensus expert opinion • Consumer perspective on quality of care - criteria for the quality of care srie@robertfleury.nl

  7. Quality of care and consumer perspective • Definition of quality • Assessing quality of care • The consumer perspective on quality of care for eating disorders srie@robertfleury.nl

  8. Definition of quality National Council of Health Care: “Quality is the sum of characteristics and features of a product, process or service that is important for meeting the established or self-evident needs” srie@robertfleury.nl

  9. Definition of quality II • Quality as a multidimensional construct (Donabedian, 1988) - outcome - process - structure • Quality as a collection of subjective features (Lemmens & Donker 1990) srie@robertfleury.nl

  10. Assessment of quality of care • Product - outcome • Process - doctor-patient relationship - content of treatment - participation - information • Structure - accessibility - organisation of care or institution srie@robertfleury.nl

  11. Assessment of quality of mental health care • General instruments - Client Satisfaction Questionnaire (Attkinson and Zwick 1982) - Client Thermometer (GGZ Nederland) • Instruments for evaluation of specific domains of mental health care srie@robertfleury.nl

  12. Quality of care for eating disorders from a patient perspective Aims of the project: • Development of criteria for quality of care for eating disorders • Implementation of these criteria srie@robertfleury.nl

  13. Methods • Nationwide recruitment • Screening for eating disorder pathology • Instruments 1) EDE-Q, Rosenberg self-esteem, SF 36 2) Qualitative and quantitative measures to gain insight in experiences, assess helpfulness of care and satisfaction with care and determine criteria for the quality of care srie@robertfleury.nl

  14. Preliminary findings: seeking and finding care • Patient delay - denial of eating disorder pathology - lack of information • Doctor delay - delay of referral by general practitioner - long intake procedures srie@robertfleury.nl

  15. Preliminary findings:Experiences with care • Focus of treatment - emphasis on eating disorder pathology or addressing underlying problems? • Indicators for treatment preferences - type of eating disorder - self esteem - comorbid problems - quality of life srie@robertfleury.nl

  16. Preliminary findings:Quality of care • Process - therapist-patient relationship - communication skills • Structure - accessibility - expertise - aftercare srie@robertfleury.nl

  17. Conclusion • Including the consumer perspective on quality of care in guidelines enhances: - patientcentred care - satisfaction of patients - effectiveness of care srie@robertfleury.nl