Multi-stakeholder perspectives in defining health services quality indicators and dimensions:a concept mapping based comparison for cataract care between Singapore and The Netherlands

OBJECTIVE: This study aims to advance understanding of globally valid versus country-specific quality dimensions and indicators, as perceived by relevant stakeholders. It specifically addresses patient-level indicators for cataract surgery. DESIGN: A mixed-methods case study comparing Singapore and The Netherlands SETTING: Singapore (2017-2019) and The Netherlands (2014-2015). PARTICIPANTS: Stakeholder representatives of cataract care in Singapore and The Netherlands. INTERVENTION: Based on the previously identified complete set of stakeholders in The Netherlands, we identified stakeholders of... Mehr ...

Verfasser: Stolk-Vos, Aline
De Korne, Dirk
Lamoureux, Ecosse
Wai, Charity
Busschbach, Jan Jv
van de Klundert, Joel Joris
Dokumenttyp: Artikel
Erscheinungsdatum: 2021
Reihe/Periodikum: Stolk-Vos , A , De Korne , D , Lamoureux , E , Wai , C , Busschbach , J J & van de Klundert , J J 2021 , ' Multi-stakeholder perspectives in defining health services quality indicators and dimensions : a concept mapping based comparison for cataract care between Singapore and The Netherlands ' , BMJ Open , vol. 11 , no. 4 , e046226 . https://doi.org/10.1136/bmjopen-2020-046226
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29207991
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://pure.eur.nl/en/publications/cb2167fe-7f21-4ff1-8ea5-029545a90176

OBJECTIVE: This study aims to advance understanding of globally valid versus country-specific quality dimensions and indicators, as perceived by relevant stakeholders. It specifically addresses patient-level indicators for cataract surgery. DESIGN: A mixed-methods case study comparing Singapore and The Netherlands SETTING: Singapore (2017-2019) and The Netherlands (2014-2015). PARTICIPANTS: Stakeholder representatives of cataract care in Singapore and The Netherlands. INTERVENTION: Based on the previously identified complete set of stakeholders in The Netherlands, we identified stakeholders of cataract care in Singapore. Stakeholder representatives then established a multi-stakeholder perspective on the quality of cataract care using a concept mapping approach. This yielded a multidimensional cluster map based on multivariate statistical analyses. Consensus-based quality dimensions were subsequently defined during a plenary session. Thereafter, Singaporean dimensions were matched with dimensions obtained in The Netherlands to identify commonalities and differences. MAIN OUTCOME MEASURE: Health-services quality dimensions of cataract care. RESULTS: 19 Singaporean stakeholders representing patients, general practitioners, ophthalmologists, nurses, care providers, researchers and clinical auditors defined health-services quality of cataract care using the following eight dimensions: clinical outcome, patient outcomes, surgical process, surgical safety, patient experience, access, cost and standards of care. Compared with the Dutch results, 61% of the indicators were allocated to dimensions of comparable names and compositions. Considerable differences also existed in the composition of some dimensions and the importance attached to indicators. CONCLUSIONS AND RELEVANCE: This study on cataract care in Singapore and The Netherlands shows that cataract care quality measurement instruments can share a common international core. At the same time, it emphasises the importance of taking a country-specific ...