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The role of CAHPS/patient experiences in the Dutch health care system: developing a questionnaire for patients who underwent cataract surgery or total hip or knee arthroplasty.
Brouwer, W., Gelsema, T., Delnoij, D. The role of CAHPS/patient experiences in the Dutch health care system: developing a questionnaire for patients who underwent cataract surgery or total hip or knee arthroplasty. European Journal of Public Health: 2005, 15(suppl. 1), p. 17-18. Abstract. 13th Annual EUPHA Meeting "Promoting the public's health: reorienting health policies, linking health promotion and health care", Graz, 10-12 November 2005.
Background: In the Netherlands, there is a growing need for standardized disease specific
instruments to measure performance to aid consumer choice, provider contracting and performance
improvement. Initiated by the Netherlands Organisation for Health Research and Development a whole
series of questionnaires are developed around several diseases and/or procedures, e.g. for patients
with diabetes, and patients who underwent total hip or knee arthroplasty or cataract surgery. The
construction of the questionnaire for cataract and total hip or knee arthroplasty will be presented
at the conference. Methods: The surveys measuring quality of care of patients who underwent cataract
surgery and total hip or knee arthroplasy are based on qualitative research and on existing valid
and reliable questionnaires. Focus group meetings and concept-mapping meetings provide qualitative
data from which patient-specific aspects of quality of care are derived. The QUOTE-instruments
(QUality Of care Through the patient’s Eyes; developed in the Netherlands) and the CAHPS-instruments
(Consumer Assessment of Health Plan Surveys; developed in the United States) are used in the
development of the surveys. These instruments are also developed in interaction with patients.
Results: The questionnaires under construction will consist of general scales such as treatment of
doctor and nurse, information provision, and physical environment, as well as diseasespecific
scales, such as mobility after surgery (for total hip or knee arthroplasty) and sight improvement
(cataract surgery). At the conference, quantitative data of the pilot studies will be presented,
including results on internal structure, and reliability and validity of the instruments.
Conclusions: We will expect that both studies will underline the importance of the use of a valid
and reliable instrument on which consumer data can be compared on national, and possible
international level. More research needs to be done concerning the external validity of the
instruments.(aut.ref.)
instruments to measure performance to aid consumer choice, provider contracting and performance
improvement. Initiated by the Netherlands Organisation for Health Research and Development a whole
series of questionnaires are developed around several diseases and/or procedures, e.g. for patients
with diabetes, and patients who underwent total hip or knee arthroplasty or cataract surgery. The
construction of the questionnaire for cataract and total hip or knee arthroplasty will be presented
at the conference. Methods: The surveys measuring quality of care of patients who underwent cataract
surgery and total hip or knee arthroplasy are based on qualitative research and on existing valid
and reliable questionnaires. Focus group meetings and concept-mapping meetings provide qualitative
data from which patient-specific aspects of quality of care are derived. The QUOTE-instruments
(QUality Of care Through the patient’s Eyes; developed in the Netherlands) and the CAHPS-instruments
(Consumer Assessment of Health Plan Surveys; developed in the United States) are used in the
development of the surveys. These instruments are also developed in interaction with patients.
Results: The questionnaires under construction will consist of general scales such as treatment of
doctor and nurse, information provision, and physical environment, as well as diseasespecific
scales, such as mobility after surgery (for total hip or knee arthroplasty) and sight improvement
(cataract surgery). At the conference, quantitative data of the pilot studies will be presented,
including results on internal structure, and reliability and validity of the instruments.
Conclusions: We will expect that both studies will underline the importance of the use of a valid
and reliable instrument on which consumer data can be compared on national, and possible
international level. More research needs to be done concerning the external validity of the
instruments.(aut.ref.)
Background: In the Netherlands, there is a growing need for standardized disease specific
instruments to measure performance to aid consumer choice, provider contracting and performance
improvement. Initiated by the Netherlands Organisation for Health Research and Development a whole
series of questionnaires are developed around several diseases and/or procedures, e.g. for patients
with diabetes, and patients who underwent total hip or knee arthroplasty or cataract surgery. The
construction of the questionnaire for cataract and total hip or knee arthroplasty will be presented
at the conference. Methods: The surveys measuring quality of care of patients who underwent cataract
surgery and total hip or knee arthroplasy are based on qualitative research and on existing valid
and reliable questionnaires. Focus group meetings and concept-mapping meetings provide qualitative
data from which patient-specific aspects of quality of care are derived. The QUOTE-instruments
(QUality Of care Through the patient’s Eyes; developed in the Netherlands) and the CAHPS-instruments
(Consumer Assessment of Health Plan Surveys; developed in the United States) are used in the
development of the surveys. These instruments are also developed in interaction with patients.
Results: The questionnaires under construction will consist of general scales such as treatment of
doctor and nurse, information provision, and physical environment, as well as diseasespecific
scales, such as mobility after surgery (for total hip or knee arthroplasty) and sight improvement
(cataract surgery). At the conference, quantitative data of the pilot studies will be presented,
including results on internal structure, and reliability and validity of the instruments.
Conclusions: We will expect that both studies will underline the importance of the use of a valid
and reliable instrument on which consumer data can be compared on national, and possible
international level. More research needs to be done concerning the external validity of the
instruments.(aut.ref.)
instruments to measure performance to aid consumer choice, provider contracting and performance
improvement. Initiated by the Netherlands Organisation for Health Research and Development a whole
series of questionnaires are developed around several diseases and/or procedures, e.g. for patients
with diabetes, and patients who underwent total hip or knee arthroplasty or cataract surgery. The
construction of the questionnaire for cataract and total hip or knee arthroplasty will be presented
at the conference. Methods: The surveys measuring quality of care of patients who underwent cataract
surgery and total hip or knee arthroplasy are based on qualitative research and on existing valid
and reliable questionnaires. Focus group meetings and concept-mapping meetings provide qualitative
data from which patient-specific aspects of quality of care are derived. The QUOTE-instruments
(QUality Of care Through the patient’s Eyes; developed in the Netherlands) and the CAHPS-instruments
(Consumer Assessment of Health Plan Surveys; developed in the United States) are used in the
development of the surveys. These instruments are also developed in interaction with patients.
Results: The questionnaires under construction will consist of general scales such as treatment of
doctor and nurse, information provision, and physical environment, as well as diseasespecific
scales, such as mobility after surgery (for total hip or knee arthroplasty) and sight improvement
(cataract surgery). At the conference, quantitative data of the pilot studies will be presented,
including results on internal structure, and reliability and validity of the instruments.
Conclusions: We will expect that both studies will underline the importance of the use of a valid
and reliable instrument on which consumer data can be compared on national, and possible
international level. More research needs to be done concerning the external validity of the
instruments.(aut.ref.)