Quality of care: A comparison of preferences between medical specialists and patients with chronic diseases

Waal, M.A.E. van der; Casparie, A. F.; Lako, C.J.

doi:10.1016/0277-9536(95)00200-6

Cited by 43 publications

(21 citation statements)

References 7 publications

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“…These maps can also be used with policy makers and program developers to identify future actions for change. The CM method has been extensively used in planning and evaluation [14] and more recently, in studies related to mental health [19,20], violence [21,22], gambling [23], child welfare [24], youth development [25], tobacco control [26] and health care models [27,28].…”

Section: Methodsmentioning

confidence: 99%

Concept Mapping with South Asian Immigrant Women: Barriers to Mammography and Solutions

Ahmad

Mahmood

Pietkiewicz³

et al. 2011

J Immigrant Minority Health

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Despite benefits of screening mammography, many South Asian (SA) immigrant women in Canada remain under screened. We aimed to elicit their experiences and beliefs about barriers to mammography and possible solutions. SA immigrant women aged 50 years or over were eligible if they never had a mammogram or had one more than 3 years ago. We employed the participatory mixed-method approach of Concept Mapping. Sixty women participated with a mean age of 58 years. Participants brainstormed 150 items which were consolidated into 67 items. After sorting and rating, cluster analysis revealed eight clusters of barriers on knowledge, fear, language and transportation, access to mammogram center, access to doctor, beliefs and practices, self-care, and family dependence. Participants discussed possible solutions, and emphasized out-reach models to address knowledge gaps and issues of language and transportation. One example was a community-based shuttle bus to screening centres, hosted by trained co-ethnic workers. The results are discussed to enhance the socio-cultural sensitivity of breast screening programs.

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Section: Methodsmentioning

confidence: 99%

Concept Mapping with South Asian Immigrant Women: Barriers to Mammography and Solutions

Ahmad

Mahmood

Pietkiewicz³

et al. 2011

J Immigrant Minority Health

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“…25 Patient satisfaction with treatment outcomes, including detectable improvements in HRQoL, may enhance patient compliance with the treatment regimen-an integral factor for achieving optimal control of COPD. [82][83][84][85][86] Therefore, it is essential to provide the patient with a treatment regimen that will encourage good compliance. Clinical studies have shown that the duration of effect of long-acting bronchodilator therapies (Ͼ12 hours), such as formoterol, salmeterol, and tiotropium, 79,87-90 permit a dosing regimen that may improve patient adherence, 46,47 whereas patients are less likely to comply with treatments of shorter durations of effect that require several actuations per day to achieve the recommended daily dose, 6 such as SABAs and short-acting anticholinergic therapies.…”

Section: Discussionmentioning

confidence: 99%

A Pharmacotherapeutic Approach to Improving Health-Related Quality of Life for Patients With Chronic Obstructive Pulmonary Disease

Adams

Anzueto

2009

Clinical Pulmonary Medicine

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Chronic obstructive pulmonary disease (COPD) represents a growing social and economic burden in the United States and is currently the fourth leading cause of death. In addition to declining physiologic function, patients with symptomatic COPD often experience substantially worsened psychologic side effects, such as loss of sleep, anxiety, and depression-all of which may cause serious detriment to their health-related quality of life (HRQoL). Improving patients' HRQoL is essential to achieving optimal treatment outcomes and is now recognized as a clinically important assessment of medical treatment. Currently, COPD guidelines recommend regular pharmacologic treatment to achieve improvements in overall health status and lung function parameters. Studies have shown that pharmacologic treatments, particularly inhaled anticholinergics, ␤ 2 -adrenergic receptor agonists, and bronchodilator combination therapies not only improve and maintain lung function but also substantially improve HRQoL. In addition, data demonstrate that achieving and maintaining an appreciable improvement in HRQoL is often more important to patients than are improvements in pulmonary function. Therefore, patient-reported outcomes, psychologic symptoms, patient satisfaction with treatment, and other essential components of HRQoL should be considered when prescribing pharmacologic therapy for patients with COPD. When considering therapeutic options for COPD, physicians should consult with their patients to determine which factors are of particular importance to them, as this will optimize treatment adherence and disease management.

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“…This method is useful in generating not only the emergent concepts but also for engaging the participants in appraising the relevance of concepts for future planning or direction [32]. The CM method has been used extensively in planning and evaluation [31], and more recently in health studies including healthcare modeling [33,34]. …”

Section: Methodsmentioning

confidence: 99%

What is needed to implement a computer-assisted health risk assessment tool? An exploratory concept mapping study

Ahmad

Norman

O’Campo

2012

BMC Med Inform Decis Mak

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BackgroundEmerging eHealth tools could facilitate the delivery of comprehensive care in time-constrained clinical settings. One such tool is interactive computer-assisted health-risk assessments (HRA), which may improve provider-patient communication at the point of care, particularly for psychosocial health concerns, which remain under-detected in clinical encounters. The research team explored the perspectives of healthcare providers representing a variety of disciplines (physicians, nurses, social workers, allied staff) regarding the factors required for implementation of an interactive HRA on psychosocial health.MethodsThe research team employed a semi-qualitative participatory method known as Concept Mapping, which involved three distinct phases. First, in face-to-face and online brainstorming sessions, participants responded to an open-ended central question: “What factors should be in place within your clinical setting to support an effective computer-assisted screening tool for psychosocial risks?” The brainstormed items were consolidated by the research team. Then, in face-to-face and online sorting sessions, participants grouped the items thematically as ‘it made sense to them’. Participants also rated each item on a 5-point scale for its ‘importance’ and ‘action feasibility’ over the ensuing six month period. The sorted and rated data was analyzed using multidimensional scaling and hierarchical cluster analyses which produced visual maps. In the third and final phase, the face-to-face Interpretation sessions, the concept maps were discussed and illuminated by participants collectively.ResultsOverall, 54 providers participated (emergency care 48%; primary care 52%). Participants brainstormed 196 items thought to be necessary for the implementation of an interactive HRA emphasizing psychosocial health. These were consolidated by the research team into 85 items. After sorting and rating, cluster analysis revealed a concept map with a seven-cluster solution: 1) the HRA’s equitable availability; 2) the HRA’s ease of use and appropriateness; 3) the content of the HRA survey; 4) patient confidentiality and choice; 5) patient comfort through humanistic touch; 6) professional development, care and workload; and 7) clinical management protocol. Drawing insight from the theoretical lens of Sociotechnical theory, the seven clusters of factors required for HRA implementation could be read as belonging to three overarching aspects : Technical (cluster 1, 2 and 3), Social-Patient (cluster 4 and 5), and Social-Provider (cluster 6 and 7). Participants rated every one of the clusters as important, with mean scores from 4.0 to 4.5. Their scores for feasibility were somewhat lower, ranging from 3.4 to. 4.3. Comparing the scores for importance and feasibility, a significant difference was found for one cluster from each region (cluster 2, 5, 6). The cluster on professional development, care and workload was perceived as especially challenging in emergency department settings, and possible reasons were discussed in the inte...

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Quality of care: A comparison of preferences between medical specialists and patients with chronic diseases

Abstract: the patients and medical specialists researched did not show wide differences of opinion on preferences of care in relation to quality. The only exception to this concerned 'continuity of care' which was ranked higher by patients.

Cited by 43 publications

References 7 publications

Concept Mapping with South Asian Immigrant Women: Barriers to Mammography and Solutions

Concept Mapping with South Asian Immigrant Women: Barriers to Mammography and Solutions

A Pharmacotherapeutic Approach to Improving Health-Related Quality of Life for Patients With Chronic Obstructive Pulmonary Disease

What is needed to implement a computer-assisted health risk assessment tool? An exploratory concept mapping study

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