Patients’ and kin’s perspective on healthcare quality compared to Lachman's multidimensional quality model: Focus group interviews
To identify key attributes of healthcare quality relevant to patients and kin and to compare them to Lachman’s multidimensional quality model. Four focus groups with patients and kin were conducted using a semi-structured interview guide and a purposive sampling method. Classical content analysis an...
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| Published in: | Patient education and counseling Vol. 105; no. 10; pp. 3151 - 3159 |
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| Main Authors: | , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Elsevier B.V
01-10-2022
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| Abstract | To identify key attributes of healthcare quality relevant to patients and kin and to compare them to Lachman’s multidimensional quality model.
Four focus groups with patients and kin were conducted using a semi-structured interview guide and a purposive sampling method. Classical content analysis and constant comparison method were used to focus data analysis on individual and group level.
Communication with patients, kin and professionals emerged as a new dimension from interview transcripts. Other identified key attributes largely corresponded with Lachman’s multidimensional quality model. They were mainly classified in dimensions: ‘Partnership and Co-Production’, ‘Dignity and Respect’ and ‘Effectiveness’. Technical quality dimensions were linked to organisational aspects of care in terms of staffing levels and time. The dimension ‘Eco-friendly’ was not addressed by patients or kin.
The results enhance the comprehension of healthcare quality and contribute to its academic understanding by validating Lachman’s multidimensional quality model from patients’ and kin’s perspective. The model robustness is increased by including communication as a quality dimension surrounding technical domains and core values.
The key attributes can serve as a holistic framework for healthcare organisations to design their quality management system. An instrument can be developed to measure key attributes.
•A comprehensive, holistic understanding of quality attributes from patients’ and kin’s perspective is essential.•Patients’ and kin’s perspective on quality attributes corresponds largely with those of Lachman’s multidimensional model.•Communication with patients, their kin and healthcare professionals is emphasised as an additional quality dimension.•Since eco-friendly care is not expressed by patients and kin as a key healthcare quality attribute, healthcare organisations can increase transparency of their ecological strategies. |
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| AbstractList | OBJECTIVESTo identify key attributes of healthcare quality relevant to patients and kin and to compare them to Lachman's multidimensional quality model. METHODSFour focus groups with patients and kin were conducted using a semi-structured interview guide and a purposive sampling method. Classical content analysis and constant comparison method were used to focus data analysis on individual and group level. RESULTSCommunication with patients, kin and professionals emerged as a new dimension from interview transcripts. Other identified key attributes largely corresponded with Lachman's multidimensional quality model. They were mainly classified in dimensions: 'Partnership and Co-Production', 'Dignity and Respect' and 'Effectiveness'. Technical quality dimensions were linked to organisational aspects of care in terms of staffing levels and time. The dimension 'Eco-friendly' was not addressed by patients or kin. CONCLUSIONSThe results enhance the comprehension of healthcare quality and contribute to its academic understanding by validating Lachman's multidimensional quality model from patients' and kin's perspective. The model robustness is increased by including communication as a quality dimension surrounding technical domains and core values. PRACTICE IMPLICATIONSThe key attributes can serve as a holistic framework for healthcare organisations to design their quality management system. An instrument can be developed to measure key attributes. To identify key attributes of healthcare quality relevant to patients and kin and to compare them to Lachman’s multidimensional quality model. Four focus groups with patients and kin were conducted using a semi-structured interview guide and a purposive sampling method. Classical content analysis and constant comparison method were used to focus data analysis on individual and group level. Communication with patients, kin and professionals emerged as a new dimension from interview transcripts. Other identified key attributes largely corresponded with Lachman’s multidimensional quality model. They were mainly classified in dimensions: ‘Partnership and Co-Production’, ‘Dignity and Respect’ and ‘Effectiveness’. Technical quality dimensions were linked to organisational aspects of care in terms of staffing levels and time. The dimension ‘Eco-friendly’ was not addressed by patients or kin. The results enhance the comprehension of healthcare quality and contribute to its academic understanding by validating Lachman’s multidimensional quality model from patients’ and kin’s perspective. The model robustness is increased by including communication as a quality dimension surrounding technical domains and core values. The key attributes can serve as a holistic framework for healthcare organisations to design their quality management system. An instrument can be developed to measure key attributes. •A comprehensive, holistic understanding of quality attributes from patients’ and kin’s perspective is essential.•Patients’ and kin’s perspective on quality attributes corresponds largely with those of Lachman’s multidimensional model.•Communication with patients, their kin and healthcare professionals is emphasised as an additional quality dimension.•Since eco-friendly care is not expressed by patients and kin as a key healthcare quality attribute, healthcare organisations can increase transparency of their ecological strategies. |
| Author | Van der Auwera, Charlotte Seys, Deborah Van Wilder, Astrid Brouwers, Jonas Vanhaecht, Kris Claessens, Fien De Ridder, Dirk Jans, Anneke Jacobs, Laura Castro, Eva Marie |
| Author_xml | – sequence: 1 givenname: Fien surname: Claessens fullname: Claessens, Fien email: Fien.claessens@kuleuven.be organization: Leuven Institute for Healthcare Policy – Department of Public Health, KU Leuven – University of Leuven, Leuven, Belgium – sequence: 2 givenname: Eva Marie surname: Castro fullname: Castro, Eva Marie organization: Leuven Institute for Healthcare Policy – Department of Public Health, KU Leuven – University of Leuven, Leuven, Belgium – sequence: 3 givenname: Anneke surname: Jans fullname: Jans, Anneke organization: Leuven Institute for Healthcare Policy – Department of Public Health, KU Leuven – University of Leuven, Leuven, Belgium – sequence: 4 givenname: Laura surname: Jacobs fullname: Jacobs, Laura organization: Department of Quality Management, University Hospitals Leuven, Leuven, Belgium – sequence: 5 givenname: Deborah surname: Seys fullname: Seys, Deborah organization: Leuven Institute for Healthcare Policy – Department of Public Health, KU Leuven – University of Leuven, Leuven, Belgium – sequence: 6 givenname: Astrid surname: Van Wilder fullname: Van Wilder, Astrid organization: Leuven Institute for Healthcare Policy – Department of Public Health, KU Leuven – University of Leuven, Leuven, Belgium – sequence: 7 givenname: Jonas surname: Brouwers fullname: Brouwers, Jonas organization: Leuven Institute for Healthcare Policy – Department of Public Health, KU Leuven – University of Leuven, Leuven, Belgium – sequence: 8 givenname: Charlotte surname: Van der Auwera fullname: Van der Auwera, Charlotte organization: Leuven Institute for Healthcare Policy – Department of Public Health, KU Leuven – University of Leuven, Leuven, Belgium – sequence: 9 givenname: Dirk surname: De Ridder fullname: De Ridder, Dirk organization: Leuven Institute for Healthcare Policy – Department of Public Health, KU Leuven – University of Leuven, Leuven, Belgium – sequence: 10 givenname: Kris surname: Vanhaecht fullname: Vanhaecht, Kris email: Kris.vanhaecht@kuleuven.be organization: Leuven Institute for Healthcare Policy – Department of Public Health, KU Leuven – University of Leuven, Leuven, Belgium |
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| Snippet | To identify key attributes of healthcare quality relevant to patients and kin and to compare them to Lachman’s multidimensional quality model.
Four focus... OBJECTIVESTo identify key attributes of healthcare quality relevant to patients and kin and to compare them to Lachman's multidimensional quality model.... |
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| Title | Patients’ and kin’s perspective on healthcare quality compared to Lachman's multidimensional quality model: Focus group interviews |
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