Cargando…

Prioritization of indicators of the quality of care provided to older adults with frailty by key stakeholders from five canadian provinces

BACKGROUND: To meet the needs of older adults with frailty better, it is essential to understand which aspects of care are important from their perspective. We therefore sought to assess the importance of a set of quality indicators (QI) for monitoring outcomes in this population. METHODS: In this m...

Descripción completa

Detalles Bibliográficos
Autores principales: Giguere, Anik, Holroyd-Leduc, Jayna M., Straus, Sharon E., Urquhart, Robin, Turcotte, Véronique, Durand, Pierre J., Turgeon, Alexis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8864862/
https://www.ncbi.nlm.nih.gov/pubmed/35197016
http://dx.doi.org/10.1186/s12877-022-02843-9
_version_ 1784655538271813632
author Giguere, Anik
Holroyd-Leduc, Jayna M.
Straus, Sharon E.
Urquhart, Robin
Turcotte, Véronique
Durand, Pierre J.
Turgeon, Alexis
author_facet Giguere, Anik
Holroyd-Leduc, Jayna M.
Straus, Sharon E.
Urquhart, Robin
Turcotte, Véronique
Durand, Pierre J.
Turgeon, Alexis
author_sort Giguere, Anik
collection PubMed
description BACKGROUND: To meet the needs of older adults with frailty better, it is essential to understand which aspects of care are important from their perspective. We therefore sought to assess the importance of a set of quality indicators (QI) for monitoring outcomes in this population. METHODS: In this mixed-method study, key stakeholders completed a survey on the importance of 36 QIs, and then explained their ratings in a semi-structured interview. Stakeholders included older adults with frailty and their caregivers, healthcare providers (HCPs), and healthcare administrators or policy/decision makers (DMs). We conducted descriptive statistical analyses of quantitative variables, and deductive thematic qualitative analyses of interview transcripts. RESULTS: The 42 participants (8 older adults, 18 HCPs, and 16 DMs) rated six QIs as more important: increasing the patients’ quality of life; increasing healthcare staff skills; decreasing patients’ symptoms; decreasing family caregiver burden; increasing patients’ satisfaction with care; and increasing family doctor continuity of care. CONCLUSIONS: Key stakeholders prioritized QIs that focus on outcomes targeted to patients and caregivers, whereas the current healthcare systems generally focus on processes of care. Quality improvement initiatives should therefore take better account of aspects of care that are important for older adults with frailty, such as having a chance to express their individual goals of care, receiving quality communications from HCPs, or monitoring symptoms that they might not spontaneously describe. Our results point to the need for patient-centred care that is oriented toward quality of life for older adults with frailty. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-022-02843-9.
format Online
Article
Text
id pubmed-8864862
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-88648622022-02-28 Prioritization of indicators of the quality of care provided to older adults with frailty by key stakeholders from five canadian provinces Giguere, Anik Holroyd-Leduc, Jayna M. Straus, Sharon E. Urquhart, Robin Turcotte, Véronique Durand, Pierre J. Turgeon, Alexis BMC Geriatr Research BACKGROUND: To meet the needs of older adults with frailty better, it is essential to understand which aspects of care are important from their perspective. We therefore sought to assess the importance of a set of quality indicators (QI) for monitoring outcomes in this population. METHODS: In this mixed-method study, key stakeholders completed a survey on the importance of 36 QIs, and then explained their ratings in a semi-structured interview. Stakeholders included older adults with frailty and their caregivers, healthcare providers (HCPs), and healthcare administrators or policy/decision makers (DMs). We conducted descriptive statistical analyses of quantitative variables, and deductive thematic qualitative analyses of interview transcripts. RESULTS: The 42 participants (8 older adults, 18 HCPs, and 16 DMs) rated six QIs as more important: increasing the patients’ quality of life; increasing healthcare staff skills; decreasing patients’ symptoms; decreasing family caregiver burden; increasing patients’ satisfaction with care; and increasing family doctor continuity of care. CONCLUSIONS: Key stakeholders prioritized QIs that focus on outcomes targeted to patients and caregivers, whereas the current healthcare systems generally focus on processes of care. Quality improvement initiatives should therefore take better account of aspects of care that are important for older adults with frailty, such as having a chance to express their individual goals of care, receiving quality communications from HCPs, or monitoring symptoms that they might not spontaneously describe. Our results point to the need for patient-centred care that is oriented toward quality of life for older adults with frailty. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-022-02843-9. BioMed Central 2022-02-23 /pmc/articles/PMC8864862/ /pubmed/35197016 http://dx.doi.org/10.1186/s12877-022-02843-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Giguere, Anik
Holroyd-Leduc, Jayna M.
Straus, Sharon E.
Urquhart, Robin
Turcotte, Véronique
Durand, Pierre J.
Turgeon, Alexis
Prioritization of indicators of the quality of care provided to older adults with frailty by key stakeholders from five canadian provinces
title Prioritization of indicators of the quality of care provided to older adults with frailty by key stakeholders from five canadian provinces
title_full Prioritization of indicators of the quality of care provided to older adults with frailty by key stakeholders from five canadian provinces
title_fullStr Prioritization of indicators of the quality of care provided to older adults with frailty by key stakeholders from five canadian provinces
title_full_unstemmed Prioritization of indicators of the quality of care provided to older adults with frailty by key stakeholders from five canadian provinces
title_short Prioritization of indicators of the quality of care provided to older adults with frailty by key stakeholders from five canadian provinces
title_sort prioritization of indicators of the quality of care provided to older adults with frailty by key stakeholders from five canadian provinces
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8864862/
https://www.ncbi.nlm.nih.gov/pubmed/35197016
http://dx.doi.org/10.1186/s12877-022-02843-9
work_keys_str_mv AT giguereanik prioritizationofindicatorsofthequalityofcareprovidedtoolderadultswithfrailtybykeystakeholdersfromfivecanadianprovinces
AT holroydleducjaynam prioritizationofindicatorsofthequalityofcareprovidedtoolderadultswithfrailtybykeystakeholdersfromfivecanadianprovinces
AT straussharone prioritizationofindicatorsofthequalityofcareprovidedtoolderadultswithfrailtybykeystakeholdersfromfivecanadianprovinces
AT urquhartrobin prioritizationofindicatorsofthequalityofcareprovidedtoolderadultswithfrailtybykeystakeholdersfromfivecanadianprovinces
AT turcotteveronique prioritizationofindicatorsofthequalityofcareprovidedtoolderadultswithfrailtybykeystakeholdersfromfivecanadianprovinces
AT durandpierrej prioritizationofindicatorsofthequalityofcareprovidedtoolderadultswithfrailtybykeystakeholdersfromfivecanadianprovinces
AT turgeonalexis prioritizationofindicatorsofthequalityofcareprovidedtoolderadultswithfrailtybykeystakeholdersfromfivecanadianprovinces