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Quality indicators for palliative care services: mixed-method study testing for face validity, feasibility,
Kathleen Leemans1, Luc Deliens2, Anneke L Francke3
1End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) & Ghent University, Brussels, Belgium kleemans@vub.ac.be.
Palliative Medicine
|September 4, 2014
Summary
A new set of palliative care quality indicators was developed and tested in Belgium. The indicators show good feasibility and discriminative power, with minor adjustments made for future use.
Area of Science:
- Palliative Care
- Healthcare Quality Improvement
- Health Services Research
Background:
- Lack of standardized, comprehensive, and validated quality indicators for palliative care.
- Development of a novel quality indicator set for palliative care services in Belgium.
Purpose of the Study:
- Evaluate the face validity, feasibility, discriminative power, and usefulness of the developed quality indicators.
- Assess the practical application and performance of the indicator set in real-world settings.
Main Methods:
- Combined quantitative analysis of questionnaire responses with qualitative interviews of contact persons.
- Implementation of the quality indicator set across nine palliative care services in Belgium.
- Data collection from patients, professional caregivers, family carers, and physicians.
Main Results:
- High response rates (56%-97%) indicated good feasibility of the measurement procedure.
- Caregiver interviews confirmed indicator validity and discriminative power.
- Identified and addressed issues with feasibility (20/80 indicators) and usefulness (5/80 indicators), leading to revisions.
Conclusions:
- Minor adjustments to indicators, tools, and procedures have prepared the set for further evaluation and use.
- Systematic use of these indicators will enable quality demonstration, comparison, and evaluation of improvement initiatives nationally and internationally.
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