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Compiling a Set of Actionable Quality Indicators for Medical Practitioners in Dutch Nursing Homes: A Delphi Study
Gary Y C Yeung1, Karlijn J Joling1, Darly Dash2
1Department of Medicine for Older People, Amsterdam UMC, Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands; Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Journal of the American Medical Directors Association
|June 22, 2024
Summary
A Delphi study identified 21 actionable quality indicators (QIs) for medical practitioners in Dutch nursing homes. Most QIs are transferable internationally, aiding quality comparisons and improvements in medical care.
Area of Science:
- Geriatric Medicine
- Healthcare Quality Improvement
- Nursing Home Care
Background:
- Existing nursing home quality indicators (QIs) often lack specificity for medical practitioners.
- International experts have proposed specific QIs for medical care quality in nursing homes.
- A need exists for actionable QIs tailored to medical practitioners in Dutch nursing homes.
Purpose of the Study:
- To compile a set of actionable quality indicators (QIs) for medical practitioners in Dutch nursing homes.
- To evaluate existing national and international QIs for their relevance and control by medical practitioners.
Main Methods:
- A Delphi study involving Dutch medical practitioners (specialists, nurse practitioners, physician assistants).
- Evaluation of 15 national and 35 international QIs based on practitioner control and relevance.
- Consensus-building rounds and final ranking of selected QIs.
Main Results:
- Consensus reached on 42 QIs under medical practitioner control, with 21 deemed relevant for quality of care.
- Most relevant QIs originated from the international set, suggesting transferability.
- Top-ranked QIs included new medication prescriptions and advance care planning.
Conclusions:
- The study successfully identified a set of relevant and actionable QIs for medical practitioners in Dutch nursing homes.
- Internationally developed QIs are transferable and can facilitate cross-national quality comparisons.
- Further research is needed to assess the feasibility and measurement properties of the selected QIs for implementation.
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