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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Selecting home care quality indicators based on the Resident Assessment Instrument-Home Care (RAI-HC) for Switzerland : a public health and healthcare providers' perspective
Authors: Wagner, Aylin
Zúñiga, Franziska
Rüesch, Peter
Schaffert, René
Dratva, Julia
et. al: No
DOI: 10.1371/journal.pone.0244577
Published in: PLOS ONE
Volume(Issue): 15
Issue: 12
Page(s): e0244577
Issue Date: 2020
Publisher / Ed. Institution: Public Library of Science
ISSN: 1932-6203
Language: English
Subjects: Spitex; Qualitätsindikator; Qualitätsmessung; Pflege; Delphi-Methode
Subject (DDC): 362: Health and social services
Abstract: Background: Despite an increasing importance of home care, quality assurance in this healthcare sector in Switzerland is hardly established. In 2010, Swiss home care quality indicators (QIs) based on the Resident Assessment Instrument-Home Care (RAI-HC) were developed. However, these QIs have not been revised since, although internationally new RAI-HC QIs have emerged. The objective of this study was to assess the appropriateness of RAI-HC QIs to measure quality of home care in Switzerland from a public health and healthcare providers’ perspective. Methods: First, the appropriateness of RAI-HC QIs, identified in a recent systematic review, was assessed by a multidisciplinary expert panel based on the RAND/UCLA Appropriateness Method taking into account indicators’ public health relevance, potential of influence, and comprehensibility. Second, the QIs selected by the experts were afterwards rated regarding their relevance, potential of influence, and practicability from a healthcare providers’ perspective in focus groups with home care nurses based on the Nominal-Group-Technique. Data were analyzed using median scores and the Disagreement Index. Results: 18 of 43 RAI-HC QIs were rated appropriate by the experts from a public health perspective. The 18 QIs cover clinical, psychosocial, functional and service use aspects. Seven of the 18 QIs were subsequently rated appropriate by home care nurses from a healthcare providers’ perspective. The focus of these QIs is narrow, because three of seven QIs are pain-related. From both perspectives, the majority of RAI-HC QIs were rated inappropriate because of insufficient potential of influence, with healthcare providers rating them more critically. Conclusions: The study shows that the appropriateness of RAI-HC QIs differs according to the stakeholder perspective and the intended use of QIs. The findings of this study can guide policy-makers and home care organizations on selecting QIs and to critically reflect on their appropriate use.
Fulltext version: Published version
License (according to publishing contract): CC BY 4.0: Attribution 4.0 International
Departement: School of Health Sciences
Organisational Unit: Institute of Public Health (IPH)
Published as part of the ZHAW project: Swiss Home Care Data: Bessere Daten zur Qualität der häuslichen Pflege (Spitex)
Appears in collections:Publikationen Gesundheit

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