Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-21281
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dc.contributor.authorWagner, Aylin-
dc.contributor.authorZúñiga, Franziska-
dc.contributor.authorRüesch, Peter-
dc.contributor.authorSchaffert, René-
dc.contributor.authorDratva, Julia-
dc.date.accessioned2021-01-14T10:11:09Z-
dc.date.available2021-01-14T10:11:09Z-
dc.date.issued2020-
dc.identifier.issn1932-6203de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/21281-
dc.description.abstractBackground: 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.de_CH
dc.language.isoende_CH
dc.publisherPublic Library of Sciencede_CH
dc.relation.ispartofPLOS ONEde_CH
dc.rightshttp://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectSpitexde_CH
dc.subjectQualitätsindikatorde_CH
dc.subjectQualitätsmessungde_CH
dc.subjectPflegede_CH
dc.subjectDelphi-Methodede_CH
dc.subject.ddc362: Gesundheits- und Sozialdienstede_CH
dc.titleSelecting home care quality indicators based on the Resident Assessment Instrument-Home Care (RAI-HC) for Switzerland : a public health and healthcare providers' perspectivede_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Public Health (IPH)de_CH
dc.identifier.doi10.1371/journal.pone.0244577de_CH
dc.identifier.doi10.21256/zhaw-21281-
dc.identifier.pmid33378348de_CH
zhaw.funding.euNode_CH
zhaw.issue12de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.starte0244577de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume15de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.funding.snf167499de_CH
zhaw.webfeedG: Arbeit und Gesundheitde_CH
zhaw.funding.zhawSwiss Home Care Data: Bessere Daten zur Qualität der häuslichen Pflege (Spitex)de_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
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Wagner, A., Zúñiga, F., Rüesch, P., Schaffert, R., & Dratva, J. (2020). Selecting home care quality indicators based on the Resident Assessment Instrument-Home Care (RAI-HC) for Switzerland : a public health and healthcare providers’ perspective. Plos One, 15(12), e0244577. https://doi.org/10.1371/journal.pone.0244577
Wagner, A. et al. (2020) ‘Selecting home care quality indicators based on the Resident Assessment Instrument-Home Care (RAI-HC) for Switzerland : a public health and healthcare providers” perspective’, PLOS ONE, 15(12), p. e0244577. Available at: https://doi.org/10.1371/journal.pone.0244577.
A. Wagner, F. Zúñiga, P. Rüesch, R. Schaffert, and J. Dratva, “Selecting home care quality indicators based on the Resident Assessment Instrument-Home Care (RAI-HC) for Switzerland : a public health and healthcare providers’ perspective,” PLOS ONE, vol. 15, no. 12, p. e0244577, 2020, doi: 10.1371/journal.pone.0244577.
WAGNER, Aylin, Franziska ZÚÑIGA, Peter RÜESCH, René SCHAFFERT und Julia DRATVA, 2020. Selecting home care quality indicators based on the Resident Assessment Instrument-Home Care (RAI-HC) for Switzerland : a public health and healthcare providers‘ perspective. PLOS ONE. 2020. Bd. 15, Nr. 12, S. e0244577. DOI 10.1371/journal.pone.0244577
Wagner, Aylin, Franziska Zúñiga, Peter Rüesch, René Schaffert, and Julia Dratva. 2020. “Selecting Home Care Quality Indicators Based on the Resident Assessment Instrument-Home Care (RAI-HC) for Switzerland : A Public Health and Healthcare Providers’ Perspective.” Plos One 15 (12): e0244577. https://doi.org/10.1371/journal.pone.0244577.
Wagner, Aylin, et al. “Selecting Home Care Quality Indicators Based on the Resident Assessment Instrument-Home Care (RAI-HC) for Switzerland : A Public Health and Healthcare Providers’ Perspective.” Plos One, vol. 15, no. 12, 2020, p. e0244577, https://doi.org/10.1371/journal.pone.0244577.


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