Evidence map›Paper›PMID 26272506›Full record

ArticleBMC health services research2015

The public's voice about healthcare quality regulation policies. A population-based survey.

Renée Bouwman, Manja Bomhoff, Judith D de Jong, Paul Robben, Roland Friele

Abstract read
In one paragraph

Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Towards an Explanation of the Social Value of Health Systems: An Interpretive Synthesis.International journal of health policy and management · 2021
    Article
  4. Review
  5. User involvement in regulation: A qualitative study of service user involvement in Care Quality Commission inspections of health and social care providers in England.Health expectations : an international journal of public participation in health care and health policy · 2019
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Renée BouwmanNIVEL, Netherlands Institute for Health Services Research, PO Box 1568, 3500 BN, Utrecht, Netherlands. r.bouwman@nivel.nl.
Manja BomhoffNIVEL, Netherlands Institute for Health Services Research, PO Box 1568, 3500 BN, Utrecht, Netherlands. m.bomhoff@nivel.nl.
Judith D de JongNIVEL, Netherlands Institute for Health Services Research, PO Box 1568, 3500 BN, Utrecht, Netherlands. j.dejong@nivel.nl.
Paul RobbenDutch Healthcare Inspectorate, PO box 2680, 3500 GR, Utrecht, Netherlands. pb.robben@igz.nl.
Roland FrieleNIVEL, Netherlands Institute for Health Services Research, PO Box 1568, 3500 BN, Utrecht, Netherlands. r.friele@nivel.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the wake of various high-profile incidents in a number of countries, regulators of healthcare quality have been criticised for their 'soft' approach. In politics, concerns were expressed about public confidence. It was claimed that there are discrepancies between public opinions related to values and the values guiding regulation policies. Although the general public are final clients of regulators' work, their opinion has only been discussed in research to a limited extent. The aim of this study is to explore possible discrepancies between public values and opinions and current healthcare quality regulation policies.

methodsA questionnaire was submitted to 1500 members of the Dutch Healthcare Consumer Panel. Questions were developed around central ideas underlying healthcare quality regulation policies.

resultsThe response rate was 58.3%. The regulator was seen as being more responsible for quality of care than care providers. Patients were rated as having the least responsibility. Similar patterns were observed for the food service industry and the education sector. Complaints by patients' associations were seen as an important source of information for quality regulation, while fewer respondents trusted information delivered by care providers. However, respondents supported the regulator's imposition of lighter measures firstly.

conclusionsThere are discrepancies and similarities between public opinion and regulation policies. The discrepancies correspond to fundamental concepts; decentralisation of responsibilities is not what the public wants. There is little confidence in the regulator's use of information obtained by care providers' internal monitoring, while a larger role is seen for complaints of patient organisations. This discrepancy seems not to exist regarding the regulator's approach of imposing measures. A gradual, and often soft approach, is favoured by the majority of the public in spite of the criticism that is voiced in the media regarding this approach. Our study contributes to the limited knowledge of public opinion on government regulation policies. This knowledge is needed in order to effectively assess different approaches to involve the public in regulation policies.

Indexed as

Government RegulationPolicy MakingPublic OpinionAdolescentAdultAgedAged, 80 and overDelivery of Health CareFemaleHumansMaleMiddle AgedQuality of Health CareSurveys and QuestionnairesTrustYoung Adult

Identifiers

PMID26272506
PMCPMC4536787

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.