Evidence map›Paper›PMID 33259508›Full record

ArticlePloS one2020

Quality of acute internal medicine: A patient-centered approach. Validation and usage of the Patient Reported Measure-acute care in the Netherlands.

Marjolein N T Kremers, Elsemieke E M Mols, Yvonne A E Simons, Sander M J van Kuijk, Frits Holleman, Prabath W B Nanayakkara, Harm R Haak

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Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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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

7 authors.

Marjolein N T KremersDepartment of Health Services Research, and CAPHRI School for Public Health and Primary Care, Aging and Long Term Care, Maastricht, The Netherlands.ORCID 0000-0002-3791-8961
Elsemieke E M MolsDepartment of Internal Medicine, Máxima MC, Veldhoven/Eindhoven, The Netherlands.
Yvonne A E SimonsDepartment of Internal Medicine, Máxima MC, Veldhoven/Eindhoven, The Netherlands.
Sander M J van KuijkDepartment of KEMTA, Maastricht University Medical Center+, Maastricht, The Netherlands.
Frits HollemanDepartment of Internal Medicine, Amsterdam UMC, Location Academic Medical Center, Amsterdam, The Netherlands.
Prabath W B NanayakkaraSection General and Acute Internal Medicine, Amsterdam Public Health Research Institute, Department of Internal Medicine, Amsterdam UMC, Location VU University Medical Center, Amsterdam, The Netherlands.
Harm R HaakDepartment of Health Services Research, and CAPHRI School for Public Health and Primary Care, Aging and Long Term Care, Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProviding high quality care is important and has gained more attention since the introduction of value-based healthcare. Value should be measured by outcomes achieved, relevant for patients. Patient-centeredness is one domain for quality improvement determined by the Institute of Medicine, aiming to deliver care responsive to the patient. The development and implementation of patient reported outcome- and experience measures can be used for this goal. Recently, we developed the Patient Reported Measure (PRM)-acute care, based on five relevant domains to evaluate and improve the quality of care in the Emergency Department (ED).

objectiveTo validate the PRM-acute care, in order to evaluate and improve patient-centered care in the ED.

methodsWe performed a prospective questionnaire-based study. Patients ≥18 years presenting for internal medicine in the ED were eligible. The validity of the PRM-acute care was evaluated according to the COSMIN-criteria. We performed hypotheses testing to evaluate construct validity. The perceived quality of care was evaluated by statistical analysis.

resultsFace- and content validity was evaluated based on previously performed research and deemed good. Construct validity was supported by demonstrated differences between subgroups; patients with severe symptoms had a higher perceived quality of care. The correlation between overall satisfaction and the total mean score of the PRM-acute care (r = 0,447, p = 0.01) was significant. Overall, patients reported a mean perceived quality of care of 4.67/6.0.

conclusionThe PRM-acute care is a valid instrument to measure the perceived quality of care in an acute setting for internal medicine patients. Additionally, patients reported a good perceived quality of care in the ED with scores ranging from moderate to well for each of the relevant domains. Therefore, we believe that the PRM-acute care can be implemented in daily practice to evaluate the perceived quality of care and to improve the quality of acute care.

Indexed as

Patient Reported Outcome MeasuresAdultAgedAged, 80 and overCritical CareEmergency Service, HospitalFemaleHumansInternal MedicineMaleMiddle AgedNetherlandsPatient-Centered CarePatient SatisfactionPsychometricsQuality Improvement

Identifiers

PMID33259508
PMCPMC7707480

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