ArticleBMJ open2021
Quality of care for people with multimorbidity: a focus group study with patients and their relatives.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Attributes of family physician encounters valued by older adults: a systematic review.BMC primary care · 2025Pooled it
- Measuring the Quality of Care for Older Adults With Multimorbidity: Results of the MULTIqual Project.The Gerontologist · 2022Pooled it
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- German general practitioners' experiences during the COVID-19 pandemic and how it affected their patient care: A qualitative study.The European journal of general practice · 2023Article
- [Do General Practitioners have Experience with Social Care Points? A Berlin-Wide Survey].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023Article
- Integrated care for older multimorbid heart failure patients: protocol for the ESCAPE randomized trial and cohort study.ESC heart failure · 2023Article
- Observational
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- Adaptation and validation of a German version of the Multimorbidity Treatment Burden Questionnaire.Health and quality of life outcomes · 2022Article
- Self-management perspectives of elderly patients with multimorbidity and practitioners - status, challenges and further support needed?BMC family practice · 2021Article
- The content and processes of patient-derived quality of care indicators for people living with multiple long-term conditions (MLTC): A scoping review.Journal of multimorbidity and comorbidityReview
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevalence of people with multimorbidity rises. Multimorbidity constitutes a challenge to the healthcare system, and treatment of patients with multimorbidity is prone to high-quality variations. Currently, no set of quality indicators (QIs) exists to assess quality of care, let alone incorporating the patient perspective. We therefore aim to identify aspects of quality of care relevant to the patients' perspective and match them to a literature-based set of QIs.
methodsWe conducted eight focus groups with patients with multimorbidity and three focus groups with patients' relatives using a semistructured guide. Data were analysed using Kuckartz's qualitative content analysis. We derived deductive categories from the literature, added inductive categories (new quality aspects) and translated them into QI.
resultsWe created four new QIs based on the quality aspects relevant to patients/relatives. Two QIs (patient education/self-management, regular updates of medication plans) were consented by an expert panel, while two others were not (periodical check-ups, general practitioner-coordinated care). Half of the literature-based QIs, for example, assessment of biopsychosocial support needs, were supported by participants' accounts, while more technical domains regarding assessment and treatment regimens were not addressed in the focus groups.
conclusionWe show that focus groups with patients and relatives adding relevant aspects in QI development should be incorporated by default in QI development processes and constitute a reasonable addition to traditional QI development. Our QI set constitutes a framework for assessing the quality of care in the German healthcare system. It will facilitate implementation of treatment standards and increase the use of existing guidelines, hereby helping to reduce overuse, underuse and misuse of healthcare resources in the treatment of patients with multimorbidity. TRIAL REGISTRATION NUMBER: German clinical trials registry (DRKS00015718), Pre-Results.
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