Quality indicators for collaborative care networks in persistent somatic symptoms and functional disorders: a modified delphi study

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  • Nick Mamo
  • Lineke M Tak
  • Manouk A W van de Klundert
  • Tim C Olde Hartman
  • Judith G M Rosmalen
  • Denise J C Hanssen
Background
Care for persistent somatic symptoms and functional disorders (PSS/FD) is often fragmented. Collaborative care networks (CCNs) may improve care quality for PSS/FD. Effectiveness likely depends on their functioning, but we lack a straightforward quality evaluation system. We therefore aimed to develop quality indicators to evaluate CCNs for PSS/FD.

Method
Using an online three-round modified Delphi process, an expert panel provided, selected and ranked quality indicators for CCNs in PSS/FD. Recruited experts were diverse healthcare professionals with relevant experience in PSS/FD care in the Netherlands.

Results
The expert panel consisted of 86 professionals representing 15 disciplines, most commonly physiotherapists, psychologists and medical specialists. 58% had more than 10 years experience in PSS/FD care. Round one resulted in 994 quotations, which resulted in 46 unique quality indicators. These were prioritised in round two and ranked in round three by the panel, resulting in a final top ten. The top three indicators were: “shared vision of care for PSS/FD”, “pathways tailored to the individual patient”, and “sufficiently-experienced caregivers for PSS/FD”.

Conclusions
The identified quality indicators to evaluate CCNs in the field of PSS/FD can be implemented in clinical practice and may be useful in improving services and when assessing effectiveness.
OriginalsprogEngelsk
Artikelnummer225
TidsskriftBMC Health Services Research
Vol/bind24
Udgave nummer1
Antal sider9
ISSN1472-6963
DOI
StatusUdgivet - 2024

Bibliografisk note

© 2024. The Author(s).

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