Correlations between care users’ and the healthcare inspectorate’s ratings of the quality of care in long-term care homes
Objectives Increasing emphasis is being placed on person-centredness as a quality requirement for long-term care (LTC). Although healthcare inspectorates value the importance of care users’ experiences, they struggle to address these experiences in regulatory practice. The aim of this study is to ex...
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| Format: | Article |
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BMJ Publishing Group
2023-02-01
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| Series: | BMJ Open Quality |
| Online Access: | https://bmjopenquality.bmj.com/content/12/1/e001897.full |
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| author | Anne Margriet Pot Flora Palimetaki Karlijn Woutersen |
| author_facet | Anne Margriet Pot Flora Palimetaki Karlijn Woutersen |
| author_sort | Anne Margriet Pot |
| collection | DOAJ |
| description | Objectives Increasing emphasis is being placed on person-centredness as a quality requirement for long-term care (LTC). Although healthcare inspectorates value the importance of care users’ experiences, they struggle to address these experiences in regulatory practice. The aim of this study is to explore the correlations between care users’ and the healthcare inspectorate’s ratings of the quality of LTC in The Netherlands.Design The correlations between care users’ ratings from a public Dutch online patient rating site and the Dutch Health and Youth Care Inspectorate’s ratings of the quality of care were examined using Spearman rank correlations. The inspectorate’s ratings cover three themes: ‘attention to person-centred care’, ‘working towards sufficient and competent care staff’ and ‘focusing on quality and safety’.Setting Ratings of the quality of care were obtained for 200 LTC homes in The Netherlands between January 2017 and March 2019. These LTC homes had 6 to 350 residents (M=89; SD=57) and belonged to organisations with 1–40 LTC homes in total (M=6; SD=6).Participants Publicly available anonymous ratings of the perceived quality of care by care users were extracted from the Dutch patient rating website ‘www.zorgkaartnederland.nl’. Care users’ ratings were available for the 2 years prior to an assessment by the inspectorate for 200 LTC homes.Results We found a weak, significant correlation between the mean care users’ ratings and the inspectorate’s aggregated scores for the theme ‘person-centred care’ (r=0.26, N=200, padj<0.01); no other correlations were significant.Conclusions This study showed only a weak correlation between care users’ ratings and ratings of the Dutch Inspectorate of the quality of ‘person-centred care’ in LTC homes. Therefore, it may be fruitful to intensify or innovate approaches to involve care users’ experiences in regulation to do them justice. |
| format | Article |
| id | doaj-art-62ba838851b1447db189c20a3d0066b0 |
| institution | Kabale University |
| issn | 2399-6641 |
| language | English |
| publishDate | 2023-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Quality |
| spelling | doaj-art-62ba838851b1447db189c20a3d0066b02024-12-31T14:50:13ZengBMJ Publishing GroupBMJ Open Quality2399-66412023-02-0112110.1136/bmjoq-2022-001897Correlations between care users’ and the healthcare inspectorate’s ratings of the quality of care in long-term care homesAnne Margriet Pot0Flora Palimetaki1Karlijn Woutersen2Health and Youth Care Inspectorate, Utrecht, NetherlandsHealth and Youth Care Inspectorate, Utrecht, NetherlandsHealth and Youth Care Inspectorate, Utrecht, NetherlandsObjectives Increasing emphasis is being placed on person-centredness as a quality requirement for long-term care (LTC). Although healthcare inspectorates value the importance of care users’ experiences, they struggle to address these experiences in regulatory practice. The aim of this study is to explore the correlations between care users’ and the healthcare inspectorate’s ratings of the quality of LTC in The Netherlands.Design The correlations between care users’ ratings from a public Dutch online patient rating site and the Dutch Health and Youth Care Inspectorate’s ratings of the quality of care were examined using Spearman rank correlations. The inspectorate’s ratings cover three themes: ‘attention to person-centred care’, ‘working towards sufficient and competent care staff’ and ‘focusing on quality and safety’.Setting Ratings of the quality of care were obtained for 200 LTC homes in The Netherlands between January 2017 and March 2019. These LTC homes had 6 to 350 residents (M=89; SD=57) and belonged to organisations with 1–40 LTC homes in total (M=6; SD=6).Participants Publicly available anonymous ratings of the perceived quality of care by care users were extracted from the Dutch patient rating website ‘www.zorgkaartnederland.nl’. Care users’ ratings were available for the 2 years prior to an assessment by the inspectorate for 200 LTC homes.Results We found a weak, significant correlation between the mean care users’ ratings and the inspectorate’s aggregated scores for the theme ‘person-centred care’ (r=0.26, N=200, padj<0.01); no other correlations were significant.Conclusions This study showed only a weak correlation between care users’ ratings and ratings of the Dutch Inspectorate of the quality of ‘person-centred care’ in LTC homes. Therefore, it may be fruitful to intensify or innovate approaches to involve care users’ experiences in regulation to do them justice.https://bmjopenquality.bmj.com/content/12/1/e001897.full |
| spellingShingle | Anne Margriet Pot Flora Palimetaki Karlijn Woutersen Correlations between care users’ and the healthcare inspectorate’s ratings of the quality of care in long-term care homes BMJ Open Quality |
| title | Correlations between care users’ and the healthcare inspectorate’s ratings of the quality of care in long-term care homes |
| title_full | Correlations between care users’ and the healthcare inspectorate’s ratings of the quality of care in long-term care homes |
| title_fullStr | Correlations between care users’ and the healthcare inspectorate’s ratings of the quality of care in long-term care homes |
| title_full_unstemmed | Correlations between care users’ and the healthcare inspectorate’s ratings of the quality of care in long-term care homes |
| title_short | Correlations between care users’ and the healthcare inspectorate’s ratings of the quality of care in long-term care homes |
| title_sort | correlations between care users and the healthcare inspectorate s ratings of the quality of care in long term care homes |
| url | https://bmjopenquality.bmj.com/content/12/1/e001897.full |
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