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Quality of Life Research
Erschienen in: Quality of Life Research 9/2016

28.03.2016

Patient-centered outcomes on quality of life and anthroposophic healthcare: a qualitative triangulation study

verfasst von: Evi B. Koster, Erik W. Baars, Diana M. J. Delnoij

Erschienen in: Quality of Life Research | Ausgabe 9/2016

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Abstract

Purpose

To provide a qualitative investigation of aspects that matter to patients regarding quality of life (QOL) and other perceived treatment effects of anthroposophic healthcare (AH). It is a first step in the development of patient reported outcome measures (PROMs) for AH. Hence, it will contribute to the evaluation of AH quality from patients’ perspectives.

Method

Within-method triangulation of four qualitative data sources is: (1) Survey of 2063 patients of AH general practitioners; single open item; (2) Survey of 34 patients of AH nurses; single open item; (3) and (4) Sixteen semi-structured interviews with patients. The data sources contained patients’ qualitative reports on contribution of treatment to QOL, other perceived treatment effects and/or quality of care aspects. Content analysis Construction of items and domains by open, axial and selective coding.

Results

Twelve domains regarding quality of life are found: Recovery/Symptom reduction, Active contribution/Autonomy, General well-being, Meaning, Rest/Relaxation, Functioning, Energy/Strength, Care relationship, Natural healing, Mindful inner attitude, Being well informed and Social relations. The interviews demonstrate relations between domains.

Conclusions

The findings give a comprehensive insight into aspects of care that are relevant to patients, providing a first step to develop PROMs for AH. Findings show a broadening of domains compared to existing measurement instruments and show close similarities with the recently developed concept of “positive health.” Extending QOL instruments with a broader set of domains would give concrete tools to improve evaluation of quality of care and make this evaluation more in line with aspects that matter to AH patients.
Vorheriger Artikel The use and impact of quality of life assessment tools in clinical care settings for cancer patients, with a particular emphasis on brain cancer: insights from a systematic review and stakeholder consultations
Nächster Artikel Quality of life in older individuals with joint contractures in geriatric care settings

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Metadaten
Titel
Patient-centered outcomes on quality of life and anthroposophic healthcare: a qualitative triangulation study
verfasst von
Evi B. Koster
Erik W. Baars
Diana M. J. Delnoij
Publikationsdatum
28.03.2016
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 9/2016
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1276-8

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