A framework for chronic care quality: results of a scoping review and Delphi survey
Frameworks conceptualising the quality of care abound and vary; some concentrate on specific aspects such as safety, effectiveness, others all-encompassing. However, to our knowledge, tailoring to systematically arrive at a comprehensive care for chronic conditions quality (CCCQ) framework has never...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Global Health Action |
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| Online Access: | http://dx.doi.org/10.1080/16549716.2024.2422170 |
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| author | Grace Marie V. Ku Willem Van De Put Deogratias Katsuva Mohamad Ali Ag Ahmed Megumi Rosenberg Bruno Meessen |
| author_facet | Grace Marie V. Ku Willem Van De Put Deogratias Katsuva Mohamad Ali Ag Ahmed Megumi Rosenberg Bruno Meessen |
| author_sort | Grace Marie V. Ku |
| collection | DOAJ |
| description | Frameworks conceptualising the quality of care abound and vary; some concentrate on specific aspects such as safety, effectiveness, others all-encompassing. However, to our knowledge, tailoring to systematically arrive at a comprehensive care for chronic conditions quality (CCCQ) framework has never been done. We conducted a scoping review and Delphi survey to produce a CCCQ framework, comprehensively delineating aims, determinants and measurable attributes. With the assumption that specific groups (people with chronic conditions, care providers, financiers, policy-makers, etc.) view quality of care differently, we analysed 48 scientific and 26 grey literature deductively and inductively using the Institute of Medicine’s quality of care framework as the foundation. We produced a zero-version of the quality of chronic care framework, detailing aims, healthcare system determinants, and measurement mechanisms. This was presented in a Delphi survey to 49 experts with diverse chronic care expertise/experience around the world. Consensus was obtained after the first round, with the panel providing suggestions and justifications to expand the agreed-upon components. Through this exercise, a comprehensive CCCQ framework encompassing the journey through healthcare of people with chronic conditions was developed. The framework specifies seven CCCQ ‘aims’ and identifies health system determinants which can be acted upon with ‘organising principles’ and measured through chronic care quality ‘attributes’ related to structures, processes and outcomes. Tailoring quality of care based on the nature of the diseases/conditions and considering different views can be done to ensure a comprehensive offer of healthcare services, and towards better outcomes that are acceptable to both the health system and people with chronic conditions (PwCC). |
| format | Article |
| id | doaj-art-aa34c48311484da7b4f4e0e5ee61744f |
| institution | Kabale University |
| issn | 1654-9880 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj-art-aa34c48311484da7b4f4e0e5ee61744f2025-02-05T12:46:14ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.24221702422170A framework for chronic care quality: results of a scoping review and Delphi surveyGrace Marie V. Ku0Willem Van De Put1Deogratias Katsuva2Mohamad Ali Ag Ahmed3Megumi Rosenberg4Bruno Meessen5Institute of Tropical MedicineInstitute of Tropical MedicineInstitute of Tropical MedicineInstitut Universitaire SHERPAUniversity of MontrealWorld Health Organization Centre for Health DevelopmentFrameworks conceptualising the quality of care abound and vary; some concentrate on specific aspects such as safety, effectiveness, others all-encompassing. However, to our knowledge, tailoring to systematically arrive at a comprehensive care for chronic conditions quality (CCCQ) framework has never been done. We conducted a scoping review and Delphi survey to produce a CCCQ framework, comprehensively delineating aims, determinants and measurable attributes. With the assumption that specific groups (people with chronic conditions, care providers, financiers, policy-makers, etc.) view quality of care differently, we analysed 48 scientific and 26 grey literature deductively and inductively using the Institute of Medicine’s quality of care framework as the foundation. We produced a zero-version of the quality of chronic care framework, detailing aims, healthcare system determinants, and measurement mechanisms. This was presented in a Delphi survey to 49 experts with diverse chronic care expertise/experience around the world. Consensus was obtained after the first round, with the panel providing suggestions and justifications to expand the agreed-upon components. Through this exercise, a comprehensive CCCQ framework encompassing the journey through healthcare of people with chronic conditions was developed. The framework specifies seven CCCQ ‘aims’ and identifies health system determinants which can be acted upon with ‘organising principles’ and measured through chronic care quality ‘attributes’ related to structures, processes and outcomes. Tailoring quality of care based on the nature of the diseases/conditions and considering different views can be done to ensure a comprehensive offer of healthcare services, and towards better outcomes that are acceptable to both the health system and people with chronic conditions (PwCC).http://dx.doi.org/10.1080/16549716.2024.2422170quality of care for chronic conditions |
| spellingShingle | Grace Marie V. Ku Willem Van De Put Deogratias Katsuva Mohamad Ali Ag Ahmed Megumi Rosenberg Bruno Meessen A framework for chronic care quality: results of a scoping review and Delphi survey Global Health Action quality of care for chronic conditions |
| title | A framework for chronic care quality: results of a scoping review and Delphi survey |
| title_full | A framework for chronic care quality: results of a scoping review and Delphi survey |
| title_fullStr | A framework for chronic care quality: results of a scoping review and Delphi survey |
| title_full_unstemmed | A framework for chronic care quality: results of a scoping review and Delphi survey |
| title_short | A framework for chronic care quality: results of a scoping review and Delphi survey |
| title_sort | framework for chronic care quality results of a scoping review and delphi survey |
| topic | quality of care for chronic conditions |
| url | http://dx.doi.org/10.1080/16549716.2024.2422170 |
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