Lecture 5

Connects intra- and extramural care (generalistic and specialized care)

A comprehensive attempts to connect consecutive types of care around one condition

• Patient federation NPCF

• Care-Interest Organisaitons

• Ieder(in)

• DBC (Diagnose behandel combinatie)

  • Budget for each diagnosed patient, regardless of treatment

• ZZP (ZorgZwaartePakket)

  • Budged determined by care needed indication, 0-10

• PGB (PersoonsGebonden Budget)

  • Budget for patients to spent for their own care of choice

• available and free care

• freedom of choice and information about choice

• responsible and safe care

• information, consent and good record keeping

• privacy and security

• Low threshold procedure for complaints

• Right of say & adequate management

Patient reported experience measures

• CARE

• HCAHPS

Patient reported outcome measures

• EQ-5D

• QoR 40

PROMs:

• compare different treatments

• help patients communicate problems

• Set priorities and evaluate treatments

• Help patients make treatment about decision

• Help to compare different care providers

PREMs:

• Improvements of care in many ways

• Increases in patient satisfaction

• Approach / treatment

• Information provision

• Service

• Professional Quality & Expertise

• Accessible, timely and appropriate care

• Mirror meetings

  • Collection of narrative data

• Shadowing

  • Following patients around a care facitity

• Patient review sites

• Organisation of care (disease management, e.g. chain care)

• Patient involvement

• financing

• patient rights

• Quality assessment and improvement

• too many important variables to collect, understand, comprehend and interpret correctly

• Patient demographic affects reliability

• Loss of validity when translated

• Costs due to development, training, implementation and analysis