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01-12-2011 | Redactioneel

Kwaliteitsindicatoren: Grote vraagtekens bij waarnemingsmethoden

Auteur: Prof. Dr. G. P. A. Braam

Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie | Uitgave 6/2011

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Samenvatting

Indicators for quality of care. Severe problems with methods of observation
Recently, there has been increasing concern about indicators for quality of care systems. Much energy has been devoted to the development of these indicators, but after a couple of years many professionals in the care organizations are complaining that the validity is extremely doubtful. In this editorial a fundamental problem is discussed, namely the reliability of the observations. In all scientific fields many precautions are necessary, for example in meteorology measuring the temperature in open air. In the manuals about the indicators of care two methods of observation are mentioned. In the first one patients are interviewed. The results seem very unreliable, because of socially desirable answers. For example, in nursing homes the patients are extremely dependent on the care-giver and it is likely they avoid complaints. The second method is used for gathering data about the frequency of falls, decubitus and so on. This is carried out by the care professionals. It goes without saying that the resulting data are vulnerable to manipulation, because of the great interests of the professionals and of the organizations involved. This problem was already described by the sociologist Blau 50 years ago. It is suggested to make a new start on a small scale with only a few indicators. It is necessary to work with unobtrusive measurese. g. undercover observations- for observing behaviour instead of asking questions. And in the second case data should be gathered by separate organizations that are completely independent. Patients deserve that the representation of their situation should be guaranteed by scientific standards.
Tijdschr Gerontol Geriatr 2011; 42: 240-242
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Metagegevens
Titel
Kwaliteitsindicatoren: Grote vraagtekens bij waarnemingsmethoden
Auteur
Prof. Dr. G. P. A. Braam
Publicatiedatum
01-12-2011
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Gerontologie en Geriatrie / Uitgave 6/2011
Print ISSN: 0167-9228
Elektronisch ISSN: 1875-6832
DOI
https://doi.org/10.1007/s12439-011-0042-1