Skip to main content


Swipe om te navigeren naar een ander artikel

01-12-2011 | Redactioneel | Uitgave 6/2011

Tijdschrift voor Gerontologie en Geriatrie 6/2011

Kwaliteitsindicatoren: Grote vraagtekens bij waarnemingsmethoden

Tijdschrift voor Gerontologie en Geriatrie > Uitgave 6/2011
Prof. Dr. G. P. A. Braam
Belangrijke opmerkingen
Emeritus hoogleraar sociologie en onderzoeksmethoden
Met dank aan dr.H. van Goor (Sociologisch Instituut Rijksuniversiteit Groningen)
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

Log in om toegang te krijgen

Met onderstaand(e) abonnement(en) heeft u direct toegang:

Tijdschrift voor Gerontologie en Geriatrie

Tijdschrift voor Gerontologie en Geriatrie bestrijkt het brede wetenschapsgebied van de gerontologie en geriatrie in al zijn facetten, met bijdragen uit de biologische, medische, psychologische en sociale wetenschappen. Bovendien wordt aandacht besteed aan de noodzakelijke wisselwerking tussen gerontologie en geriatrie.

Over dit artikel

Andere artikelen Uitgave 6/2011

Tijdschrift voor Gerontologie en Geriatrie 6/2011 Naar de uitgave

Recente onderzoeksliteratuur

Recente onderzoeksliteratuur