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Measuring the quality of palliative care: a review of the literature

Measuring the quality of palliative care: a review of the literature
Measuring the quality of palliative care: a review of the literature
Background. The advent of clinical governance in British health policy has placed increased demands on health care providers and practitioners to ascertain the quality of their services. Traditional indicators of quality of health care, such as death or recovery rates, are not appropriate in palliative care. Thus, it is important to establish alternative approaches to measuring the quality of palliative care services and interventions.
Aims. Satisfaction levels have been used widely in palliative care to assess quality. A literature review was conducted which aimed to explore the strengths and weaknesses of using satisfaction as an indicator of the quality of palliative care services. It also aimed to provide a solid basis upon which further work could be built.
Methods. Five electronic databases were searched using key words and phrases and key authors. Hand searches were conducted of four journals that contributed significantly to the concept of satisfaction, and reference lists of reviewed papers were scrutinized. Relevant papers were reviewed, data were extracted and these data were thematically analysed.
Findings. There are a number of important unresolved issues in the literature with regard to using satisfaction as an indicator of the quality of palliative care services. First, few alternatives to satisfaction are available. Secondly, satisfaction is under-theorized and no widely accepted definition exists. Thirdly, there are methodological inconsistencies across studies. It is important to take into account these findings when planning and implementing change following service evaluation using satisfaction as a measure.
Conclusions. Relying on findings of satisfaction surveys to determine clinical and policy amendments in palliative care may not result in improvements in overall quality of care. Using satisfaction as a method of assessing the quality of health care services is particularly problematic and requires further investigation in both practical and conceptual terms.
palliative care
0309-2402
324-329
Aspinal, F.
feaf34ed-bd3a-4e65-966e-e3840c5ed49a
Addington-Hall, J.M.
87560cc4-7562-4f9b-b908-81f3b603fdd8
Hughes, R.
938ac53c-edfb-4b20-b99b-31e2cbd18768
Higginson, I.J.
2353c308-d776-4899-a097-5a598bdc1c32
Aspinal, F.
feaf34ed-bd3a-4e65-966e-e3840c5ed49a
Addington-Hall, J.M.
87560cc4-7562-4f9b-b908-81f3b603fdd8
Hughes, R.
938ac53c-edfb-4b20-b99b-31e2cbd18768
Higginson, I.J.
2353c308-d776-4899-a097-5a598bdc1c32

Aspinal, F., Addington-Hall, J.M., Hughes, R. and Higginson, I.J. (2003) Measuring the quality of palliative care: a review of the literature. Journal of Advanced Nursing, 42 (4), 324-329. (doi:10.1046/j.1365-2648.2003.02624.x).

Record type: Article

Abstract

Background. The advent of clinical governance in British health policy has placed increased demands on health care providers and practitioners to ascertain the quality of their services. Traditional indicators of quality of health care, such as death or recovery rates, are not appropriate in palliative care. Thus, it is important to establish alternative approaches to measuring the quality of palliative care services and interventions.
Aims. Satisfaction levels have been used widely in palliative care to assess quality. A literature review was conducted which aimed to explore the strengths and weaknesses of using satisfaction as an indicator of the quality of palliative care services. It also aimed to provide a solid basis upon which further work could be built.
Methods. Five electronic databases were searched using key words and phrases and key authors. Hand searches were conducted of four journals that contributed significantly to the concept of satisfaction, and reference lists of reviewed papers were scrutinized. Relevant papers were reviewed, data were extracted and these data were thematically analysed.
Findings. There are a number of important unresolved issues in the literature with regard to using satisfaction as an indicator of the quality of palliative care services. First, few alternatives to satisfaction are available. Secondly, satisfaction is under-theorized and no widely accepted definition exists. Thirdly, there are methodological inconsistencies across studies. It is important to take into account these findings when planning and implementing change following service evaluation using satisfaction as a measure.
Conclusions. Relying on findings of satisfaction surveys to determine clinical and policy amendments in palliative care may not result in improvements in overall quality of care. Using satisfaction as a method of assessing the quality of health care services is particularly problematic and requires further investigation in both practical and conceptual terms.

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Published date: 2003
Keywords: palliative care

Identifiers

Local EPrints ID: 11097
URI: http://eprints.soton.ac.uk/id/eprint/11097
ISSN: 0309-2402
PURE UUID: 2936513a-bd4d-45b8-a9f3-6dff8cbb2fe6

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Date deposited: 27 Oct 2004
Last modified: 22 Jul 2022 20:22

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Contributors

Author: F. Aspinal
Author: R. Hughes
Author: I.J. Higginson

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