Quality indicators for collaborative care networks in persistent somatic symptoms and functional disorders: a modified delphi study

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  • Nick Mamo
  • Lineke M Tak
  • Manouk A W van de Klundert
  • Tim C Olde Hartman
  • Judith G M Rosmalen
  • Denise J C Hanssen

BACKGROUND: Care for persistent somatic symptoms and functional disorders (PSS/FD) is often fragmented. Collaborative care networks (CCNs) may improve care quality for PSS/FD. Effectiveness likely depends on their functioning, but we lack a straightforward quality evaluation system. We therefore aimed to develop quality indicators to evaluate CCNs for PSS/FD.

METHOD: Using an online three-round modified Delphi process, an expert panel provided, selected and ranked quality indicators for CCNs in PSS/FD. Recruited experts were diverse healthcare professionals with relevant experience in PSS/FD care in the Netherlands.

RESULTS: The expert panel consisted of 86 professionals representing 15 disciplines, most commonly physiotherapists, psychologists and medical specialists. 58% had more than 10 years experience in PSS/FD care. Round one resulted in 994 quotations, which resulted in 46 unique quality indicators. These were prioritised in round two and ranked in round three by the panel, resulting in a final top ten. The top three indicators were: "shared vision of care for PSS/FD", "pathways tailored to the individual patient", and "sufficiently-experienced caregivers for PSS/FD".

CONCLUSIONS: The identified quality indicators to evaluate CCNs in the field of PSS/FD can be implemented in clinical practice and may be useful in improving services and when assessing effectiveness.

Original languageEnglish
Article number225
JournalBMC Health Services Research
Volume24
Issue number1
Number of pages9
ISSN1472-6963
DOIs
Publication statusPublished - 2024

Bibliographical note

© 2024. The Author(s).

    Research areas

  • Humans, Quality Indicators, Health Care, Delphi Technique, Medically Unexplained Symptoms, Netherlands, Physical Therapists

ID: 385795069