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Sixma HJ, Kerssens JJ, Campen CV, et al. Quality of care from the patients' perspective: from theoretical concept to a new measuring instrument. Health Expect. 1998;1(2):82-95doi: 10.1046/j.1369-6513.1998.00004.x.
Sixma, H. J., Kerssens, J. J., Campen, C. V., & Peters, L. (1998). Quality of care from the patients' perspective: from theoretical concept to a new measuring instrument. Health expectations : an international journal of public participation in health care and health policy, 1(2), 82-95. https://doi.org/10.1046/j.1369-6513.1998.00004.x
Sixma, Herman J., et al. "Quality of care from the patients' perspective: from theoretical concept to a new measuring instrument." Health expectations : an international journal of public participation in health care and health policy vol. 1,2 (1998): 82-95. doi: https://doi.org/10.1046/j.1369-6513.1998.00004.x
Sixma HJ, Kerssens JJ, Campen CV, Peters L. Quality of care from the patients' perspective: from theoretical concept to a new measuring instrument. Health Expect. 1998 Nov;1(2):82-95. doi: 10.1046/j.1369-6513.1998.00004.x. PMID: 11281863; PMCID: PMC5139902.
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Health Expect. 1998 Nov;1(2):82-95. doi: 10.1046/j.1369-6513.1998.00004.x.

Quality of care from the patients' perspective: from theoretical concept to a new measuring instrument.

Health expectations : an international journal of public participation in health care and health policy

Herman J. Sixma, Jan J. Kerssens, Crétien Van Campen, Loe Peters

Affiliations

  1. Netherlands Institute of Primary Health Care (NIVEL), Utrecht, the Netherlands.

PMID: 11281863 PMCID: PMC5139902 DOI: 10.1046/j.1369-6513.1998.00004.x

Abstract

INTRODUCTION: Patient views on quality of care are of paramount importance with respect to the implementation of quality assurance (QA) and improvement (QI) programmes. However, the relevance of patient satisfaction studies is often questioned because of conceptual and methodological problems. Here, it is our belief that a different strategy is necessary. OBJECTIVE: To develop a conceptual framework for measuring quality of care seen through the patients' eyes, based on the existing literature on consumer satisfaction in health care and business research. RESULTS: Patient or consumer satisfaction is regarded as a multidimensional concept, based on a relationship between experiences and expectations. However, where most health care researchers tend to concentrate on the result, patient (dis)satisfaction, a more fruitful approach is to look at the basic components of the concept: expectations (or 'needs') and experiences. A conceptual framework - based on the sequence performance, importance, impact - and quality judgements of different categories of patients derived from importance and performance scores of different health care aspects, is elaborated upon and illustrated with empirical evidence. CONCLUSIONS: The new conceptual model, with quality of care indices derived from importance and performance scores, can serve as a framework for QA and QI programmes from the patients' perspective. For selecting quality of care aspects, a category-specific approach is recommended including the use of focus group discussions.

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