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Patient-reported quality of care in anthroposophic and integrative medicine: A scoping review.

Authors
  • Koster, Evi B1
  • Baars, Erik W2
  • Delnoij, Diana M J3
  • 1 Anthroposophic Healthcare, University of Applied Sciences Leiden, Leiden, the Netherlands. Electronic address: [email protected] , (Netherlands)
  • 2 Anthroposophic Healthcare, University of Applied Sciences Leiden, Leiden, the Netherlands. , (Netherlands)
  • 3 Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, the Netherlands. , (Netherlands)
Type
Published Article
Journal
Patient education and counseling
Publication Date
Feb 01, 2020
Volume
103
Issue
2
Pages
276–285
Identifiers
DOI: 10.1016/j.pec.2019.09.010
PMID: 31542185
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To investigate how, and to what extent, patient-reported quality of care is measured in Anthroposophic and Integrative Medicine (AM/IM). Scoping review of evaluation studies of patient-reported quality of care and development studies of PREMs and/or PROMs in AM/IM, using five stages of Arksey's methodological framework. Literature search in twelve relevant databases. Basic information, added categories: Focus; PREMs/PROMs; Evaluation measures; Patient involvement; Use of results. Sixty-four included studies: 30 quantitative, 20 qualitative and 14 mixed-methods studies. Quantitative studies showed a wide variety of instruments and qualitative studies showed a meaningful list of evaluation themes. Most prevalent themes: Agency & Empowerment; Patient-provider relationship; Perceived effectiveness; Coping & Psychological functioning; Inner awareness; Meaning; and General wellbeing. Seven studies report concrete, coherent, patient-derived evaluation measures with emphasis on PROMs and/or PREMs. Patient-reported quality of care was not measured in a standardised way. Knowledge gap: in general, quantitative studies lack patient-derived measures and qualitative studies lack development of concrete evaluation measures. Many AM/IM evaluation aspects connect with patient-centred care. The international field of AM/IM would benefit from the development of a core set of validated PROMs and PREMs to further enhance its scientific underpinning. Copyright © 2019 Elsevier B.V. All rights reserved.

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