Patient experiences with interdisciplinary treatment for substance dependence: an assessment of quality indicators based on two national surveys in Norway
Mona Haugum,1,2 Hilde Hestad Iversen,1 Jon Helgeland,1 Anne Karin Lindahl,2,3 Oyvind Bjertnaes11Division of Health Services, Norwegian Institute of Public Health, Oslo, Norway; 2Department of Health Management and Health Economics, Institute of Health and Society, Faculty of Medicine, University of...
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ftdoajarticles:oai:doaj.org/article:bd107e5d90184b3b9b7d6d6e657c9291 2023-05-15T16:34:11+02:00 Patient experiences with interdisciplinary treatment for substance dependence: an assessment of quality indicators based on two national surveys in Norway Haugum M Iversen HH Helgeland J Lindahl AK Bjertnaes O 2019-04-01T00:00:00Z https://doaj.org/article/bd107e5d90184b3b9b7d6d6e657c9291 EN eng Dove Medical Press https://www.dovepress.com/patient-experiences-with-interdisciplinary-treatment-for-substance-dep-peer-reviewed-article-PPA https://doaj.org/toc/1177-889X 1177-889X https://doaj.org/article/bd107e5d90184b3b9b7d6d6e657c9291 Patient Preference and Adherence, Vol Volume 13, Pp 453-464 (2019) Quality of health care healthcare quality indicator case-mix adjustment patient satisfaction survey Medicine (General) R5-920 article 2019 ftdoajarticles 2022-12-30T22:23:34Z Mona Haugum,1,2 Hilde Hestad Iversen,1 Jon Helgeland,1 Anne Karin Lindahl,2,3 Oyvind Bjertnaes11Division of Health Services, Norwegian Institute of Public Health, Oslo, Norway; 2Department of Health Management and Health Economics, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway; 3Division of Surgery, Akershus University Hospital, Lorenskog, NorwayPurpose: The quality of health care is often measured using quality indicators, which can be utilized to compare the performance of health-care providers. Conducting comparisons in a meaningful and fair way requires the quality indicators to be adjusted for patient characteristics and other individual-level factors. The aims of the study were to develop and test a case-mix adjustment model for quality indicators based on patient-experience surveys among inpatients receiving interdisciplinary treatment for substance dependence, and to establish whether the quality indicators discriminate between health care providers.Patients and methods: Data were collected through two national surveys involving inpatients receiving residential treatment in Norway in 2013 and 2014. The same questionnaire was used in both surveys, and comprised three patient-experience scales. The scales are reported as national quality indicators, and associations between the scales and patient characteristics were tested through multilevel modeling to establish a case-mix model. The intraclass correlation coefficient was computed to assess the amount of variation at the hospital-trust level.Results: The intraclass correlation coefficient for the patient-reported experience scales varied from 2.3% for “treatment and personnel” to 8.1% for “milieu”. Multivariate multilevel regression analyses showed that alcohol reported as the most frequently used substance, gender and age were significantly associated with two of the three scales. The length of stay at the institution, pressure to be admitted for treatment, and self-perceived health were significantly related to ... Article in Journal/Newspaper Helgeland Directory of Open Access Journals: DOAJ Articles Helgeland Norway Hestad ENVELOPE(7.719,7.719,62.735,62.735) Haugum ENVELOPE(14.069,14.069,65.614,65.614) |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Quality of health care healthcare quality indicator case-mix adjustment patient satisfaction survey Medicine (General) R5-920 |
spellingShingle |
Quality of health care healthcare quality indicator case-mix adjustment patient satisfaction survey Medicine (General) R5-920 Haugum M Iversen HH Helgeland J Lindahl AK Bjertnaes O Patient experiences with interdisciplinary treatment for substance dependence: an assessment of quality indicators based on two national surveys in Norway |
topic_facet |
Quality of health care healthcare quality indicator case-mix adjustment patient satisfaction survey Medicine (General) R5-920 |
description |
Mona Haugum,1,2 Hilde Hestad Iversen,1 Jon Helgeland,1 Anne Karin Lindahl,2,3 Oyvind Bjertnaes11Division of Health Services, Norwegian Institute of Public Health, Oslo, Norway; 2Department of Health Management and Health Economics, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway; 3Division of Surgery, Akershus University Hospital, Lorenskog, NorwayPurpose: The quality of health care is often measured using quality indicators, which can be utilized to compare the performance of health-care providers. Conducting comparisons in a meaningful and fair way requires the quality indicators to be adjusted for patient characteristics and other individual-level factors. The aims of the study were to develop and test a case-mix adjustment model for quality indicators based on patient-experience surveys among inpatients receiving interdisciplinary treatment for substance dependence, and to establish whether the quality indicators discriminate between health care providers.Patients and methods: Data were collected through two national surveys involving inpatients receiving residential treatment in Norway in 2013 and 2014. The same questionnaire was used in both surveys, and comprised three patient-experience scales. The scales are reported as national quality indicators, and associations between the scales and patient characteristics were tested through multilevel modeling to establish a case-mix model. The intraclass correlation coefficient was computed to assess the amount of variation at the hospital-trust level.Results: The intraclass correlation coefficient for the patient-reported experience scales varied from 2.3% for “treatment and personnel” to 8.1% for “milieu”. Multivariate multilevel regression analyses showed that alcohol reported as the most frequently used substance, gender and age were significantly associated with two of the three scales. The length of stay at the institution, pressure to be admitted for treatment, and self-perceived health were significantly related to ... |
format |
Article in Journal/Newspaper |
author |
Haugum M Iversen HH Helgeland J Lindahl AK Bjertnaes O |
author_facet |
Haugum M Iversen HH Helgeland J Lindahl AK Bjertnaes O |
author_sort |
Haugum M |
title |
Patient experiences with interdisciplinary treatment for substance dependence: an assessment of quality indicators based on two national surveys in Norway |
title_short |
Patient experiences with interdisciplinary treatment for substance dependence: an assessment of quality indicators based on two national surveys in Norway |
title_full |
Patient experiences with interdisciplinary treatment for substance dependence: an assessment of quality indicators based on two national surveys in Norway |
title_fullStr |
Patient experiences with interdisciplinary treatment for substance dependence: an assessment of quality indicators based on two national surveys in Norway |
title_full_unstemmed |
Patient experiences with interdisciplinary treatment for substance dependence: an assessment of quality indicators based on two national surveys in Norway |
title_sort |
patient experiences with interdisciplinary treatment for substance dependence: an assessment of quality indicators based on two national surveys in norway |
publisher |
Dove Medical Press |
publishDate |
2019 |
url |
https://doaj.org/article/bd107e5d90184b3b9b7d6d6e657c9291 |
long_lat |
ENVELOPE(7.719,7.719,62.735,62.735) ENVELOPE(14.069,14.069,65.614,65.614) |
geographic |
Helgeland Norway Hestad Haugum |
geographic_facet |
Helgeland Norway Hestad Haugum |
genre |
Helgeland |
genre_facet |
Helgeland |
op_source |
Patient Preference and Adherence, Vol Volume 13, Pp 453-464 (2019) |
op_relation |
https://www.dovepress.com/patient-experiences-with-interdisciplinary-treatment-for-substance-dep-peer-reviewed-article-PPA https://doaj.org/toc/1177-889X 1177-889X https://doaj.org/article/bd107e5d90184b3b9b7d6d6e657c9291 |
_version_ |
1766023942411124736 |