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

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

BMC health services research

2024  Volume 24, Issue 1, Page(s) 225

Abstract: 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 ... ...

Abstract 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.
MeSH term(s) Humans ; Quality Indicators, Health Care ; Delphi Technique ; Medically Unexplained Symptoms ; Netherlands ; Physical Therapists
Language English
Publishing date 2024-02-21
Publishing country England
Document type Journal Article
ZDB-ID 2050434-2
ISSN 1472-6963 ; 1472-6963
ISSN (online) 1472-6963
ISSN 1472-6963
DOI 10.1186/s12913-024-10589-w
Database MEDical Literature Analysis and Retrieval System OnLINE

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