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Table 5 Priorities for quality improvement, based on quality improvement scores* per theme

From: Measuring client experiences in long-term care in the Netherlands: a pilot study with the Consumer Quality Index Long-term Care

Somatic care Psychogeriatric care Homecare
1. Care plan and evaluation# (1.53) 1. Safety of living environment# (1.24) 1. Care plan and evaluation# (0.89)
2. Shared decision making (1.36) 2. Activities (1.03) 2. Shared decision making (0.85)
3. Availability of personnel (1.17) 3. Availability of personnel (0.97) 3. Activities (0.67)
4. Information (1.10) 4. Shared decision making (0.95) 4. Telephone access (0.49)
5. Mental well-being (0.76) 5. Autonomy (0.91) 4. Information (0.49)
6. Safety of living environment# (0.71) 6. Housing and privacy (0.72) 5. Safety of living environment (0.48)
7. Activities (0.64) 7. Restraint measures# (0.63) 6. Safety of care (0.47)
8. Comfort# (0.61) 8. Care plan and evaluation# (0.59) 7. Availability of personnel (0.38)
9. Competency and safety of care (0.49) 9. Atmosphere (0.58) 8. Waiting time (0.37)
10. Autonomy (0.48) 10. Information (0.51) 9. Attitude and courtesy (0.32)
11. Attitude and courtesy (0.47) 11. Comfort# (0.47) 10. Flexibility of care (0.30)
12. Meals (0.46) 12. Competency and safety of care (0.44) 11. Autonomy (0.28)
13. Body care (0.43) 13. Mental well-being (0.42) 12. Mental well-being (0.27)
14. Atmosphere (0.42) 14. Telephone access (0.42) 13. Body care (0.24)
15. Housing and privacy (0.35) 15. Meals (0.35) 14. Competency of caregivers (0.22)
  16. Attitude and courtesy (0.32) 15. Reliability of care providers (0.13)
  17. Body care (0.22)  
  1. * Improvement scores (0-4) are reported in brackets. These scores are the product of the proportion respondents (0-1) reporting negative experiences ('never/sometimes' or 'no') and the average importance ratings (1-4) on all items underlying the topic.
  2. # As these themes formed no reliable scales, the reported improvement scores should be interpreted carefully.