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Table 3 Topics addressed and type of questions per round

From: Capturing the complexity of healthcare for people with Down syndrome in quality indicators - a Delphi study involving healthcare professionals and patient organisations

Topic addressed

Topic addressed in:

Round 1

Introduction to themes, initial inventory of level of consensus

Round 2

Feedback on Round 1 and revisiting themes on which no consensus existed

Round 3

Exploration of consensus on sub-domains

Round 4

Final consensus building

Participant characteristics

6 open ended questions (such as age, gender, frequency of contact with people with DS).

Idem: same questions were presented to participants who had not participated in round 1.

  

Purpose of QI-set (e.g. transparency, quality improvement, auditing, insurance)

9 purposes, rate importance

12 propositionsa

9 propositionsa

 

Quality domains to be included in QI-set (e.g. coordinated care, person-centeredness, clinical outcome)

10 itemsb and 1 proposition for children with DS; 10 itemsb and 1 proposition for adults with DS

7 itemsb for children and adults with DS

28 itemsb (sub-domains)

1 propositiona

Healthcare disciplines to be included in QI-set (e.g. Down team, psychological care, physiotherapy)

14 itemsb and 1 close-ended question for children with DS; 14 itemsb and 1 close-ended question for adults with DS

6 propositions;

30 itemsb for children;

30 itemsb for adults with DS

4 open-ended questions

1 propositiona

Number and type (structure / process / outcome) of QIs

 

2 close-ended questions

2 propositions;

1 close-ended question

2 propositions;

3 open-ended questions

Information sources and transparency of QIs and practical issues regarding development

1 close-ended question;

1 open-ended question

1 proposition;

1 close-ended question;

6 open-ended questions

6 propositions;

1 close-ended question;

2 open-ended question

17 propositions

Healthcare quality for people with DS and current use of QIs

3 close-ended questions;

3 open-ended questions

15 propositions

  

Aim of the study

1 open-ended question

   
  1. Abbreviations: DS Down syndrome, QI Quality indicator
  2. Empty fields indicate that the topic was not presented to the participants in the concerning round.
  3. a Participants indicated to what extent they agreed with propositions (1 ‘totally agree’, 2 ‘agree’, 3 ‘neutral’, 4 ‘disagree’, 5 ‘totally disagree’)
  4. b Participants rated items (i.e. healthcare disciplines/services or quality domains) indicating the relevance for the QI-set (1 ‘very important’, 2 ‘important’, 3 ‘neutral’, 4 ‘not that important’, 5 ‘not important at all’)