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Table 6 Summary of findings: current and future use of indicators

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

Theme

Answers to multiple choice / open questions (first 4 rows) and one Likert-scale question (last row)

Number (%) of participants

Round(s) in which theme was addressed

Willingness to register

- My colleagues (from the same profession) will not be willing to register (extra) data for the QI-set

5a (16%)

1 (n = 32)

- My colleagues will only be willing to register (extra) data for the QI-set if this would only mean ‘clicking a few extra boxes’

14b (44%)

- My colleagues will be willing to register (extra) data.

13c (41%)

Current collection of data by own organisation

- Information on adherence to guidelines

10 (31%)

1 (n = 32)

- Transition from paediatric to adult healthcare

3 (9%)

- Clinical outcomes

10 (31%)

- Quality of life / daily functioning / participation

9 (28%)

- Coordination within the organisation

5 (16%)

- Coordination between organisations/ disciplines

1 (0%)

- Whether organisation is findable for potential patients

4 (10%)

- Accessibility

6 (19%)

- Expertise of healthcare professionals

7 (22%)

- Person-centeredness

9 (19%)

- Equity

4 (10%)

- No quality information collected

13 (41%)

- N/A

5 (16%)

Current use of QIs

- Indicators regarding general internal improvement of healthcare (non DS-specific) or audits,

11 (34%)

1 (n = 32)

- Indicators regarding client satisfaction,

6 (19%)

- Indicators regarding discipline/condition-specific (non DS-specific) issues

4g (13%)

- No indicators

11 (34%)

- N/A

2h (6%)

Current use of guidelines

- The multidisciplinary medical guideline for children with DS

13 (38%)

1 (n = 32)

- A general guideline for adults with DS, developed by the organisation I work for

2 (6%)

- Discipline-specific guideline(s) for the general population

7d (22%)

- Discipline-specific guideline(s) for people with ID

4e (13%)

- Discipline-specific guideline(s) for people with DS

7f (22%)

- No guidelines

4 (13%)

Transparency

- QIs should provide quality information on departmental or organisational level (not on individual professionals’ level)

- Providers should be obliged to publish this quality information on their websites, if they want to be seen as ‘DS-specialised’.

- QIs should stimulate healthcare improvement, not judge healthcare professionals

- Privacy of professionals should be protected just as much as privacy of patients.

Percentages are not applicable: consensus was achieved

3 (n = 29), 4 (n = 26)

(more detailed information in Supplementary Table 5, Additional file 1)

  1. Abbreviations: DS Down syndrome, QI quality indicator, ID Intellectual disability
  2. a child physiotherapist, dermatologist, GP, ID physician, psychiatrist
  3. b audiologist, 2 podiatrists, ID physician, ID-specialised dentist, municipal health services doctor, 2 occupational therapists, ophthalmologist, 2 orthoptists, paediatrician, rehabilitation specialist, speech therapist
  4. c 2 dieticians, 2 ID-specialised dentists, 2 ID-specialised nurses, paediatrician, 3 (child) physiotherapists, psychologist, and the two patient organisation representatives
  5. d GP, occupational therapy, dermatology
  6. e dentistry, dietetics, dementia
  7. f physiotherapy for children, speech therapy for children, municipal health service
  8. g dentistry, dermatology, cataract, thyroid
  9. h One of the two patient organisation representatives and one retired participant