Multi-stakeholder perspectives in defining health services quality indicators and dimensions: a concept mapping based comparison for cataract care between Singapore and The Netherlands
Objective This study aims to advance understanding of globally valid versus country-specific quality dimensions and indicators, as perceived by relevant stakeholders. It specifically addresses patient-level indicators for cataract surgery.
Design A mixed-methods case study comparing Singapore and The Netherlands
Setting Singapore (2017–2019) and The Netherlands (2014–2015).
Participants Stakeholder representatives of cataract care in Singapore and The Netherlands.
Intervention Based on the previously identified complete set of stakeholders in The Netherlands, we identified stakeholders of cataract care in Singapore. Stakeholder representatives then established a multi-stakeholder perspective on the quality of cataract care using a concept mapping approach. This yielded a multidimensional cluster map based on multivariate statistical analyses. Consensus-based quality dimensions were subsequently defined during a plenary session. Thereafter, Singaporean dimensions were matched with dimensions obtained in The Netherlands to identify commonalities and differences.
Main outcome measure Health-services quality dimensions of cataract care.
Results 19 Singaporean stakeholders representing patients, general practitioners, ophthalmologists, nurses, care providers, researchers and clinical auditors defined health-services quality of cataract care using the following eight dimensions: clinical outcome, patient outcomes, surgical process, surgical safety, patient experience, access, cost and standards of care. Compared with the Dutch results, 61% of the indicators were allocated to dimensions of comparable names and compositions. Considerable differences also existed in the composition of some dimensions and the importance attached to indicators.
Conclusions and relevance This study on cataract care in Singapore and The Netherlands shows that cataract care quality measurement instruments can share a common international core. At the same time, it emphasises the importance of taking a country-specific multi-stakeholder approach to quality definition and measurement. Complementing an international core set with country-specific measures is required to ensure that the included dimensions and indicators adequately capture the country-specific quality views.
Moorfields/UCL delivering innovative, rapid and safe NHS eye care at Brent Cross shopping centre
Moorfields Eye Hospital has opened a new pop-up diagnostic hub at Brent Cross, in a space that was previously a retail shop, in a unique research collaboration with UCL. This enables some people to be seen closer to their homes, providing a convenient way for them to access diagnostic eye care. The new eye clinic […]
Full member of the WAEHCathy Kowalewski – Chair of the WAEH, Administrator Wilmer Eye Wilmer Takes First-Place in Ophthalmology Times 2021 Survey of Program DirectorsWilmer Eye Institute was voted the #1 program in the country in the Ophthalmology Times Best Program Survey. This year, Wilmer has the distinction of holding the sole first-place rank for Overall Program. In addition, […]
Dear members and relations of the WAEH, On behalf of the board I would like to send to you our very best wishes for 2022. Never stop being amazed and forever express your creativity and imagination and keep innovating. Let’s hope that we will all be able to travel again in safety and discover new […]
The WAEH wishes the Lusaka Eye Hospital from Zambia a warm welcome into the global network of eyehospitals. INTRODUCTION Lusaka Eye Hospital was established in 2001 and is a 40 bed medical institution that provides ophthalmology services in Zambia. The hospital also receives clients from some neighboring countries, which include Zimbabwe and Angola and from […]
Warm welcome:Two new board members WAEH The executive board of the World Association of Eye Hospitals welcomes the following two board members: Dr. Abdulaziz AIRajhi, representing the King Khaled Eye Specialist Hospital, Riyadh, Saudi ArabiaMr. Li Li, representing the Aier Eye Hospital Group, China Per September 8, Moorfields Eye Hospital (United Kingdom) and St. Erik […]