The Patient-Reported Experience Measure for Improving qUality of care in Mental health (PREMIUM) project in France: study protocol for the development and implementation strategy.

computerized adaptive testing item bank patient-reported experience measures psychiatry quality of care

Journal

Patient preference and adherence
ISSN: 1177-889X
Titre abrégé: Patient Prefer Adherence
Pays: New Zealand
ID NLM: 101475748

Informations de publication

Date de publication:
2019
Historique:
entrez: 6 2 2019
pubmed: 6 2 2019
medline: 6 2 2019
Statut: epublish

Résumé

Measuring the quality and performance of health care is a major challenge in improving the efficiency of a health system. Patient experience is one important measure of the quality of health care, and the use of patient-reported experience measures (PREMs) is recommended. The aims of this project are 1) to develop item banks of PREMs that assess the quality of health care for adult patients with psychiatric disorders (schizophrenia, bipolar disorder, and depression) and to validate computerized adaptive testing (CAT) to support the routine use of PREMs; and 2) to analyze the implementation and acceptability of the CAT among patients, professionals, and health authorities. This multicenter and cross-sectional study is based on a mixed method approach, integrating qualitative and quantitative methodologies in two main phases: 1) item bank and CAT development based on a standardized procedure, including conceptual work and definition of the domain mapping, item selection, calibration of the item bank and CAT simulations to elaborate the administration algorithm, and CAT validation; and 2) a qualitative study exploring the implementation and acceptability of the CAT among patients, professionals, and health authorities. The development of a set of PREMs on quality of care in mental health that overcomes the limitations of previous works (ie, allowing national comparisons regardless of the characteristics of patients and care and based on modern testing using item banks and CAT) could help health care professionals and health system policymakers to identify strategies to improve the quality and efficiency of mental health care. NCT02491866.

Sections du résumé

BACKGROUND BACKGROUND
Measuring the quality and performance of health care is a major challenge in improving the efficiency of a health system. Patient experience is one important measure of the quality of health care, and the use of patient-reported experience measures (PREMs) is recommended. The aims of this project are 1) to develop item banks of PREMs that assess the quality of health care for adult patients with psychiatric disorders (schizophrenia, bipolar disorder, and depression) and to validate computerized adaptive testing (CAT) to support the routine use of PREMs; and 2) to analyze the implementation and acceptability of the CAT among patients, professionals, and health authorities.
METHODS METHODS
This multicenter and cross-sectional study is based on a mixed method approach, integrating qualitative and quantitative methodologies in two main phases: 1) item bank and CAT development based on a standardized procedure, including conceptual work and definition of the domain mapping, item selection, calibration of the item bank and CAT simulations to elaborate the administration algorithm, and CAT validation; and 2) a qualitative study exploring the implementation and acceptability of the CAT among patients, professionals, and health authorities.
DISCUSSION CONCLUSIONS
The development of a set of PREMs on quality of care in mental health that overcomes the limitations of previous works (ie, allowing national comparisons regardless of the characteristics of patients and care and based on modern testing using item banks and CAT) could help health care professionals and health system policymakers to identify strategies to improve the quality and efficiency of mental health care.
TRIAL REGISTRATION BACKGROUND
NCT02491866.

Identifiants

pubmed: 30718945
doi: 10.2147/PPA.S172100
pii: ppa-13-165
pmc: PMC6345324
doi:

Banques de données

ClinicalTrials.gov
['NCT02491866']

Types de publication

Journal Article

Langues

eng

Pagination

165-177

Déclaration de conflit d'intérêts

Disclosure The authors report no conflicts of interest in this work.

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Auteurs

Sara Fernandes (S)

Aix-Marseille University, School of Medicine, CEReSS - Health Service Research and Quality of Life Center - EA 3279 Research Unit, Marseille, France, Email sfernandes.sara@gmail.com.

Guillaume Fond (G)

Aix-Marseille University, School of Medicine, CEReSS - Health Service Research and Quality of Life Center - EA 3279 Research Unit, Marseille, France, Email sfernandes.sara@gmail.com.

Xavier Zendjidjian (X)

Aix-Marseille University, School of Medicine, CEReSS - Health Service Research and Quality of Life Center - EA 3279 Research Unit, Marseille, France, Email sfernandes.sara@gmail.com.

Pierre Michel (P)

Aix-Marseille University, School of Medicine, CEReSS - Health Service Research and Quality of Life Center - EA 3279 Research Unit, Marseille, France, Email sfernandes.sara@gmail.com.

Karine Baumstarck (K)

Aix-Marseille University, School of Medicine, CEReSS - Health Service Research and Quality of Life Center - EA 3279 Research Unit, Marseille, France, Email sfernandes.sara@gmail.com.

Christophe Lancon (C)

Aix-Marseille University, School of Medicine, CEReSS - Health Service Research and Quality of Life Center - EA 3279 Research Unit, Marseille, France, Email sfernandes.sara@gmail.com.

Fabrice Berna (F)

FondaMental Foundation, Créteil, France.

Franck Schurhoff (F)

FondaMental Foundation, Créteil, France.

Bruno Aouizerate (B)

FondaMental Foundation, Créteil, France.

Chantal Henry (C)

FondaMental Foundation, Créteil, France.

Bruno Etain (B)

FondaMental Foundation, Créteil, France.

Ludovic Samalin (L)

FondaMental Foundation, Créteil, France.

Marion Leboyer (M)

FondaMental Foundation, Créteil, France.

Pierre-Michel Llorca (PM)

FondaMental Foundation, Créteil, France.

Magali Coldefy (M)

Institute for Research and Information in Health Economics (IRDES), Paris, France.

Pascal Auquier (P)

Aix-Marseille University, School of Medicine, CEReSS - Health Service Research and Quality of Life Center - EA 3279 Research Unit, Marseille, France, Email sfernandes.sara@gmail.com.

Laurent Boyer (L)

Aix-Marseille University, School of Medicine, CEReSS - Health Service Research and Quality of Life Center - EA 3279 Research Unit, Marseille, France, Email sfernandes.sara@gmail.com.

Classifications MeSH