TY - JOUR
T1 - Development of a value-based healthcare burns core set for adult burn care
AU - Spronk, I.
AU - van Uden, D.
AU - Lansdorp, C. A.
AU - van Dammen, L.
AU - van Gemert, R.
AU - Visser, I.
AU - Versluis, G.
AU - Wanders, H.
AU - Geelen, S. J.G.
AU - Verwilligen, R. A.F.
AU - van der Vlegel, M.
AU - Bijker, G. C.
AU - Heijblom, M. C.
AU - Fokke-Akkerman, M.
AU - Stoop, M.
AU - van Baar, M. E.
AU - Nieuwenhuis, M. K.
AU - Pijpe, A.
AU - van Schie, C. M.H.
AU - Gardien, K. L.M.
AU - Lucas, Y.
AU - Snoeks, A.
AU - Scholten-Jaegers, S. M.H.J.
AU - Meij-de Vries, A.
AU - Haanstra, T. M.
AU - Weel-Koenders, A. E.A.M.
AU - Wood, F. M.
AU - Edgar, D. W.
AU - Bosma, E.
AU - Middelkoop, E.
AU - van der Vlies, C. H.
AU - van Zuijlen, P. P.M.
N1 - Publisher Copyright:
© 2024 The Authors
PY - 2024/9
Y1 - 2024/9
N2 - Background: Value-based healthcare (VBHC) is increasingly implemented in healthcare worldwide. Transparent measurement of the outcomes most important and relevant to patients is essential in VBHC, which is supported by a core set of most important quality indicators and outcomes. Therefore, the aim of this study was to develop a VBHC-burns core set for adult burn patients. Methods: A three-round modified national Delphi study, including 44 outcomes and 24 quality indicators, was conducted to reach consensus among Dutch patients, burn care professionals and researchers. Items were rated on a nine-point Likert scale and selected if ≥ 70% in each group considered an item ‘important’. Subsequently, instruments quantifying selected outcomes were identified based on a literature review and were chosen in a consensus meeting using recommendations from the Dutch consensus-based standard set and the Dutch Centre of Expertise on Health Disparities. Time assessment points were chosen to reflect the burn care and patient recovery process. Finally, the initial core set was evaluated in practice, leading to the adapted VBHC-burns core set. Results: Twenty-seven patients, 63 burn care professionals and 23 researchers participated. Ten outcomes and four quality indicators were selected in the Delphi study, including the outcomes pain, wound healing, physical activity, self-care, independence, return to work, depression, itching, scar flexibility and return to school. Quality indicators included shared decision-making (SDM), the number of patients receiving aftercare, determination of burn depth, and assessment of active range of motion. After evaluation of its use in clinical practice, the core set included all items except SDM, which are assessed by 9 patient-reported outcome instruments or measured in clinical care. Assessment time points included are at discharge, 2 weeks, 3 months, 12 months after discharge and annually afterwards. Conclusion: A VBHC-burns core set was developed, consisting of outcomes and quality indicators that are important to burn patients and burn care professionals. The VBHC-burns core set is now systemically monitored and analysed in Dutch burn care to improve care and patient relevant outcomes. As improving burn care and patient relevant outcomes is important worldwide, the developed VBHC-burns core set could be inspiring for other countries.
AB - Background: Value-based healthcare (VBHC) is increasingly implemented in healthcare worldwide. Transparent measurement of the outcomes most important and relevant to patients is essential in VBHC, which is supported by a core set of most important quality indicators and outcomes. Therefore, the aim of this study was to develop a VBHC-burns core set for adult burn patients. Methods: A three-round modified national Delphi study, including 44 outcomes and 24 quality indicators, was conducted to reach consensus among Dutch patients, burn care professionals and researchers. Items were rated on a nine-point Likert scale and selected if ≥ 70% in each group considered an item ‘important’. Subsequently, instruments quantifying selected outcomes were identified based on a literature review and were chosen in a consensus meeting using recommendations from the Dutch consensus-based standard set and the Dutch Centre of Expertise on Health Disparities. Time assessment points were chosen to reflect the burn care and patient recovery process. Finally, the initial core set was evaluated in practice, leading to the adapted VBHC-burns core set. Results: Twenty-seven patients, 63 burn care professionals and 23 researchers participated. Ten outcomes and four quality indicators were selected in the Delphi study, including the outcomes pain, wound healing, physical activity, self-care, independence, return to work, depression, itching, scar flexibility and return to school. Quality indicators included shared decision-making (SDM), the number of patients receiving aftercare, determination of burn depth, and assessment of active range of motion. After evaluation of its use in clinical practice, the core set included all items except SDM, which are assessed by 9 patient-reported outcome instruments or measured in clinical care. Assessment time points included are at discharge, 2 weeks, 3 months, 12 months after discharge and annually afterwards. Conclusion: A VBHC-burns core set was developed, consisting of outcomes and quality indicators that are important to burn patients and burn care professionals. The VBHC-burns core set is now systemically monitored and analysed in Dutch burn care to improve care and patient relevant outcomes. As improving burn care and patient relevant outcomes is important worldwide, the developed VBHC-burns core set could be inspiring for other countries.
KW - Burn injuries
KW - Core set
KW - Patient-reported outcomes
KW - Quality indicators
KW - Value-based healthcare
UR - http://www.scopus.com/inward/record.url?scp=85196429953&partnerID=8YFLogxK
U2 - 10.1016/j.burns.2024.03.038
DO - 10.1016/j.burns.2024.03.038
M3 - Article
C2 - 38902131
AN - SCOPUS:85196429953
SN - 0305-4179
VL - 50
SP - 1925
EP - 1934
JO - Burns
JF - Burns
IS - 7
ER -