Trends in quality of non-Hodgkin’s lymphoma care: is it getting better?

This study outlines trends in quality of delivered non-Hodgkin’s lymphoma (NHL) care in the Netherlands between 2007 and 2011 and to what extend this was influenced by the national Visible Care program, which aimed at increasing transparency by providing insight into the quality of healthcare. We an...

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Main Authors:	Stienen, J. J. C., Ottevanger, P. B., Wennekes, L., van de Schans, S. A. M., Dekker, H. M., van der Maazen, R. W. M., van Krieken, J. H. J. M., Blijlevens, N. M. A., Hermens, R. P. M. G.
Format:	Online
Language:	English
Published:	Springer Berlin Heidelberg 2015
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4432098/

id	pubmed-4432098
recordtype	oai_dc
spelling	pubmed-44320982015-05-19 Trends in quality of non-Hodgkin’s lymphoma care: is it getting better? Stienen, J. J. C. Ottevanger, P. B. Wennekes, L. van de Schans, S. A. M. Dekker, H. M. van der Maazen, R. W. M. van Krieken, J. H. J. M. Blijlevens, N. M. A. Hermens, R. P. M. G. Original Article This study outlines trends in quality of delivered non-Hodgkin’s lymphoma (NHL) care in the Netherlands between 2007 and 2011 and to what extend this was influenced by the national Visible Care program, which aimed at increasing transparency by providing insight into the quality of healthcare. We analyzed data collected from medical records in two observational studies, combined into 20 validated quality indicators (QIs) of which 6 were included in the national program. A random sample of 771 patients, diagnosed with NHL in 26 Dutch hospitals, was examined. Multilevel regression analyses were used to assess differences in quality of NHL care and to provide insight into the effect of the national program. We reported improved adherence to only 3 out of 6 QIs involved in the national program and none of the other 14 validated QIs. Improvement was shown for performance of all recommended staging techniques (from 26 to 43 %), assessment of International Prognostic Index (from 21 to 43 %), and multidisciplinary discussion of patients (from 23 to 41 %). We found limited improvement in quality of NHL care between 2007 and 2011; improvement potential (<80 % adherence) was still present for 13 QIs. The national program seems to have a small positive effect, but has not influenced all 20 indicators which represent the most important, measurable parts in quality of NHL care. These results illustrate the need for tailored implementation and quality improvement initiatives. Springer Berlin Heidelberg 2015-03-15 2015 /pmc/articles/PMC4432098/ /pubmed/25772630 http://dx.doi.org/10.1007/s00277-015-2340-0 Text en © The Author(s) 2015 Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Stienen, J. J. C. Ottevanger, P. B. Wennekes, L. van de Schans, S. A. M. Dekker, H. M. van der Maazen, R. W. M. van Krieken, J. H. J. M. Blijlevens, N. M. A. Hermens, R. P. M. G.
spellingShingle	Stienen, J. J. C. Ottevanger, P. B. Wennekes, L. van de Schans, S. A. M. Dekker, H. M. van der Maazen, R. W. M. van Krieken, J. H. J. M. Blijlevens, N. M. A. Hermens, R. P. M. G. Trends in quality of non-Hodgkin’s lymphoma care: is it getting better?
author_facet	Stienen, J. J. C. Ottevanger, P. B. Wennekes, L. van de Schans, S. A. M. Dekker, H. M. van der Maazen, R. W. M. van Krieken, J. H. J. M. Blijlevens, N. M. A. Hermens, R. P. M. G.
author_sort	Stienen, J. J. C.
title	Trends in quality of non-Hodgkin’s lymphoma care: is it getting better?
title_short	Trends in quality of non-Hodgkin’s lymphoma care: is it getting better?
title_full	Trends in quality of non-Hodgkin’s lymphoma care: is it getting better?
title_fullStr	Trends in quality of non-Hodgkin’s lymphoma care: is it getting better?
title_full_unstemmed	Trends in quality of non-Hodgkin’s lymphoma care: is it getting better?
title_sort	trends in quality of non-hodgkin’s lymphoma care: is it getting better?
description	This study outlines trends in quality of delivered non-Hodgkin’s lymphoma (NHL) care in the Netherlands between 2007 and 2011 and to what extend this was influenced by the national Visible Care program, which aimed at increasing transparency by providing insight into the quality of healthcare. We analyzed data collected from medical records in two observational studies, combined into 20 validated quality indicators (QIs) of which 6 were included in the national program. A random sample of 771 patients, diagnosed with NHL in 26 Dutch hospitals, was examined. Multilevel regression analyses were used to assess differences in quality of NHL care and to provide insight into the effect of the national program. We reported improved adherence to only 3 out of 6 QIs involved in the national program and none of the other 14 validated QIs. Improvement was shown for performance of all recommended staging techniques (from 26 to 43 %), assessment of International Prognostic Index (from 21 to 43 %), and multidisciplinary discussion of patients (from 23 to 41 %). We found limited improvement in quality of NHL care between 2007 and 2011; improvement potential (<80 % adherence) was still present for 13 QIs. The national program seems to have a small positive effect, but has not influenced all 20 indicators which represent the most important, measurable parts in quality of NHL care. These results illustrate the need for tailored implementation and quality improvement initiatives.
publisher	Springer Berlin Heidelberg
publishDate	2015
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4432098/
_version_	1613223669548449792

Trends in quality of non-Hodgkin’s lymphoma care: is it getting better?

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