gms | German Medical Science

G-I-N Conference 2012

Guidelines International Network

22.08 - 25.08.2012, Berlin

Perceived barriers on good quality of hospital care for patients with non-Hodgkin's lymphoma: a survey study among patients and medical specialists

Meeting Abstract

  • J. Stienen - Scientific Institute for Quality of Healthcare,Radboud University Medical Centre, Nijmegen, Netherlands
  • R. Hermens - Department of Oncology, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands
  • H. van Krieken - Department of Pathology, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands
  • S. van de Schans - Comprehensive Cancer Centre the Netherlands, Utrecht, Nijmegen, Netherlands
  • H. Dekker - Department of Radiology, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands
  • J. Raemaekers - Department of Hematology, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands
  • R. van der Maazen
  • L. Wennekes - Scientific Institute for Quality of Healthcare,Radboud University Medical Centre, Nijmegen, Netherlands
  • N. Ottevanger - Scientific Institute for Quality of Healthcare,Radboud University Medical Centre, Nijmegen, Netherlands

Guidelines International Network. G-I-N Conference 2012. Berlin, 22.-25.08.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocP140

DOI: 10.3205/12gin252, URN: urn:nbn:de:0183-12gin2529

Veröffentlicht: 10. Juli 2012

© 2012 Stienen et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Background: Quality indicators have been developed to measure guideline adherence for patients with non-Hodgkin's lymphoma (NHL). Most of these indicators showed room for improvement. A first step towards improving guideline adherence is getting insight into factors influencing this adherence.

Objectives: This study aims to identify barriers that influence guideline adherence and quality of care for NHL-patients.

Methods: A quantitative, web-based survey was conducted among specialists involved in NHL-care and patients with NHL. Participants were asked about the barriers influencing clinical practice regarding NHL-care. The factors identified were classified into five domains: factors related to the guideline (I), characteristics of professionals (II) and patients (III) and factors concerning organizational (IV) and social context (V).

Results: Barriers were perceived in all domains. Most important barriers identified by specialists (n=132) concerned the poor (online) availability of the guideline (I) and the absence of multidisciplinary meetings with all specialists involved (V). Patients (n=28) perceived a lack of clear information and communication about diagnostics, treatment options and possible side effects (II) as barriers.

Discussion: These barriers can be used to develop a tailored implementation strategy to optimize guideline adherence and NHL-care in daily practice. A clinical trial to test these strategies is the next step towards improving the quality of NHL-care in the future.

Implications for guideline developers/users: Guideline developers, specialists and patients should take into account that guideline development alone does not ensure good quality of NHL-care. Tailored implementation of the guideline will help to facilitate this.