Patient-oriented optimization of the quality of care in aspecialized outpatient clinic in atertiary rheumatology center : Aqualitative study

Abstract

The adaptation of structures and processes in treatment procedures can contribute to increasing patient satisfaction and is the focus of patient-oriented quality assurance. To identify patient satisfaction as well as needs, expectations and preferences with respect to care and, based on this, to formulate recommendations for action to optimize the quality of care at alarge tertiary rheumatology center. As part of aqualitative research approach, semi-structured patient interviews and afocus group interview consisting of physicians in rheumatology training in outpatient specialist care were conducted. The quality dimensions of Donabedian were recorded. The data material was evaluated and analyzed using the content-structuring qualitative content analysis according to Kuckartz with the MAXQDA evaluation software. Using 12patient interviews and afocus group of 3future rheumatologists, recommendations for action to optimize the quality of care were derived on the basis of the structural, process and outcome quality. There was aneed for optimization in the areas of personnel management, internal practice processes, practice equipment and treatment processes in the outpatient clinic. The results from the patient interviews and the focus group revealed the aspects in need of optimization. The methodology and results of this study can serve as areference point for analyses of other rheumatology clinics in order to improve the quality of care within the framework of patient-oriented quality management and continuous further development.