Abstract:
BACKGROUND AND OBJECTIVE:Quality of care is considered to be of central importance in healthcare, disability services and rehabilitation. People experiencing disability often access a range of health and social care services; for some, these services are integral parts of daily life. Little research has explored perspectives of disabled people regarding what constitutes good quality care. This qualitative study aimed to explore and synthesise these perspectives to build a better picture of what constitutes good-quality care for disabled people in New Zealand. DESIGN AND PARTICIPANTS:Qualitative focus groups and interviews were conducted with a range of participants including people with physical, sensory and/or intellectual impairment; informal and formal carers; and health and social care professionals. Data analysis used constant comparison methods as described in Strauss and Corbin (1998) to determine the factors of most importance and how they contributed to quality of care in health and social care services from the perspectives of people who use these services. FINDINGS:Thirty-one participants took part, representing a range of ages and disabilities. Three main themes identified from data analysis were: (1) technical competence of care service and professionals; (2) a 'human' approach to service provision; and (3) context-appropriate response to needs. CONCLUSIONS:Findings offer a service-user perspective on what makes a difference to quality of care for people experiencing disability. They suggest that to provide context-appropriate care which addresses individual needs, the right mix of technical competence and a 'human' approach to care is needed. The mix required for the 'right' balance may depend on the type of service.
journal_name
BMJ Qual Safjournal_title
BMJ quality & safetyauthors
Fadyl JK,McPherson KM,Kayes NMdoi
10.1136/bmjqs.2010.042812subject
Has Abstractpub_date
2011-01-01 00:00:00pages
87-95issue
1eissn
2044-5415issn
2044-5423pii
20/1/87journal_volume
20pub_type
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journal_title:BMJ quality & safety
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pub_type: 杂志文章
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journal_title:BMJ quality & safety
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doi:10.1136/bmjqs-2014-003005
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更新日期:2012-10-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章,meta分析,评审
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journal_title:BMJ quality & safety
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
doi:10.1136/bmjqs-2011-000319
更新日期:2012-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1136/bmjqs-2014-003150
更新日期:2014-11-01 00:00:00
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pub_type: 杂志文章,多中心研究
doi:10.1136/bmjqs-2012-001171
更新日期:2012-12-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
doi:10.1136/bmjqs-2011-000235
更新日期:2011-11-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
doi:10.1136/bmjqs.2010.047159
更新日期:2011-04-01 00:00:00
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更新日期:2020-06-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
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更新日期:2012-03-01 00:00:00
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journal_title:BMJ quality & safety
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更新日期:2020-09-21 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
doi:10.1136/bmjqs.2011.051284
更新日期:2011-12-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
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更新日期:2012-10-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2011-05-01 00:00:00
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更新日期:2020-01-08 00:00:00