Page 129 - Shared Guideline Development Experiences in Fertility Care

(Guideline-based) indicators for patient-centredness Figure 1: Development process of quality indicators for patient-centredness in fertility care
Step 1
Step 2
Step 3
* Two recommendations for patient-centredness were merged into one potential indicator. 6 ** A er rephrasing and merging the potential indicators of both the patients’ and the professionals’ set, the
number of indicators was reduced.
and unknown (1). Most of the professionals (79%, n=11) were attached to general or academic teaching hospitals and 57% (n=8) of them were male.
e patients rated 15 of the 119 potential indicators face valid, including seven organizational and eight non-organizational aspects of care. Fi y potential indicators were rated ‘equivocal’ and 54 potential indicators were rejected. e professionals rated 13 of the 119 potential indicators face valid, i.e. ve organizational and eight non-organizational aspects of care. Of the remaining potential indicators, 20 were considered ‘equivocal’ and 86 were rejected.
Extraction and Classification of recommennda=tio6n2s from the network guidelines on infertility N = 201
Medical-technical recommendations n = 81
Potential indicators * n = 119
Recommendations for patient-centredness n = 120
Organisational = 58
Non-organisational n = 61
Discarded
Patients n = 12/19
Professionals n = 14/15
Selected n = 15
Equivocal n = 50 (-12) **
n = 53
Approved 15+1 Indicators
Patients’ final set
N =16
7 Organisational: 9 Non-organisational
Written questionnaire survey
Rejected n = 54
Consensus round
Selected n =13 (-2) **
Equivocal n = 20 (-6) **
n = 25
Approved 11+7 Indicators
Professionals’ final set
N = 18
9 Organisational: 9 Non-organisational
Rejected n=86 (-2) **
Patients n = 10/19
Professionals n = 9/15
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