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Document Typology: Research
Methodology addressed by the publication:Parents pedagogy
Title of document: Healthcare needs and healthcare satisfaction from the perspective of parents of children with chronic conditions: the DISABKIDS approach towards instrument development.
Name of author(s): Schmidt, S.1 sischmid@uke.uni-hamburg.de
Name of publisher: Child: Care, Health & Development; May2008, Vol. 34 Issue 3, p355-366, 12p, 1 Color Photograph, 1 Diagram, 2 Charts, 1 Graph
Language of the publication: English
Language of the review: English
Summary:
Aim Increasingly, families' perspectives are taken into account in the appraisal of health services. The objective of this study was to cross-culturally analyse concepts related to healthcare needs, healthcare utilization and the appraisal and satisfaction with care of parents of children with chronic conditions with the aim of developing a cross-cultural measure. Methods Several approaches were employed in the study: (i) a deductive approach integrating existing measurements; and (ii) an inductive approach based on focus groups. Focus groups were conducted in seven countries with mothers and fathers as well as their children with seven different chronic conditions, and qualitatively analysed. Results As a result of an evaluation of the different existing methodological approaches, the basic structural components were identified: healthcare needs, the receipt of services, problems with receiving services as well as the appraisal of and satisfaction with the quality of care. While items referring to existing healthcare services were primarily derived by the work of an expert group, items related to quality of care and satisfaction with services mainly evolved from the focus group work. From the focus groups, 367 statements were extracted, which were further processed in a Q-sort rating by a multinational expert group in order to identify domains and salient items. The draft questionnaire to be pilot tested cross-nationally consisted of 101 items which were reduced on the basis of psychometric findings.


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Reviewer's comments on the document:
The most important aspects of the research are:

The objective of this study was to cross-culturally analyse concepts related to healthcare needs, healthcare utilization and the appraisal and satisfaction with care of parents of children with chronic conditions with the aim of developing a cross-cultural measure

Conclusion: on the basis of results of focus groups and existing evidence, a comprehensive measure should be employed in paediatric health services research including structural, process and outcome parameters of care from the perspective of parents.
Where to find it: Education Research Complete Database http://web.ebscohost.com.offcampus.dam.unito.it/ehost/detail?vid=5&hid=107&sid=8414010c-85e5-4800-94d7-d32bc9c933d3%40sessionmgr114&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=ehh&AN=31600696

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