Assessing Quality of Care in Pediatric Asthma: Applicability of a Revised Version of the QUOTE-CNSLD Questionnaire

• Published in: The Journal of asthma 2012-11, Vol.49 (9), p.966-976
• Main Authors: Kuethe, M. C., Sixma, H. J., Vaessen-Verberne, A. A. P. H., Booij, J. C., van Aalderen, W. M. C.
• Format: Article
• Language: English
• Subjects: asthma; Asthma - therapy; Child; Female; General Practitioners - organization & administration; Health Personnel - organization & administration; Humans; Male; nurse practitioner; Nurses - organization & administration; Outcome and Process Assessment (Health Care); Patient Satisfaction; pediatrics; Pediatrics - organization & administration; quality of health care; Quality of Health Care - organization & administration; Reproducibility of Results; Surveys and Questionnaires; Time Factors
• ISSN: 0277-0903; 1532-4303
• DOI: 10.3109/02770903.2012.721434

Aim. To establish the validity and applicability of a revised version of the QUality Of care Through the patient's Eyes-Chronic Non Specific Lung Disease (QUOTE-CNSLD) instrument in a population of children with controlled and partly controlled asthma. Methods. Randomized controlled trial evaluating quality of care in three follow-up settings: follow-up by the general practitioner, the pediatrician, and the specialized asthma nurse, for a period of 2 years. Results. One hundred and seven children were recruited, 45 from general practice and 62 from hospital practice. The revised QUOTE-CNSLD instrument completed by parents at baseline (T0), after 1 year (T1) and after 2 years (T2) showed that a process-, a structure-, and an asthma-specific domain could be deduced (Cronbach's α of 0.81, 0.82, and 0.62). A separate five-item "child-specific" questionnaire about their caregiver, completed by children, has a Cronbach's α of 0.88. The revised instrument could discriminate between quality of care in different follow-up settings for children with stable asthma, and the asthma-specific domain showed particularly discriminative properties. Quality aspects with potential for improvement could be derived from the scores in all three study groups. Conclusion. The revised QUOTE-CNSLD instrument is applicable in a pediatric population with stable asthma and it has discriminative value between different follow-up settings.