IDEAS home Printed from https://ideas.repec.org/a/ibn/gjhsjl/v11y2019i4p41.html
   My bibliography  Save this article

Diabetes Health Services in Sri Lanka: Development of a Quality Index

Author

Listed:
  • Nethmini VJ Thenuwara
  • Christopher M Reid
  • Pushpa Fonseka
  • Baki Billah
  • Champika Wickramasinghe
  • Andre MN Renzaho

Abstract

BACKGROUND- Diabetes mellitus is a major public health issue in Sri Lanka and across the globe. Patients with diabetes mellitus (DM) need long term comprehensive care. Quality of care for DM varies in different settings. Service quality assessment leads to identifying service areas that may benefit from appropriate intervention in order to achieve better health outcomes. The aim of this study was to develop and validate an instrument to measure the quality of services provided for patients with DM attending medical and diabetic clinics in state hospitals of Sri Lanka. METHODS- A ‘Care for DM Quality of services’ (CD QS) instrument comprised of 8 subscales- routine services, glycaemic control, Blood Pressure and lipid control, weight control, annual screening, patient empowerment, recording of information and functional aspects was developed and validated. Trained research assistants collected data from 100 volunteer patients attending four diabetic clinics two each at secondary and tertiary level hospitals. Construct validity was established by multi-trait scaling analysis and known group comparisons. Internal consistency was assessed by item-total correlations and Cronbach’s alpha. Cut off levels to classify the hospital clinic as ‘good’, ‘moderate’ or ‘poor’ performance were determined by the average score in each subscale being above mean + SD (good), between mean + SD (moderate), and below the mean –SD (poor) respectively. RESULTS- Multi-trait scaling analysis of items showed highest correlation with its own subscale compared to the other subscales. Significantly higher mean scores (p<0.05) for all the subscales were observed in tertiary level clinics compared to the secondary level. Internal consistency of ‘CD QS’ was good with Cronbach’s alpha of 0.9. Intra Class Correlation Coefficients were over 0.9 for all subscales with confidence intervals ranging from 0.8 to 2.9 suggestive of good inter-rater reliability. CONCLUSIONS- ‘CD QS’ is a valid and reliable tool to assess both functional and technical quality of follow up care provided for patients with DM. This facilitates regular quality assessment of DM care thus identifying the gaps and improving the service quality. Further implementation and testing for clinical usefulness and acceptability will determine the tools application in the healthcare setting.

Suggested Citation

  • Nethmini VJ Thenuwara & Christopher M Reid & Pushpa Fonseka & Baki Billah & Champika Wickramasinghe & Andre MN Renzaho, 2019. "Diabetes Health Services in Sri Lanka: Development of a Quality Index," Global Journal of Health Science, Canadian Center of Science and Education, vol. 11(4), pages 1-41, April.
  • Handle: RePEc:ibn:gjhsjl:v:11:y:2019:i:4:p:41
    as

    Download full text from publisher

    File URL: http://www.ccsenet.org/journal/index.php/gjhs/article/download/0/0/38820/39496
    Download Restriction: no

    File URL: http://www.ccsenet.org/journal/index.php/gjhs/article/view/0/38820
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Campbell, S. M. & Roland, M. O. & Buetow, S. A., 2000. "Defining quality of care," Social Science & Medicine, Elsevier, vol. 51(11), pages 1611-1625, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Basile, Luigi Jesus & Carbonara, Nunzia & Pellegrino, Roberta & Panniello, Umberto, 2023. "Business intelligence in the healthcare industry: The utilization of a data-driven approach to support clinical decision making," Technovation, Elsevier, vol. 120(C).
    2. Senn, Nicolas & Breton, Mylaine & Ebert, Sonja T. & Lamoureux-Lamarche, Catherine & Lévesque, Jean-Frédéric, 2021. "Assessing primary care organization and performance: Literature synthesis and proposition of a consolidated framework," Health Policy, Elsevier, vol. 125(2), pages 160-167.
    3. Magnus Lindelow, 2003. "Understanding spatial variation in the utilization of health services: does quality matter?," Economics Series Working Papers WPS/2004-12, University of Oxford, Department of Economics.
    4. Vanessa Zorrilla-Muñoz & María Silveria Agulló-Tomás & Carmen Rodríguez-Blázquez & Alba Ayala & Gloria Fernandez-Mayoralas & Maria João Forjaz, 2022. "Ageing Perception as a Key Predictor of Self-Rated Health by Rural Older People—A Study with Gender and Inclusive Perspectives," Land, MDPI, vol. 11(3), pages 1-13, February.
    5. Ashill, Nicholas J. & Rod, Michel, 2011. "Burnout processes in non-clinical health service encounters," Journal of Business Research, Elsevier, vol. 64(10), pages 1116-1127, October.
    6. Liu, Hu-Chen, 2013. "A theoretical framework for holistic hospital management in the Japanese healthcare context," Health Policy, Elsevier, vol. 113(1), pages 160-169.
    7. Margo MC van Mol & Trudi GW Boeter & Lisbeth Verharen & Erwin JO Kompanje & Jan Bakker & Marjan D Nijkamp, 2017. "Patient‐ and family‐centred care in the intensive care unit: a challenge in the daily practice of healthcare professionals," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(19-20), pages 3212-3223, October.
    8. Tiago Gonçalves & Carla Curado, 2021. "Individual and Organizational Conditions Leading to Quality of Care in Healthcare: A Fuzzy-Set Qualitative Comparative Analysis," Merits, MDPI, vol. 1(1), pages 1-16, December.
    9. Hiranya Sritart & Kuson Tuntiwong & Hiroyuki Miyazaki & Somchat Taertulakarn, 2021. "Disparities in Healthcare Services and Spatial Assessments of Mobile Health Clinics in the Border Regions of Thailand," IJERPH, MDPI, vol. 18(20), pages 1-24, October.
    10. Huma Saeed & Hassaan Malik & Umair Bashir & Aiesha Ahmad & Shafia Riaz & Maheen Ilyas & Wajahat Anwaar Bukhari & Muhammad Imran Ali Khan, 2022. "Blockchain technology in healthcare: A systematic review," PLOS ONE, Public Library of Science, vol. 17(4), pages 1-31, April.
    11. Lappegard, Øystein & Hjortdahl, Per, 2014. "Perceived quality of an alternative to acute hospitalization: An analytical study at a community hospital in Hallingdal, Norway," Social Science & Medicine, Elsevier, vol. 119(C), pages 27-35.
    12. Cordero Ferrera, Jose Manuel & Alonso Morán, Edurne & Nuño Solís, Roberto & Orueta, Juan F. & Souto Arce, Regina, 2013. "Efficiency assessment of primary care providers: A conditional nonparametric approach," MPRA Paper 51926, University Library of Munich, Germany.
    13. Alwiena J. Blignaut & Siedine K. Coetzee & Hester C. Klopper, 2014. "Nurse qualifications and perceptions of patient safety and quality of care in South Africa," Nursing & Health Sciences, John Wiley & Sons, vol. 16(2), pages 224-231, June.
    14. Akinade, Temitope & Kheyfets, Anna & Piverger, Naissa & Layne, Tracy M. & Howell, Elizabeth A. & Janevic, Teresa, 2023. "The influence of racial-ethnic discrimination on women's health care outcomes: A mixed methods systematic review," Social Science & Medicine, Elsevier, vol. 316(C).
    15. Nakaima, April & Sridharan, Sanjeev & Gardner, Bob, 2013. "Towards a performance measurement system for health equity in a local health integration network," Evaluation and Program Planning, Elsevier, vol. 36(1), pages 204-212.
    16. Jinrong Hu & Yuyuan Zhang & Le Wang & Victor Shi, 2022. "An Evaluation Index System of Basic Elderly Care Services Based on the Perspective of Accessibility," IJERPH, MDPI, vol. 19(7), pages 1-16, April.
    17. Syeda Jaazba Zehra & Uroosa Arshad, 2019. "Brand Trust And Image: Effect On Customers’ Satisfaction," Journal of Marketing and Logistics (JML), Khadim Ali Shah Bukhari Institute of Technology (KASBIT), vol. 2, pages 50-64, January.
    18. Fonseca Jaime R. S. & Ramos Rosária M. P. & Santos Ana M. P. & Fonseca Ana P. S. S., 2015. "Policy Effects on the Quality of Public Health Care: Evaluating Portuguese Public Hospitals’ Quality through Customers’ Views," Central European Journal of Public Policy, Sciendo, vol. 9(2), pages 122-131, December.
    19. Ioannis Chanias & C. Matthias Wilk & Rudolf Benz & Michael Daskalakis & Georg Stüssi & Adrian Schmidt & Ulrike Bacher & Nicolas Bonadies & on behalf of the Swiss MDS Study Group, 2020. "Survey on Recommended Health Care for Adult Patients with Myelodysplastic Syndromes Identifies Areas for Improvement," IJERPH, MDPI, vol. 17(24), pages 1-18, December.
    20. Carla Alexandra da Encarnação Filipe Amado & Olena Kalinichenko & Sérgio Pereira dos Santos, 2013. "Performance Assessment in Primary Health Care: A Systematic Literature Review," CEFAGE-UE Working Papers 2013_03, University of Evora, CEFAGE-UE (Portugal).

    More about this item

    JEL classification:

    • R00 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General - - - General
    • Z0 - Other Special Topics - - General

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:ibn:gjhsjl:v:11:y:2019:i:4:p:41. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Canadian Center of Science and Education (email available below). General contact details of provider: https://edirc.repec.org/data/cepflch.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.