Developing an adaptive measure of person-centred coordinated care
Research type
Research Study
Full title
Developing a computer adaptive measure of person centred and coordinated care for use in primary healthcare settings
IRAS ID
247084
Contact name
Helen Lloyd
Contact email
Sponsor organisation
Ms
Duration of Study in the UK
2 years, 11 months, 31 days
Research summary
Long-term conditions, which have no cure, such as diabetes or hypertension, are estimated to fill half of all GP appointments and account for two-thirds of health service cost. There is a growing concern about the effectiveness of care received by people with long-term conditions and particularly people with multiple long-term conditions, who often require care from multiple professionals.
One way to improve care for patients with long-term conditions is to make care more person-centred. Person centred care has been shown to be effective at improving health outcomes and reducing service cost in patients with long-term conditions. However, person centred requires effective care coordination.
Measuring person centred coordinated care (P3C) and feeding information back
to healthcare providers to improve care has been limited. Despite criticisms, questionnaires are a good way of measuring P3C in health services. They give patients the chance to speak about their care and inform the NHS about their experiences. Until P3C can be measured accurately, we are unable to determine if we are improving person-centeredness and coordination within the NHS.We propose a project to develop and test a new adaptive questionnaire that addresses many of the concerns about questionnaires. We will develop a questionnaire capable of adapting questions to the person responding. This will reduce unnecessary questions and improve questionnaire accuracy. We will adapt pre-existing software to do this.
The computer adaptive test be combined with an automated and interactive feedback tool that gives healthcare staff the information they need to continue improving care. The combined measurement and feedback tool (known as PREM-CAT) will ensure that patients’ wants and needs are accurately represented to professionals, provide a robust way of measuring P3C, is a way for practitioners and healthcare services to identify where and how to improve P3C, and promotes the importance of P3C in healthcare.
REC name
East of England - Cambridgeshire and Hertfordshire Research Ethics Committee
REC reference
19/EE/0220
Date of REC Opinion
5 Sep 2019
REC opinion
Further Information Favourable Opinion