A sector-wide response to national policy on client-centred care and support:
a document analysis of the development of a range of instruments to assess clients’ experiences in the care and support for people with (intellectual) disabilities.
Organisations involved in measuring the effectiveness of long-term healthcare care are increasingly shifting their focus away from the delivery of care towards assessing outcomes and client experience. In the Netherlands, this client-centred approach is embedded in both health policy and practice. It has proven especially effective in assessing care outcomes for clients with intellectual disabilities (ID) where national providers are obliged to provide client-centred support based on considerations such as respect for autonomy and active involvement in the decision-making process.
Recognising the unique requirements of assessing the quality of care for people with ID, the Dutch Association of Healthcare Providers for People with Disabilities (Dutch abbreviation VGN) supported by an independent commission of experts, developed a Range of instruments best suited to the specific and diverse needs of people with disabilities and their care organisations providing care for this particular group.
A positive impact
This paper, prepared by the commission of experts including Vilans CEO, Mirella Minkman, uses a retrospective document analysis of the development of the Range of instruments. The range aims to assess client experiences in ID care and support to provide a unique, exhaustive bottom-up approach of the process of developing the Range of instruments. The development process is supported on national level and unique in the international care for people with disabilities.
The commission found the Range of instruments to be appropriate for a variety of clients in ID care and support, specifically in terms of assessing their individual experiences and gaining insight into their suggestions for improvement, and effective in collaboratively improving the quality of ID care and support. In so doing, these instruments can have a positive impact by potentially providing an avenue through which client experiences can be embedded in the process of ID care and support.