RESUMEN
BACKGROUND: The Client Participation Act in Healthcare Institutions prescribes that information must be collected as low as possible in the organization. To meet this need, Arkin’s client council started experimenting with a new way to get in touch with clients. METHOD: We regularly send a short survey to clients about a number of themes and we invite clients to discuss these in a client panel. Two rounds of surveys and panel discussions have now been organized on the following themes: waiting times, participation in treatment, stigma, ROM, eHealth and relative or friend. RESULTS: The experiences with the chosen approach were favorable. The collection of quantitative survey data and qualitative information from the panel discussion complemented each other and led to further professionalization of the work of the client council. Clients were happy to be involved in the work of the client council in this way. A better insight was gained into how they experience policy decisions and the client council was better able to present this information to the board of directors and the executive board of Arkin. CONCLUSION: The new approach has strengthened the position of the client council within Arkin. We consider this a good approach to implement the Client Participation Act.
Asunto(s)
Participación del Paciente , Humanos , Encuestas y CuestionariosRESUMEN
Recently, a device for detecting occlusal caries lesions (DIAGNOdent) has been introduced. The reproducibility and validity of this laser-fluorescence device were investigated. In the in vivo part of the study, 45 sites at the occlusal surfaces of permanent molar teeth in 13 patients were measured by 2 observers using 2 DIAGNOdent devices, one produced in 1998 and one in 1999. The interobserver reliability between both devices and both observers was established. In the in vitro part of the study, 49 permanent molars were measured by 2 observers using 2 DIAGNOdent devices. In addition, visual inspection was performed. The teeth were sectioned to measure the histological depth and area of the caries lesions. The reproducibility of both DIAGNOdent devices was high, and so was the interobserver reliability. The correlation between DIAGNOdent measurements and the actual depth of the caries lesions was lower than that of visual inspection. The correlation with the enamel part of the lesion exceeded that of the dentine part. It was concluded that the validity of the DIAGNOdent, expressed as the area under the Receiver Operating Characteristic (ROC) curve, was not statistically significantly different from that of visual inspection. Because of the high reproducibility, dental practitioners who wish to use the DIAGNOdent for monitoring caries lesions, this investigation indicates that an old device may be replaced by a new one, provided that the same tip will be used.