Journal of Healthcare Quality Research最新文献

{"title":"Analysis of protocol adherence and outcomes of an enhanced recovery program in colorectal surgery after 5 years of implementation","authors":"J. Bel Diaz,&nbsp;M. Barbero Mielgo,&nbsp;A. Pérez Garnelo,&nbsp;R. Guzmán Carranza,&nbsp;J. García Fernández","doi":"10.1016/j.jhqr.2024.12.010","DOIUrl":"10.1016/j.jhqr.2024.12.010","url":null,"abstract":"<div><h3>Introduction</h3><div>Enhanced recovery program (ERAS program) have revolutionized the world of surgery by reducing postoperative complications and hospital stays. Greater adherence to the protocol results in better outcomes; however, adherence often declines over time. The main objective of this study is to analyze the adherence rate to ERAS strategies and the outcomes of an ERAS colorectal (CRC) program five years after its implementation.</div></div><div><h3>Methodology</h3><div>This is a descriptive observational study comparing two groups of patients undergoing scheduled CRC surgery under an ERAS program at University Hospital. The first group (ERAS) includes patients operated on during the period immediately following the implementation of the protocol (January 2017–June 2018), while the second group (ERAS 5) includes patients operated on five years after the implementation (January 2022–June 2022).</div></div><div><h3>Results</h3><div>An increase in the adherence rate to ERAS strategies was observed (88.2% in ERAS vs. 84.2% in ERAS 5, <em>p</em> 0.003), as well as a reduction in healthcare-associated infections (HAIs) (9% in ERAS vs. 25.2% in ERAS 5, <em>p</em> 0.001) and surgical site infections (6% in ERAS vs. 18.2% in ERAS 5, <em>p</em> 0.002). No differences were found in other postoperative complications, functional recovery, average length of stay, and readmission rates.</div></div><div><h3>Conclusions</h3><div>After five years of implementing an ERAS protocol for CRC in our hospital, we have managed to maintain a high adherence rate to ERAS strategies. There has been a significant reduction in HAIs and surgical site infections.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 3","pages":"Article 101111"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aumento en el porcentaje de asistencia a las consultas externas en el Área Sanitaria de Santiago de Compostela y Barbanza, tras modificar el sistema de gestión de citas","authors":"R.A. Montes-Villalba ,&nbsp;M.I. Santiago-Pérez ,&nbsp;M.J. Purriños-Hermida ,&nbsp;J.R. Parada-Jorgal","doi":"10.1016/j.jhqr.2024.12.008","DOIUrl":"10.1016/j.jhqr.2024.12.008","url":null,"abstract":"<div><h3>Objective</h3><div>To assess whether or not the new appointment management system for hospital outpatient consultations, implementing the use of «mailboxes» (computerized appointment system, based on ideal date), improves adherence to appointments or not.</div></div><div><h3>Method</h3><div>Before-after study, in which the degree of patient adherence to hospital outpatient appointments is compared, before and after the change in the appointment process (period 2014-2018 vs. year 2022). Statistical analysis was performed with Stata v17.</div></div><div><h3>Results</h3><div>Adherence to consultations (percentage of consultations performed) remained stable in all years of the period 2014-2018, with an average value of 91%, and increased to 93% in 2022. All characteristics of the consultations were shown to be associated with adherence, but in the multivariate model sex, age group, setting, hospital, functional area and type of activity were significant.</div></div><div><h3>Conclusion</h3><div>The change made in the appointment management system of hospital outpatient clinics in the Health Area of Santiago de Compostela and Barbanza has proven effective in improving adherence to the consultation. The reduction in the number of absences from consultations reduces waiting lists and improves patient care.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 3","pages":"Article 101109"},"PeriodicalIF":1.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The person-centered medical care in pediatrics: A scoping review","authors":"M.A.M. da Luz ,&nbsp;J.O. Mendes","doi":"10.1016/j.jhqr.2024.12.009","DOIUrl":"10.1016/j.jhqr.2024.12.009","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The medicine development demonstrates that the traditional bioethical medical care model is not the most adequate. On the other hand, the person-centered clinical method has been winning more space in the medical practice, since it is a humanized method of care that allows best results. In pediatrics, the patient-centered care works a little bit different, since it requires not only the physician–patient relation, but also the integration of the physician–family–patient relation. Thus, the patient-centered care in the pediatric area is understudied, as well as little practiced. In this context, this review has the objective to exposure the actual scenario of the patient-centered care in pediatrics.</div></div><div><h3>Materials and methods</h3><div>This is a scoping review carried out from the standards of Jonna Briggs Institute (JBI). The database PubMed, Science Direct and BVS were used to search studies between 2012 until 2024. The research was performed with the descriptors “<em>Medicine</em>”, “<em>Shared Decision</em> <em>Making</em>”, “<em>Pediatrics</em>”, “<em>Physician–Patient</em> <em>Relations</em>” and “<em>Patient-Centered</em> <em>Care</em>”.</div></div><div><h3>Results</h3><div>The research identified 27,272 articles, along with 79 met the criteria and were included. Each article was analyzed and allocated in the four pillars of the patient-centered care, which was described and related with the pediatric clinic.</div></div><div><h3>Conclusions</h3><div>The patient-centered care brings benefits to medical care, especially in the pediatric area. Among them, stands out the increased adherence to treatment, the lowest rates of medical errors, the greater integration of the interprofessional team, the more individual and patient-sensitive investigation, as well as the respect of beliefs and desires, making the results obtained better.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 3","pages":"Article 101110"},"PeriodicalIF":1.1,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Explorando la voz de los pacientes: mapeo de su experiencia tras ser atendidos en un área integrada de salud","authors":"J. López-Picazo Ferrer,&nbsp;J.M. Marín Martínez,&nbsp;I. Vidal-Abarca Gutiérrez,&nbsp;M. López Ibáñez","doi":"10.1016/j.jhqr.2024.12.006","DOIUrl":"10.1016/j.jhqr.2024.12.006","url":null,"abstract":"<div><h3>Background and aim</h3><div>Measuring patient-reported experience measures (PREMs) is essential for the continuous improvement of quality. This study aims to assess the quality perceived by patients in the key care processes of an integrated health area measuring PREM elements, with the goal of identifying opportunities for improvement.</div></div><div><h3>Methods</h3><div>The research was conducted in the first half of 2023 within a Spanish integrated health area, analysing five key healthcare processes: Primary Care, Emergency Services, Hospitalisation, Consultations, and Surgery. To assess perceived quality, PREM elements such as accessibility, information, and professionalism were measured using the Net Promoter Score (NPS). The Lot Quality Assurance Sampling (LQAS) method was employed to identify specific areas for improvement by detecting rejected lots and optimising sample sizes.</div></div><div><h3>Results</h3><div>Although the perceived quality was generally high, with good or excellent NPS scores, significant variability was observed between processes. A total of 104 rejected lots (21%) were identified across the processes evaluated. The highest number of rejections occurred in and Emergency Services (67%), with notable issues in accessibility and information.</div></div><div><h3>Conclusions</h3><div>The study underscores the need for targeted interventions in accessibility and information to enhance the patient experience, particularly in Primary Care and Emergency Services. The measurement of PREM elements using NPS, in conjunction with the LQAS method, proves to be an effective tool for identifying and prioritising areas for improvement, especially when applied on a regular basis.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 3","pages":"Article 101107"},"PeriodicalIF":1.1,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Humanización y calidad de vida profesional en el cuidado oncohematológico y radioterápico: un estudio descriptivo en un hospital universitario","authors":"A. Gutiérrez Delgado ,&nbsp;C.J. Gómez Martín ,&nbsp;C. Martín-Arriscado Arroba ,&nbsp;G. González Monterrubio ,&nbsp;S. Pérez García ,&nbsp;A. Jariego Gómez","doi":"10.1016/j.jhqr.2024.12.007","DOIUrl":"10.1016/j.jhqr.2024.12.007","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate levels of humanization, professional quality of life, resilience, communication skills, and the use of silence among healthcare professionals in these areas.</div></div><div><h3>Methods</h3><div>Observational, cross-sectional, and descriptive study conducted in a referral hospital. Data were collected from 152 healthcare professionals through questionnaires assessing professional quality of life (ProQOL), resilience (CD-RISC), humanization (HUMAS), communication skills (EHC-PS), and the use of silence (Q-SPS).</div></div><div><h3>Results</h3><div>The median age of the professionals was 42 years. They showed moderate levels of compassion satisfaction and resilience (means<!--> <!-->=<!--> <!-->23.47 and 29.96) but low levels of humanization (mean<!--> <!-->=<!--> <!-->66.09). Emotional exhaustion was significant among physicians (mean<!--> <!-->=<!--> <!-->19.19, <em>P</em>=.022), while radiotherapy technicians excelled in empathy (mean<!--> <!-->=<!--> <!-->27.33). Significant correlations were observed between compassion satisfaction and optimism (Rho<!--> <!-->=<!--> <!-->0.2017, <em>P</em>=.0127), and between productive silence and communication skills (Rho<!--> <!-->=<!--> <!-->0.3131, <em>P</em>=.0001).</div></div><div><h3>Conclusions</h3><div>Strengthening emotional and communication competencies is essential. Interventions should focus on reducing compassion fatigue and enhancing the well-being of healthcare professionals, improving care quality for oncohematology and radiotherapy patients.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 3","pages":"Article 101108"},"PeriodicalIF":1.1,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Continuing the journey: A new chapter for the Journal of Healthcare Quality Research","authors":"S. Lorenzo,&nbsp;G.C. Gómez,&nbsp;D. Parés,&nbsp;C. Natal,&nbsp;R. Lledó,&nbsp;J.J. Mira,&nbsp;F. Vázquez,&nbsp;S. Izquierdo,&nbsp;K. Polluste,&nbsp;M. Santiñá,&nbsp;B. Zurita","doi":"10.1016/j.jhqr.2024.12.002","DOIUrl":"10.1016/j.jhqr.2024.12.002","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 1-2"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143170961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aprendiendo de nuestros errores: notificación de eventos pediátricos a través del SiNASP en Galicia","authors":"S. Rujido Freire ,&nbsp;P. Viaño Nogueira ,&nbsp;M.J. Pérez Taboada ,&nbsp;R. Bugarín González ,&nbsp;A. Rodríguez Núñez","doi":"10.1016/j.jhqr.2024.08.002","DOIUrl":"10.1016/j.jhqr.2024.08.002","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 59-61"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Informational and educational needs of caregivers of neurologic inpatients in rehabilitation treatment: A qualitative exploratory study","authors":"M. Ottonello ,&nbsp;C. Pistarini ,&nbsp;S. Ruvolo ,&nbsp;S. Costa ,&nbsp;V. Navarra ,&nbsp;C. Murianni ,&nbsp;E. Cristallo ,&nbsp;S. Maiello ,&nbsp;M.R. Tritto ,&nbsp;M.G. Pagliarulo ,&nbsp;M.R. Manera","doi":"10.1016/j.jhqr.2024.09.005","DOIUrl":"10.1016/j.jhqr.2024.09.005","url":null,"abstract":"<div><h3>Introduction</h3><div>The aim of the present study was to identify information and educational needs of neurological inpatients during residential rehabilitation from the caregivers’ perspective. On top of that, it was important to acknowledge the conceptual framework underlying the complexity of needs, for the development in future research of an early identification of caregiver's information needs assessment tool. This preliminary study will allow to define the dimensions on which to measure caregiver needs and the quality of care provided to the patients and their families.</div></div><div><h3>Material and methods</h3><div>Focus groups of family caregivers of inpatients admitted to the Neurorehabilitation Units by the ICS Maugeri Institutes were conducted to explore the caregivers needs. All focus groups were tape-recorded and contemporaneous notes made. The tapes were transcribed and thematic analysis was used to develop categories of needs. To ensure consistency between groups, a semi-structured schedule was used to guide the focus groups.</div></div><div><h3>Results</h3><div>In the analysis of the statements extracted from the transcripts we defined five main themes of information needs expressed from caregivers: education, hospital care organization, legal and social care management and emotional or psychological support.</div></div><div><h3>Conclusion</h3><div>The results provided the identification of the domains essential for the development of a questionnaire that measures the complexity of the caregiver's information needs during residential rehabilitation. The caregivers’ statements expressed in the focus groups allowed to identify five main kinds of needs. Moreover, some suggestions and ideas to improve the information and education materials to satisfy these needs emerged from caregivers and health professionals during team meetings.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 48-55"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Results of a qualitative semi-structured interview study with hospital nursing staff to improve incident reporting systems in Estonia","authors":"E. Uibu ,&nbsp;K. Binsol ,&nbsp;K. Põlluste ,&nbsp;M. Lember ,&nbsp;M. Kangasniemi","doi":"10.1016/j.jhqr.2024.10.003","DOIUrl":"10.1016/j.jhqr.2024.10.003","url":null,"abstract":"<div><h3>Objective</h3><div>Nurses and their leaders are known for actively using incident reporting systems. However, information sharing about lessons learned from incidents has rarely been reported in previous studies. This study aimed to describe nurses’ and nursing managers’ experiences with incident reporting system information sharing and their perceptions of patient safety development needs.</div></div><div><h3>Material and methods</h3><div>Semi-structured individual and group interviews were conducted with nursing staff in Estonia (<em>n</em> <!-->=<!--> <!-->26). Collected data was analyzed using the inductive content analysis method. The COREQ checklist was used for study report.</div></div><div><h3>Results</h3><div>Nursing staff considered information sharing of lessons learned crucial. First, it was necessary to raise patient safety awareness among employees. Second, the importance of learning from mistakes to protect themselves from legal consequences and improve public trust was highlighted. Nursing staff had traditional ways of sharing information about lessons learned. However, because of the lack of organized strategies, nurses resorted to private discussions or self-initiated investigations. Nursing staff reported a need to develop patient safety by supporting nurses’ patient safety competencies and training, and to establish the use of a reporting system in daily care. The precondition was a positive patient safety culture, which would be improved by open communication among nursing staff and sufficient resources.</div></div><div><h3>Conclusions</h3><div>Information sharing from safety incident reports should rely on organized strategies to avoid self-initiated practices and misinformation. Awareness of the complexity of implementing patient safety initiatives and adequate responsiveness from hospital executives can help establish practices supporting staff to feel secure when discussing safety issues.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 39-47"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity, reliability, and feasibility of EQ-5D-3L, VAS, and time trade-off among Jordanians","authors":"N. Yanal ,&nbsp;A.M. Al Massri ,&nbsp;E.A. Hammad","doi":"10.1016/j.jhqr.2024.10.001","DOIUrl":"10.1016/j.jhqr.2024.10.001","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction and objectives&lt;/h3&gt;&lt;div&gt;The EQ-5D VAS is a widely used measure for health-related quality of life (HRQol). The EQ-5D health states often weighted using the time trade-off (TTO). The assessment of the EQ-5D, VAS, TTO psychometric properties is necessary to inform adaption across countries and populations due to cross-cultural and language diversity. The objective of the study is to evaluate validity, reliability, and feasibility of the Arabic version of the EQ-5D-3L, VAS, and TTO among a broad sample of Arabic-speaking Jordanians.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A cross-sectional study was conducted using structured face-to-face interviews with 1007 participants attending outpatient clinics at a central university affiliated hospital. The participants completed the EQ-5D-3L, described own health via VAS and in words (excellent, very good, good, fair, and poor). Additionally, participants requested to answer a TTO question. Validity was assessed using correlation analysis, while test–retest methods were used to evaluate reliability. Perspectives of participants on how easy to complete or understand the study measures were investigated.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Completion rates were 100% for the EQ-5D, 98% for VAS and 77% for TTO. The construct validity of EQ-5D, VAS, and TTO was supported by significant correlation across each other and participants’ characteristics. Higher severity of EQ-5D health states was significantly associated with lower VAS scores (&lt;em&gt;r&lt;/em&gt;&lt;sub&gt;s&lt;/sub&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;−0.38, &lt;em&gt;p&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.01). Usual activity and pain/discomfort had the strongest correlations with VAS scores (−0.40 and −0.39, respectively, &lt;em&gt;p&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.001). A higher willingness to trade years was observed with more severe EQ-5D states (&lt;em&gt;r&lt;/em&gt;&lt;sub&gt;s&lt;/sub&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.32, &lt;em&gt;p&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.001), with usual activity, and pain/discomfort showing the strongest associations. Self-reported health via VAS and words was highly correlated (&lt;em&gt;r&lt;/em&gt;&lt;sub&gt;s&lt;/sub&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.76, &lt;em&gt;p&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.001). Reliability of the weighted Cohen's &lt;em&gt;k&lt;/em&gt; for EQ-5D dimension ranged between 0.3 and .72. Intraclass correlation coefficients for VAS were 0.80 and 0.92 for TTO, all &lt;em&gt;p&lt;/em&gt; value &lt;0.001. VAS showed substantial test–retest reliability (ICC&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.80), and TTO showed excellent reliability (ICC&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.92). However, only 62.3% and 54.6% found EQ-5D and TTO easy to understand, respectively, while 89.4% found the VAS easy to use.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The Arabic EQ-5D-3L, VAS, and TTO demonstrated validity and reliability for measuring HRQoL among Jordanians. The study highlights the importance of cultural and linguistic contexts in HRQoL measures adaption. Future research should focus on refining TTO to improve cultural appropriateness and understanding among Arabic-speaking population","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 29-38"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}