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Rheumatology Advance Access originally published online on April 16, 2003
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Rheumatology 2003; 42: 924-928
© 2003 British Society for Rheumatology

Rheumatologists' opinions on the feasibility of a measurement feedback system in rheumatoid arthritis and the influence of motivation

J. Fransen, S. Daneel, T. Langenegger1 and B. A. Michel for the members of the Swiss Clinical Quality Management in rheumatoid arthritis (SCQM){dagger}

Department of Rheumatology and Institute of Physical Medicine, University Hospital Zurich and
1 Adelheid Page Rehabilitation Hospital, Unteraegeri, Switzerland

Objective. To assess rheumatologists' opinions about the feasibility of a measurement feedback system in rheumatoid arthritis (RA) and to analyse if motivational aspects play a role in assessing the value of the system and in determining the extent to which it is used.

Methods. A survey sample (n=105) was randomly selected from participants of a measurement feedback system. A survey questionnaire assessed opinions on system outcome, structures and processes, motivation and overall satisfaction. Survey results are given descriptively and groups differing in motivation are compared.

Results. The overall response rate was 62%. The system was generally perceived to fulfil its aims, but the effort required to use the system was rated less positive. Rheumatologists had as their motivation either ‘science/obligation’ or ‘individual patient evaluation’. Rheumatologists with the latter motivation were more satisfied with the measurement feedback system, perceived its feasibility as better, and made more use of it.

Conclusion. Motivation for participating in a measurement feedback system has a significant impact on overall satisfaction with the system and the use of the system. Influencing motivation and reduction of the amount of effort required to use the system might increase overall acceptance.

KEY WORDS: Rheumatoid arthritis, Measurement feedback, Quality management, Feasibility, Survey.

Correspondence to: J. Fransen, Department of Rheumatology, University Medical Centre Nijmegen, PO Box 9101, 6500 HB Nijmegen, The Netherlands. E-mail: j.fransen{at}reuma.azn.nl

{dagger} The members of Swiss Clinical Quality Management in Rheumatoid Arthritis are: Dr I. Büchler, Dr B. Christen, Dr A.-M. Chamot, G. Dalvit, Dr A. Forster, PD Dr P. A. Guerne, Dr T. Langenegger, Professor Dr B. A. Michel, Dr L. Schmid, Dr H. Schwarz, Professor Dr M. Seitz, Professor Dr A. So, PD Dr R. Theiler, Professor Dr A. Tyndall, PD Dr D. van Linthoudt and Professor Dr P. Villiger.


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