title: Assessing quality of care in pediatric asthma: applicability of a revised version of the QUOTE-CNSLD questionnaire.
abstract: OBJECTIVE
  To establish the validity and applicability of a revised version of the QUality Of care Through the patient's Eyes-Chronic Non Specific Lung Disease (QUOTE-CNSLD) instrument in a population of children with controlled and partly controlled asthma.
  
  
  METHODS
  Randomized controlled trial evaluating quality of care in three follow-up settings: follow-up by the general practitioner, the pediatrician, and the specialized asthma nurse, for a period of 2 years.
  
  
  RESULTS
  One hundred and seven children were recruited, 45 from general practice and 62 from hospital practice. The revised QUOTE-CNSLD instrument completed by parents at baseline (T0), after 1 year (T1) and after 2 years (T2) showed that a process-, a structure-, and an asthma-specific domain could be deduced (Cronbach's α of 0.81, 0.82, and 0.62). A separate five-item "child-specific" questionnaire about their caregiver, completed by children, has a Cronbach's α of 0.88. The revised instrument could discriminate between quality of care in different follow-up settings for children with stable asthma, and the asthma-specific domain showed particularly discriminative properties. Quality aspects with potential for improvement could be derived from the scores in all three study groups.
  
  
  CONCLUSIONS
  The revised QUOTE-CNSLD instrument is applicable in a pediatric population with stable asthma and it has discriminative value between different follow-up settings.
authors.affiliation: Department of Pediatrics, Amphia Hospital, Breda, the Netherlands. mkuethe@amphia.nl
authors.forename: M C
authors.initials: MC
authors.lastname: Kuethe
authors.forename: H J
authors.initials: HJ
authors.lastname: Sixma
authors.forename: A A P H
authors.initials: AA
authors.lastname: Vaessen-Verberne
authors.forename: J C
authors.initials: JC
authors.lastname: Booij
authors.forename: W M C
authors.initials: WM
authors.lastname: van Aalderen
mesh_terms: D001249:Asthma / Q000628:therapy*; D002648:Child; D005260:Female; D058005:General Practitioners / Q000458:organization & administration; D006282:Health Personnel / Q000458:organization & administration*; D006801:Humans; D008297:Male; D009726:Nurses / Q000458:organization & administration; D010043:Outcome and Process Assessment, Health Care; D017060:Patient Satisfaction; D010372:Pediatrics / Q000458:organization & administration; D011787:Quality of Health Care / Q000458:organization & administration*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D013997:Time Factors