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  • Positive Health dialogue tool and value-based healthcare: a qualitative exploratory study during residents’ outpatient consultations

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Positive Health dialogue tool and value-based healthcare: a qualitative exploratory study during residents’ outpatient consultations
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  • Published on: 5 January 2023
    Mapping positive health in patients with gastrointestinal disorders
    • Anja H.W.M. Lemlijn-Slenter, PhD-student, Insurance Physician Div. of Gast. Hep. and dept. of Int. Med., NUTRIM, MUMC+; Dept. of Soc. Med., CAPHRI, Maastricht University; UWV
    • Other Contributors:
      • Karolina A.P. Wijnands, PhD, Insurance Physician
      • Angelique de Rijk, Professor
      • Ad A.M. Masclee, Professor emeritus

    We would like to add a clinical perspective to the debate on the concept of Positive Health (PH) and its measurement. A decade ago, Huber et al. in 2011 (1) introduced this concept, which provides a broad perspective of people’s health. PH includes six dimensions: bodily functions, mental functions, meaningfulness, quality of life, social participation and daily activities. A dialogue tool was developed to map the dimensions of PH in practice. Meanwhile, the concept is increasingly used in clinical practice and research.

    In 2021, Bock et al. (2) described in this journal how residents experienced the use of the dialogue tool in outpatient consultations. They concluded in this journal that using this tool brings bivalent experiences: on the one hand, it yielded valuable patient information beyond physical health. The dynamic in resident–patient communication was changed. On the other hand, they concluded that the tool was not usable for simple situations, for follow-up consultations and lacked to provide details for super specialised care.

    We agree with Bock et al. that the dialogue tool is helpful but limited in its applicability. Communication is improved via the tool, but there is a need for a more structured approach to obtaining patient data that cover the six PH dimensions. Such more precise data are helpful for following-up of patients, for comparison with other (groups of) patients and for scientific purposes. In practice, gaining a broader insight...

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    Conflict of Interest:
    None declared.