Involvement of patients or their representatives in quality management functions in EU hospitals:implementation and impact on patient-centred care strategies

Autor: Groene, Oliver, Sunol, Rosa, Klazinga, Niek S., Wang, Aolin, Dersarkissian, Maral, Thompson, Caroline A., Thompson, Andrew, Arah, Onyebuchi A., Klazinga, N, Kringos, DS, Lombarts, MJMH, Plochg, T, Lopez, MA, Secanell, M, Sunol, R, Vallejo, P, Bartels, P, Kristensen, S, Michel, P, Saillour-Glenisson, F, Vlcek, F, Car, M, Jones, S, Klaus, E, Bottaro, S, Garel, P, Saluvan, M, Bruneau, C, Depaigne-Loth, A, Shaw, C, Hammer, A, Ommen, O, Pfaff, H, Groene, O, Botje, D, Wagner, C, Kutaj-Wasikowska, H, Kutryba, B, Escoval, A, Lívio, A, Eiras, M, Franca, M, Leite, I, Almeman, F, Kus, H, Ozturk, K, Mannion, R, Arah, OA, DerSarkissian, M, Thompson, CA, Wang, A, Thompson, A
Přispěvatelé: APH - Amsterdam Public Health, Public and occupational health, Other Research, Center for Evidence Based Education
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Czech
medicine.medical_specialty
Quality management
Quality Assurance
Health Care
Turkey
Cross-sectional study
media_common.quotation_subject
hospital care
hospital
patient involvement
Patient-centred care
quality measurement
Audit
Proxy (climate)
03 medical and health sciences
0302 clinical medicine
Nursing
Patient-Centered Care
medicine
media_common.cataloged_instance
Humans
Quality (business)
030212 general & internal medicine
European Union
Patient participation
European union
hospital
media_common
patient involvement
business.industry
030503 health policy & services
Health Policy
Public Health
Environmental and Occupational Health
General Medicine
Quality Improvement
language.human_language
Hospitals
Proxy
3. Good health
Cross-Sectional Studies
patient-centred care
Family medicine
Papers
language
Patient Participation
0305 other medical science
business
hospital care
quality management
Zdroj: Groene, O, Sunol, R, Klazinga, N S, Wang, A, Dersarkissian, M, Thompson, C A & Thompson, A & Arah, O A 2014, ' Involvement of patients or their representatives in quality management functions in EU hospitals : implementation and impact on patient-centred care strategies ', International Journal for Quality in Health Care, vol. 26, no. Suppl 1, pp. 81-91 . https://doi.org/10.1093/intqhc/mzu022
International journal for quality in health care, 26(Suppl. 1), 81-91. Oxford University Press
International Journal for Quality in Health Care
ISSN: 1353-4505
DOI: 10.1093/intqhc/mzu022
Popis: The study, "Deepening our Understanding of Quality Improvement in Europe (DUQuE)" has received funding from the European Community's Seventh Framework Programme (FP7/2007-2013) under grant agreement no 241822. Funding to pay the Open Access publication charges for this article was provided by European Community's Seventh Framework Programme (FP7/2007-2013) under grant agreement no 241822. Objective: The objective of this study was to describe the involvement of patients or their representatives in quality management (QM) functions and to assess associations between levels of involvement and the implementation of patient-centred care strategies. Design: A cross-sectional, multilevel study design that surveyed quality managers and department heads and data from an organizational audit. Setting: Randomly selected hospitals (n = 74) from seven European countries (The Czech Republic, France, Germany, Poland, Portugal, Spain and Turkey). Participants: Hospital qualitymanagers (n = 74) and heads of clinical departments (n = 262) in charge of four patient pathways (acute myocardial infarction, stroke, hip fracture and deliveries) participated in the data collection between May 2011 and February 2012. Main Outcome Measures: Four items reflecting essential patient-centred care strategies based on an on-site hospital visit: (1) formal survey seeking views of patients and carers, (2) written policies on patients' rights, (3) patient information literature including guidelines and (4) fact sheets for post-discharge care. The main predictors were patient involvement in QM at the (i) hospital level and (ii) pathway level. Results: Current levels of involving patients and their representatives in QM functions in European hospitals are low at hospital level (mean score 1.6 on a scale of 0 to 5, SD 0.7), but even lower at departmental level (mean 0.6, SD 0.7). We did not detect associations between levels of involving patients and their representatives in QM functions and the implementation of patient-centred care strategies; however, the smallest hospitals were more likely to have implemented patient-centred care strategies. Conclusions: There is insufficient evidence that involving patients and their representatives in QM leads to establishing or implementing strategies and procedures that facilitate patient-centred care; however, lack of evidence should not be interpreted as evidence of no effect.
Databáze: OpenAIRE
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