Impact of quality strategies on hospital outputs
Suñol, R.. (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Vallejo, P. (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Thompson, A. (School of Social and Political Studies, University of Edinburgh, Edinburgh, Scotland)
Lombarts, M. J. M. H. (Amsterdam UMC. University Medical Center)
Shaw, C. D. (European Society for Quality in Health Care, Limerick, Ireland)
Klazinga, N. (European Society for Quality in Health Care, Limerick, Ireland)

Data:	2009
Resum:	This study was part of the Methods of Assessing Response to Quality Improvement Strategies (MARQuIS) research project on patients crossing borders, a study to investigate quality improvement strategies in healthcare systems across the European Union (EU). To explore the association between the implementation of quality improvement strategies in hospitals and hospitals' success in meeting defined quality requirements that are considered intermediate outputs of the care process. Data regarding the implementation of seven quality improvement strategies (accreditation, organisational quality management programmes, audit and internal assessment of clinical standards, patient safety systems, clinical practice guidelines, performance indicators and systems for obtaining patients' views) and four dimensions of outputs (clinical, safety, patient-centredness and cross-border patient-centredness) were collected from 389 acute care hospitals in eight EU countries using a web-based questionnaire. In a second phase, 89 of these hospitals participated in an on-site audit by independent surveyors. Pearson correlation and linear regression models were used to explore associations and relations between quality improvement strategies and achievement of outputs. Positive associations were found between six internal quality improvement strategies and hospital outputs. The quality improvement strategies could be reasonably subsumed under one latent index which explained about half of their variation. The analysis of outputs concluded that the outputs can also be considered part of a single construct. The findings indicate that the implementation of internal as well as external quality improvement strategies in hospitals has beneficial effects on the hospital outputs studied here. The implementation of internal quality improvement strategies as well as external assessment systems should be promoted.
Nota:	Altres ajuts: MARQuIS/SP21-CT-2004-513712
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	Quality & Safety in Health Care, Vol. 18 (1 2009) , p. i62-i68, ISSN 1475-3901

DOI: 10.1136/qshc.2008.029439
PMID: 19188464

7 p, 124.1 KB

El registre apareix a les col·leccions:
Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut Universitari Avedis Donabedian-UAB
Articles > Articles de recerca
Articles > Articles publicats