Involvement of patients or their representatives in quality management functions in EU hospitals : Implementation and impact on patient-centred care strategies
Groene, Oliver (London School of Hygiene and Tropical Medicine)
Suñol Sala, Rosa (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Klazinga, Niek S. (Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC))
Wang, Aolin (University of Amsterdam)
Dersarkissian, Maral (University of Amsterdam)
Thompson, Andrew (Palo Alto Medical Foundation Research Institute)
Arah, Onyebuchi A.. (University of Amsterdam)
Klazinga, N (University of Amsterdam)
Kringos, D.S. (University of Amsterdam)
Lombarts, M.J.M.H. (University of Amsterdam)
Plochg, T. (University of Amsterdam)
Lopez, M. A. (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Secanell, M. (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Suñol Sala, Rosa (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Vallejo, P. (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Bartels, Paul (Aalborg Universitet)
Kristensen, S. (Aalborg Universitet)
Michel, P. (Comité de la Coordination de l'Evaluation Clinique et de la Qualité en Aquitaine)
Saillour-Glenisson, F. (Comité de la Coordination de l'Evaluation Clinique et de la Qualité en Aquitaine)
Vlcek, F. (Czech Accreditation Committee)
Car, M. (Dr Foster Intelligence-DFI)
Jones, S. (Dr Foster Intelligence-DFI)
Klaus, E. (Dr Foster Intelligence-DFI)
Bottaro, S. (European Hospital. Healthcare Federation-HOPE)
Garel, Pascal (European Hospital. Healthcare Federation-HOPE)
Saluvan, M. (Hacettepe University)
Bruneau, Charles (Haute Autorité de la Santé-HAS)
Depaigne-Loth, A. (Haute Autorité de la Santé-HAS)
Shaw, C. (University of New South Wales)
Hammer, A. (University of Cologne-IMVR)
Ommen, O. (University of Cologne-IMVR)
Pfaff, H. (University of Cologne-IMVR)
Botje, Daan (London School of Hygiene and Tropical Medicine)
Wagner, Cordula (London School of Hygiene and Tropical Medicine)
Kutaj-Wąsikowska, Halina (Polish Society for Quality Promotion in Health Care-TPJ)
Kutryba, B. (Polish Society for Quality Promotion in Health Care-TPJ)
Escoval, Ana (Portuguese Association for Hospital Development-APDH)
Lívio, A. (Portuguese Association for Hospital Development-APDH)
Eiras, M. (Portuguese Society for Quality in Health Care-SPQS)
Franca, M. (Portuguese Society for Quality in Health Care-SPQS)
Leite, I. (Portuguese Society for Quality in Health Care-SPQS)
Almeman, F. (Turkish Society for Quality Improvement in Healthcare-SKID)
Kus, H. (Turkish Society for Quality Improvement in Healthcare-SKID)
Ozturk, K. (Turkish Society for Quality Improvement in Healthcare-SKID)
Mannion, Russell (University of Birmingham)
Chow, A. (University of California)
Dersarkissian, Maral (University of California)
Wang, A. (University of California)
Thompson, A. (University of Edinburgh)
Universitat Autònoma de Barcelona

Fecha:	2014
Resumen:	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.
Ayudas:	European Commission 241822
Nota:	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.
Derechos:	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, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Quality management ; Quality measurement ; Patient-centred care ; Hospital care ; Patient involvement
Publicado en:	International journal for quality in health care, Vol. 26 (2014) , p. 81-91, ISSN 1464-3677

DOI: 10.1093/intqhc/mzu022
PMID: 24615596

11 p, 208.4 KB

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