Development and validation of an index to assess hospital quality management systems
Wagner, Cordula (Department of Public and Occupational Health. EMGO Institute for Health and Care Research. VU University Medical Center)
Groene, Oliver (Department of Health Services Research and Policy. London School of Hygiene and Tropical Medicine)
Thompson, C.A. (Palo Alto Medical Foundation Research Institute)
Klazinga, N.S. (Department of Public Health. Academic Medical Center. University of Amsterdam)
Dersarkissian, Maral (University of California. Los Angeles-UCLA)
Arah, Onyebuchi A (UCLACenter for Health Policy Research)
Suñol, R. (Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC))
Klazinga, N. (University of Amsterdam. Academic Medical Centre-AMC)
Kringos, D.S. (University of Amsterdam. Academic Medical Centre-AMC)
Lombarts, M.J.M.H. (University of Amsterdam. Academic Medical Centre-AMC)
Plochg, T. (University of Amsterdam. Academic Medical Centre-AMC)
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 (Central Denmark Region. Center for Healthcare Improvements. Aalborg University)
Kristensen, S. (Central Denmark Region. Center for Healthcare Improvements. Aalborg University)
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. (Institute of Medical Sociology. Health Services Research and Rehabilitation Science. University of Cologne-IMVR)
Ommen, O. (Institute of Medical Sociology. Health Services Research and Rehabilitation Science. University of Cologne-IMVR)
Pfaff, H. (Institute of Medical Sociology. Health Services Research and Rehabilitation Science. University of Cologne-IMVR)
Botje, Daan (Netherlands Institute for Health Services Research (NIVEL))
Wagner, Cordula (Department of Public and Occupational Health. EMGO Institute for Health and Care Research. VU University Medical Center)
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. Los Angeles-UCLA)
Dersarkissian, Maral (University of California. Los Angeles-UCLA)
Wang, A. (University of California. Los Angeles-UCLA)
Thompson, A. (University of Edinburgh)

Data:	2014
Resum:	Objective: The aim of this study was to develop and validate an index to assess the implementation of quality management systems (QMSs) in European countries. Design: Questionnaire development was facilitated through expert opinion, literature review and earlier empirical research. A cross-sectional online survey utilizing the questionnaire was undertaken between May 2011 and February 2012. We used psychometric methods to explore the factor structure, reliability and validity of the instrument. Setting and participants. As part of the Deepening our Understanding of Quality improvement in Europe (DUQuE) project, we invited a random sample of 188 hospitals in 7 countries. The quality managers of these hospitals were the main respondents. Main Outcome Measure. The extent of implementation of QMSs. Results: Factor analysis yielded nine scales, which were combined to build the Quality Management Systems Index. Cronbach's reliability coefficients were satisfactory (ranging from 0. 72 to 0. 82) for eight scales and low for one scale (0. 48). Corrected item-total correlations provided adequate evidence of factor homogeneity. Inter-scale correlations showed that every factor was related, but also distinct, and added to the index. Construct validity testing showed that the index was related to recent measures of quality. Participating hospitals attained a mean value of 19. 7 (standard deviation of 4. 7) on the index that theoretically ranged from 0 to 27. Conclusion: Assessing QMSs across Europe has the potential to help policy-makers and other stakeholders to compare hospitals and focus on the most important areas for improvement.
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 n° 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.
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, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	International journal for quality in health care, Vol. 26 (2014) , p. 16-26, ISSN 1464-3677

DOI: 10.1093/intqhc/mzu021
PMID: 24618212
PMID: 24334247

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