Is patient-centredness in European hospitals related to existing quality improvement strategies? Analysis of a cross-sectional survey (MARQuIS study)
Groene, Oliver (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Lombarts, M. J. M. H. (Amsterdam University Medical Center (UMC))
Klazinga, N. (Amsterdam University Medical Center (UMC))
Alonso, J (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Thompson, A. (University of Edinburgh. School of Social and Political Studies)
Suñol Sala, Rosa (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)

Fecha:	2009
Resumen:	There is growing recognition of patients' contributions to setting objectives for their own care, improving health outcomes and evaluating care. To quantify the extent to which European hospitals have implemented strategies to promote a patient-centred approach, and to assess whether these strategies are associated with hospital characteristics and the development of the hospital's quality improvement system. Cross-sectional survey of 351 European hospital managers and professionals. Patients' rights, patient information and empowerment, patient involvement in quality management, learning from patients, and patient hotel services at the hospital and ward level were assessed. The hypothesis that the implementation of strategies to improve patient-centredness is associated with hospital characteristics, including maturity of the hospital's quality management system, was tested using binary logistic regression. In general, hospitals reported high implementation of policies for patients' rights (85. 5%) and informed consent (93%), whereas strategies to involve patients (71%) and learn from their experience (66%) were less frequently implemented. For 13 out of 18 hospital strategies, institutions with a more developed quality improvement system consistently reported better results (percentage differences within maturity classification ranged from 12. 4% to 46. 6%). The strength of association between implementation of patient-centredness strategies and the quality improvement system, however, seemed lower at the ward than at the hospital level. Some associations (OR 2. 1 to 5. 1) disappeared or were weaker after adjustment for potential confounding variables (OR 2. 2 to 3. 7). Although quality improvement systems seem to be effective with regard to the implementation of selected patient-centredness strategies, they seem to be insufficient to ensure widespread implementation of patient-centredness throughout the organisation.
Nota:	Altres ajuts: MARQuIS/SP21-CT-2004-513712
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
Publicado en:	Quality & Safety in Health Care, Vol. 18 (1 2009) , p. i44-i50, ISSN 1475-3901

DOI: 10.1136/qshc.2008.029397
PMID: 19188461

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