Is having quality as an item on the executive board agenda associated with the implementation of quality management systems in European hospitals : A quantitative analysis
Botje, Daan (Netherlands Institute for Health Services Research (NIVEL))
Klazinga, N.S. (University of Amsterdam. Academic Medical Centre-AMC)
Suñol, R.. (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Groene, Oliver (Department of Health Services Research and Policy. London School of Hygiene and Tropical Medicine)
Pfaff, H. (Institute of Medical Sociology. Health Services Research and Rehabilitation Science. University of Cologne-IMVR)
Mannion, Russell (University of Birmingham)
Depaigneloth, A. (Haute Autorité de la Santé-HAS)
Arah, Onyebuchi A (University of California. Los Angeles-UCLA)
Dersarkissian, Maral (University of California. Los Angeles-UCLA)
Wagner, Cordula (Department of Public and Occupational Health. EMGO Institute for Health and Care Research. VU University Medical Center)
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)
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 and Healthcare Federation-HOPE)
Garel, Pascal (European Hospital and Healthcare Federation-HOPE)
Saluvan, M. (Hacettepe University)
Bruneau, Charles (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)
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)
Thompson, C.A. (University of California. Los Angeles-UCLA)
Wang, A. (University of California. Los Angeles-UCLA)
Thompson, A. (University of Edinburgh)

Fecha:	2014
Resumen:	Objective: To assess whether there is a relationship between having quality as an item on the board's agenda, perceived external pressure (PEP) and the implementation of quality management in European hospitals. Design: A quantitative, mixed method, cross-sectional study in seven European countries in 2011 surveying CEOs and quality managers and data from onsite audits. Participants: One hundred and fifty-five CEOs and 155 quality managers. Setting: One hundred and fifty-five randomly selected acute care hospitals in seven European countries (Czech Republic, France, Germany, Poland, Portugal, Spain and Turkey). Main outcome measure(s): Three constructs reflecting quality management based on questionnaire and audit data: (i) Quality Management System Index, (ii) Quality Management Compliance Index and (iii) Clinical Quality Implementation Index. The main predictor was whether quality performance was on the executive board's agenda. Results: Discussing quality performance at executive board meetings more often was associated with a higher quality management system score (regression coefficient b = 2. 53; SE = 1. 16; P = 0. 030). We found a trend in the associations of discussing quality performance with quality compliance and clinical quality implementation. PEP did not modify these relationships. Conclusions: Having quality as an item on the executive board's agenda allows them to review and discuss quality performance more often in order to improve their hospital's quality management. Generally, and as this study found, having quality on the executive board's agenda matters.
Nota:	This study was part of the 'Deepening our Understanding of Quality improvement in Europe (DUQuE)' project, funded by the EU 7th Research Framework Program [26]. Its aims and methods are described elsewhere [27]. The study used a multi-method, cross-sectional design to collect quality-related information from European hospitals between May 2011 and February 2012 [27]. Seven countries were included based on a mix of health and hospital system financing and organization criteria in different geographical areas in Europe. The participating countries comprised the Czech Republic, France, Germany, Poland, Portugal, Spain and Turkey. In each country, 30 hospitals were randomly recruited, subject to them having more than 130 beds and that they treat acute myocardial infarct, hip fracture, stroke and deliveries patients [27].
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 n° 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
Publicado en:	International journal for quality in health care, Vol. 26 (2014) , p. 92-99, ISSN 1464-3677

DOI: 10.1093/intqhc/mzu017
PMID: 24550260

8 p, 187.7 KB

El registro aparece en las colecciones:
Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Instituto Universitario Avedis Donabedian-UAB
Artículos > Artículos de investigación
Artículos > Artículos publicados