A co-creation roadmap towards sustainable quality of care: A multi-method study

Claessens, Fien; Seys, Deborah; Brouwers, Jonas; Wilder, Astrid Van; Jans, Anneke; Castro, Eva Marie; Bruyneel, Luk; Ridder, Dirk De; Vanhaecht, Kris

doi:10.1371/journal.pone.0269364

Cited by 14 publications

(8 citation statements)

References 42 publications

(54 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In summary, our findings are consistent with the suggestions made by Claessens et al (2022), who suggest the need to cocreate quality with the involvement of stakeholders due to organizational priorities and interest differences across ownership types. There is no one-size-fits-all solutions in improving hospital quality of care.…”

Section: Competition and Quality: H2 Testssupporting

confidence: 91%

“…While Claessens et al (2022) argue the need to cocreate quality with all relevant stakeholders’ involvement, organizational priorities and interests vary across different hospital ownership types, it is likely that hospitals’ responses to competition vary across different ownership types, particularly when the governance mechanism varies. This is one plausible reason that the findings on the effect of competition on quality of care can be conflicting and difficult to generalize (Goddard, 2015), and external monitoring becomes important (Barnett et al , 2017).…”

Section: Background and Hypotheses Developmentmentioning

confidence: 99%

See 1 more Smart Citation

Does the influence of competition and compensation on hospital quality vary with ownership type?

Chen

Eldenburg

Goodman

2023

RAF

View full text Add to dashboard Cite

Purpose The purpose of this study is to investigate how two types of drivers, namely, executive compensation and market competition, can affect hospital quality in the USA. Recently, patients, insurers and regulators have increasingly focused on hospital quality. Understanding the interplay of incentives in this industry is important because in 2019, hospital treatment contributed $1.161bn to health-care costs in the USA. This study answers the call for more studies in the so-called “mixed” industry, where ownership differences can affect organizational objectives and operating constraints. Design/methodology/approach This study explores the roles of hospital executive compensation and industry competition as determinants of health-care quality. Specifically, the study probes the heterogeneity in the factors that influence quality across hospital types in the USA. Findings Using California hospital data from 2006 through 2020, the findings show that the effects of compensation and competition on hospital quality differ by ownership type. Executive compensation is positively associated with quality in for-profit hospitals but is not associated with that of nonprofit hospitals, suggesting for-profit hospitals are more likely to use higher levels of compensation to attract managers with higher ability, whereas the utility function for nonprofit managers may be multidimensional. Within the nonprofit hospital group, competition is more positively associated with quality for religious nonprofits relative to secular nonprofits, suggesting that competition provides more monitoring for religious hospitals. Originality/value Taken together, the findings provide evidence that the drivers of quality vary across hospitals in ways consistent with differences in constraints and objectives across ownership types. The findings are important for regulators seeking to incentivize higher quality. For example, Medicare in the USA has incorporated quality measures into its new hospital reimbursement scheme (value-based purchasing) to incentivize quality. This study proposes that regulators should consider differences across ownership types when evaluating the best ways to incentivize hospital quality.

show abstract

Section: Competition and Quality: H2 Testssupporting

confidence: 91%

Section: Background and Hypotheses Developmentmentioning

confidence: 99%

Does the influence of competition and compensation on hospital quality vary with ownership type?

Chen

Eldenburg

Goodman

2023

RAF

View full text Add to dashboard Cite

show abstract

“…This approach uses different research methods, such as literature review, interviews, and focus groups, in a specific sequence to complement each other’s results and build a more comprehensive understanding of the phenomenon under study ( Subedi, 2016 ). This approach has been widely employed in prior studies to integrate scoping review data with qualitative data ( Jolivet et al, 2021 ; Qiu et al, 2021 ; Claessens et al, 2022 ; Salifu et al, 2022 ).…”

Section: Methodsmentioning

confidence: 99%

Vision-related tasks in children with visual impairment: a multi-method study

et al. 2023

View full text Add to dashboard Cite

ObjectiveFunctional Vision (FV) is vital for the successful growth of children with visual impairment. However, tasks related to measuring FV have not been thoroughly studied for this population. To address this gap, this study seeks to establish a comprehensive set of vision-related tasks that consider both the difficulty levels of activities and the ages of children with visual impairment.MethodsThis study utilized a sequential multi-method design, including a scoping review, a qualitative content analysis, and a focus group. Firstly, a scoping review was conducted to identify vision-related tasks based on the literature. Then, to contextualize the vision-related tasks, a qualitative content analysis was carried out. Subsequently, a focus group was conducted to categorize the identified tasks based on their difficulty levels and the children’s level of dependency. We utilized the directed content analysis method to analyze the data, using the occupational domain of the Occupational Therapy Practice Framework 4th edition (OTPF-4) as the primary framework.ResultsDuring the review phase, which included 22 studies, and the interview phase, which involved 16 participants, a total of 95 and 85 vision-related tasks were identified, respectively. These tasks were then categorized into 17 activities and five occupations, which included activities of daily living (ADL), instrumental activities of daily living (IADL), education, play, and participation in social activities. Among these occupations, ADL was the easiest, while participation in social activities was the most challenging. Finally, the tasks were arranged based on their difficulty level for children with visual impairment.ConclusionA comprehensive list of vision-related tasks has been developed based on the difficulty level of the tasks and the degree of dependency of children with visual impairment. This list can be used to develop standardized instruments for assessing FV in children with visual impairment.

show abstract

“…In the second stage of the intervention design, we used interviews, FGDs and environmental observations guided by the CFIR framework to explore needs, context and determinants of the upcoming midwife-led QI. First, environmental observations were conducted at the hospital’s maternity unit to understand the current health problems, identify symptoms and causes of inadequate quality, and identify factors that could impact the intervention [ 23 , 24 ]. The three researchers, all certified midwives with over 15 years of clinical experience and a history of conducting environmental observations in similar settings carried out intermittent 30–45-min-long observations over three days during the daytime.…”

Section: Methodsmentioning

confidence: 99%

Putting co-creation into practice: lessons learned from developing a midwife-led quality improvement intervention

Blomgren,

Wells,

Erlandsson

et al. 2023

Global Health Action

View full text Add to dashboard Cite

Background Integrating evidence-based midwifery practices improves healthcare quality for women and newborns, but an evidence-to-practice gap exists. Co-created quality improvement initiatives led by midwives could bridge this gap, prevent resource waste and ensure intervention relevance. However, how to co-create a midwife-led quality improvement intervention has not been scientifically explored. Objective The objective of this study is to describe the co-creation process and explore the needs and determinants of a midwife-led quality improvement targeting evidence-based midwifery practices. Methods A qualitative deductive approach using the Consolidated Framework for Advancing Implementation Science was employed. An analysis matrix based on the framework was developed, and the data were coded according to categories. Data were gathered from interviews, focus group discussions, observations and workshops. New mothers and birth companions ( n = 19) were included through convenience sampling. Midwives ( n = 26), professional association representatives, educators, policymakers, managers, and doctors ( n = 7) were purposely sampled. Results The co-creation process of the midwife-led Quality Improvement intervention took place in four stages. Firstly, core elements of the intervention were established, featuring a group of midwife champions leading a quality improvement initiative using a train-the-trainers approach. Secondly, the intervention needs, context and determinants were explored, which showed knowledge and skills gaps, a lack of shared goals among staff, and limited resources. However, there was clear relevance, compatibility, and mission alignment for a midwife-led quality improvement at all levels. Thirdly, during co-creation workshops with new mothers and companions, the consensus was to prioritise improved intrapartum support, while workshops with midwives identified enhancing the use of birth positions and perineal protection as key focus areas for the forthcoming Quality Improvement intervention. Lastly, the findings guided intervention strategies, including peer-assisted learning, using existing structures, developing educational material, and building stakeholder relationships. Conclusions This study provides a practical example of a co-creation process for a midwife-led quality improvement intervention, which can be relevant in different maternity care settings.

show abstract

A co-creation roadmap towards sustainable quality of care: A multi-method study

Cited by 14 publications

References 42 publications

Does the influence of competition and compensation on hospital quality vary with ownership type?

Does the influence of competition and compensation on hospital quality vary with ownership type?

Vision-related tasks in children with visual impairment: a multi-method study

Putting co-creation into practice: lessons learned from developing a midwife-led quality improvement intervention

Contact Info

Product

Resources

About