Health care quality from the patients&amp;rsquo; perspective: a comparative study between an old and a new, high-tech hospital

Grøndahl, Vigdis Abrahamsen; Kirchhoff, Jörg W.; Andersen, Kirsti Lauvli; Sørby, Lise Aagaard; Andreassen, Hilde Marie; Skaug, Eli-Anne; Roos, Anne Karine Østbye; Tvete, Liv Solveig; Helgesen, Ann Karin

doi:10.2147/jmdh.s176630

Cited by 28 publications

(23 citation statements)

References 44 publications

(63 reference statements)

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“…Previous studies using the QPP instrument have defined high scores on QPP items ranging from about 3.30 to 4.0. Scores ranging between 3.30 and 3.00 are considered a modest rating, and from 3.00 and lower considered low-quality rating 41–43. Studies using other instruments may interpret scores clusters differently.…”

Section: Discussionmentioning

confidence: 99%

<p>Patients’ Perceptions Of The Quality Of Palliative Care And Satisfaction – A Cluster Analysis</p>

Sandsdalen¹,

Wilde‐Larsson²,

Grøndahl³

2019

JMDH

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PurposePalliative care services are multidisciplinary, and the quality needs to be evaluated from the patients’ perspectives. The aim was to explore the patient profiles in palliative care with respect to patients’ perception of the quality of palliative care received and patient satisfaction, and to describe and compare person-related and organization-related conditions that characterize the patient profiles.Patients and methodsA cross-sectional study, including 140 patients from four different multidisciplinary palliative care contexts in Norway, was conducted in 2014. The Quality from the Patient’s Perspective questionnaire for Palliative Care, which is based upon a person-centered theoretical model, was used. Satisfaction was measured by the Emotional Stress Reaction questionnaire. Person- and organization-related conditions were measured. Hierarchical cluster analysis, ANOVA, Pearson Chi-Square Test and ANCOVA were used.ResultsThree unique patient clusters with different patterns of perceptions of quality of care and satisfaction were identified; Cluster 1 (41%) had the best perception of care quality and were more satisfied, Cluster 2 (34%) had better perceptions of care quality and were most satisfied and Cluster 3 (25%) had worst perceptions of care quality and were less satisfied. The clusters were characterized by person-related conditions (eg, patients’ sense of coherence and perceptions of subjective importance of the quality) as well as organization-related conditions (eg, physicians’ competence and type of care services).ConclusionThe results can be used by multidisciplinary healthcare personnel to tailor quality work and improve person-centered care in palliative care contexts. Improvement initiatives should focus on implementing a person-centered approach, increasing the palliative care competence of the personnel and facilitate specialized palliative care services in the homecare context.

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Section: Discussionmentioning

confidence: 99%

<p>Patients’ Perceptions Of The Quality Of Palliative Care And Satisfaction – A Cluster Analysis</p>

Sandsdalen¹,

Wilde‐Larsson²,

Grøndahl³

2019

JMDH

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“…However, this has no influence on how direct healthcare quality provided by hospital staff is perceived by patients. The authors of this study conclude that we should find application for new technologies as a valuable method of supporting medical personnel in targeting individual care needs of patients [9].…”

Section: Discussionmentioning

confidence: 99%

Patient satisfaction as an element of healthcare quality – a single-center Polish survey

Pękacz¹,

Kądalska²,

Skoczylas³

et al. 2019

Reumatologia

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Objectives: The aims of the study were to define the level of patient satisfaction with services provided by selected departments of the Institute, and to identify changes that should be introduced to the process of quality management in healthcare services. Material and methods: A total of 455 patients from three departments of the National Institute of Geriatrics, Rheumatology and Rehabilitation in Warsaw, hospitalized between January 2016 and March 2018 were assessed retrospectively. Statistical analyses were conducted with the use of IBM SPSS Statistics 25 software. Results: Patients at the Institute gave the highest rates to the courtesy and kindness of doctors and nurses (mean 4.77 and 4.73, respectively), the doctor's interest in a patient's well-being, and the nurses' dexterity in performing medical procedures (4.63 and 4.72, respectively) The lowest-rated were the quality of meals (mean 3.77) and the waiting time for hospital admission on an appointed day (mean 4.07). The study demonstrated statistically significant differences in evaluations made by female and male patients: women had worse opinions about maintenance of intimacy during medical procedures, whereas men gave lower ratings to the size of served meals. The level of satisfaction in all analyzed aspects increased with older age. However, a higher level of patient education correlated negatively with satisfaction from the waiting time for hospital admission on an appointed day, the ability to receive information about the disease and treatment process, cleanliness and accessibility of bathrooms and toilets, or the ability to easily move around the Institute. Conclusions: Accessibility of medical services, as well as attitudes and competences of the medical staff, are all key factors in ensuring quality care. The conditions of a hospital stay also shape the patients' opinions in a significant way. Therefore, taking into account the patients' opinions should become an important goal in the process of improving healthcare quality.

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“…The inquiry to the patients concerned, first, participation in a quantitative study describing/exploring patient's perception of the quality of care. 18 In addition, the patients received a written inquiry asking for their consent to be contacted for in-depth interviews. In total, 196 (32.7%) of the 599 participants included in the quantitative study were positive to being interviewed; of these, 40 were randomly drawn out.…”

Section: Settings and Entrance To The Fieldmentioning

confidence: 99%

Trading company for privacy: A study of patients’ experiences

Roos

Skaug²,

Grøndahl³

et al. 2019

Nurs Ethics

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Ethical considerations The study was conducted according to the principles of Declaration of Helsinki, and was approved by the Norwegian Social Science Data Services. Objective To describe patients’ experiences of staying in multiple- and single-bed rooms. Patients and methods This qualitative study employed a descriptive and exploratory approach, and systematic text condensation was used to analyze the material. Data were collected in a hospital trust in Norway. A total of 39 in-depth interviews were performed with patients discharged from the medical, surgical, and maternity departments. Results Patients had ambiguous views on whether multiple-bed rooms or single-bed rooms were to be preferred. Main results include how patients cherished “the importance of others” but at the same time valued “the importance of privacy.” Being hospitalized in multiple-bed rooms was for many patients a very positive experience in terms of social interaction. Patients in single-bed rooms reported being more dependent on nurses to maintain social contact and obtain safety. Conclusion This research provides new knowledge on how the need for privacy can be in contradiction with the need for socializing with other patients. When hospitalized, the physical structure of a hospital impacts with whom patients interact and to what extent they depend on the nursing staff to have their social needs met.

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Health care quality from the patients’ perspective: a comparative study between an old and a new, high-tech hospital

Cited by 28 publications

References 44 publications

<p>Patients’ Perceptions Of The Quality Of Palliative Care And Satisfaction – A Cluster Analysis</p>

<p>Patients’ Perceptions Of The Quality Of Palliative Care And Satisfaction – A Cluster Analysis</p>

Patient satisfaction as an element of healthcare quality – a single-center Polish survey

Trading company for privacy: A study of patients’ experiences

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