Measuring and improving quality in university hospitals in Canada: The Collaborative for Excellence in Healthcare Quality

Backman, Chantal; Vanderloo, Saskia; Forster, Alan J.

doi:10.1016/j.healthpol.2016.07.006

Cited by 17 publications

(25 citation statements)

References 9 publications

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“…Particularly in developed countries, patient satisfaction with care is now being used by health-care institutions to monitor the quality of care provided, gaining accreditation and as a marketing strategy. 4,5 Patient satisfaction has also an impact on patient compliance with treatment and clinic appointment attendance. Satisfied patients are more likely to continue using the health-care services and have good adherence to services or treatment regimens.…”

Section: Introductionmentioning

confidence: 99%

<p>Assessment of Quality of Care Using Information on Patient Satisfaction at Adult Oncology Center of Tikur Anbessa Specialized Hospital, Ethiopia: A Cross-Sectional Study</p>

Abate

Aman

Nasir

et al. 2020

PPA

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Background: Cancer is one of the leading causes of morbidity and mortality in the world. It results in considerable mental, physical, and emotional stress for patients. Because of the nature and impact of the disease, and its treatment, measurements of patient satisfaction are important to bring to the attention of health-care providers in order to improve care. Objective: To assess patient satisfaction at the adult oncology center of Tikur Anbessa Specialized Hospital, Ethiopia using the EORTC PATSAT-C33 tool. Methods: A facility-based cross-sectional study was conducted from January 2019 to May 2019. A consecutive sampling technique was employed to recruit a total of 384 study participants. Informed consent was obtained for each participant and data were collected using an intervieweradministered questionnaire. Ethical clearance and approval of the study protocol were obtained from the institutional ethics review board of the school of pharmacy. Descriptive statistics was used to summarize the data, while multivariate linear regression analysis was employed to explore factors affecting patient satisfaction. P<0.05 was considered as statistically significant. Results: Among a total of 384 study participants, the majority were female (65.9%) and the median age was 49 years. In most (65.9%) participants, the health-care service cost was covered by patients themselves; the majority of them were treated for gynecological malignancy (37.2%) and most received chemotherapy + surgery (37.2%). The mean score for the EORTC-PATSAT33 scales for overall satisfaction was 44.8 out of 100. Place of residence, gender, type of cancer, duration since treatment started, age and source of health-care costs were factors associated with patient satisfaction and all together explained 83% (adjusted R square=0.830, P<0.0001) of variance. Of these, residence (where patients came from) accounted for most (78.7%) of the variance (adjusted R square=0.787, P<0.0001). Conclusion: The mean overall satisfaction of patients with the services provided at the outpatient adult oncology center of TASH was significantly lower than previously reported in the world literature, which was >70. Hence, a concerted effort must be made to understand and improve patient satisfaction in oncology health-care services in Ethiopia.

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Section: Introductionmentioning

confidence: 99%

<p>Assessment of Quality of Care Using Information on Patient Satisfaction at Adult Oncology Center of Tikur Anbessa Specialized Hospital, Ethiopia: A Cross-Sectional Study</p>

Abate

Aman

Nasir

et al. 2020

PPA

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“…Management of this disease is complex, and a multitude of treatment options exist for patients [ 7 ]. Like other orthopaedic problems that are managed within the public sector, patients experience lengthy waiting times; variations in quality and access to care; inefficient use of healthcare resources; lack of coordination between different disciplines and professional specializations; and physicians that are inadequately trained to manage MSK complaints [ 8 – 11 ]. Currently, there is no consistent or comparable set of data to determine the impact of many health services across the country [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluating quality of care for patients with rotator cuff disorders

Eubank

Lafave

Wiley

et al. 2018

BMC Health Serv Res

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BackgroundMeasuring quality in healthcare is vital in evaluating patient outcomes and system performance. The availability of reliable and valid information about the quality of care for patients presenting with rotator cuff disorders (RCD) in Alberta, Canada is scarce. The objective of this study is to measure quality of care for patients with RCD in order to identify areas of improvement.MethodsThis study employs descriptive survey research design. Between March 2015 and November 2016, a convenience sample of patients presenting with chronic, full-thickness rotator cuff tears to two sport medicine centres in Calgary and Edmonton, Alberta completed two questionnaires: the Healthcare Access and Patient Satisfaction Questionnaire (HAPSQ) and the Rotator Cuff Quality-of-Life Index (RC-QOL). Data collected using both questionnaires were used to make judgments about quality of care. Quality of care was evaluated using six dimensions of quality defined by the Alberta Quality Matrix for Health: accessibility, acceptability, efficiency, effectiveness, appropriateness, and safety. Data was also used to compare current patient clinical pathways to ideal clinical pathway algorithms and used to make judgments about the appropriateness and safety of healthcare practices.ResultsOne hundred seventy-one patients participated in the study. The longest mean waiting times for medical services in Alberta were for magnetic resonance imaging (MRI) received in the public sector (103 days) and consultation by orthopaedic surgeon (172 days). Patient satisfaction with respect to quality of care was lowest for emergency room physician and highest for orthopaedic surgeon visits. Patients were treated by a mean of 2.5 physicians (SD: 0.77, range: 2–7). The total aggregate average cost per patient was $4541.19. The mean RC-QOL score for all patients was 42 (SD: 22). Only 54 patients (64%) requiring surgery were able to consult with a surgeon within benchmark timeframes. A comparison of current to ideal clinical pathway algorithms found that 38 patients (22%) experienced indirect clinical pathways, whereby care was fragmented and patients received care from multiple and often, redundant healthcare professionals.ConclusionThere is a discrepancy between current and ideal clinical pathways whereby some patients are experiencing quality of care that is inefficient, disjointed, and less than ideal.

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“…Regarding the context of UHs, although the issue of performance measurement for reporting has proved to be of interest to scholars (Backman et al, 2016), the involvement of stakeholders in the performance reporting systems of these hospitals appears to have received less scholarly attention. And yet, stakeholder influence is one of the major distinctive characteristics of UHs.…”

Section: Theoretical Framework and Approachmentioning

confidence: 99%

Involving stakeholders in university hospital performance reporting: The state of the art in Italy

Gesso¹

2019

Afr. J. Bus. Manage.

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University hospitals (UHs) need to pay attention to diverse stakeholders' interests when reporting their performance information, to meet different knowledge expectations concerning the activities they have performed and the outcomes they have achieved. In the existing literature, the level of consideration of UH performance reports reserve for a broad variety of stakeholders interested in UH outcomes, each with different information needs, has not been analyzed. To contribute to fill this gap, this study offers an empirical examination of the Italian experience by investigating whether and to what extent all the thirty-two public university hospital authorities (UHAs) involve stakeholders in their annual performance reports (APRs). First, sixteen key stakeholder groups with an interest in the performance reporting of UHAs were mapped, and the related accountability relationships were described. Subsequently, the APRs for 2017 were examined by employing the content analysis method and common descriptive statistics. Findings reveal that only one UHA involved all sixteen stakeholder groups in its performance report; sixteen UHAs involved at least ten stakeholder groups; and the remainder showed a weak, scarce or even absent involvement for stakeholders. Moreover, it emerged that three stakeholder groups were singled out for greater attention in UHA performance reports (patients, managers and regional government) over others. Involving stakeholders in performance reports needs to be encouraged, as it is an essential prerequisite for developing suitable integrated performance reporting systems.

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Measuring and improving quality in university hospitals in Canada: The Collaborative for Excellence in Healthcare Quality

Cited by 17 publications

References 9 publications

<p>Assessment of Quality of Care Using Information on Patient Satisfaction at Adult Oncology Center of Tikur Anbessa Specialized Hospital, Ethiopia: A Cross-Sectional Study</p>

<p>Assessment of Quality of Care Using Information on Patient Satisfaction at Adult Oncology Center of Tikur Anbessa Specialized Hospital, Ethiopia: A Cross-Sectional Study</p>

Evaluating quality of care for patients with rotator cuff disorders

Involving stakeholders in university hospital performance reporting: The state of the art in Italy

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