Is patient-centredness in European hospitals related to existing quality improvement strategies? Analysis of a cross-sectional survey (MARQuIS study)
2009

Patient-Centredness in European Hospitals and Quality Improvement Strategies

Sample size: 351 publication Evidence: moderate

Author Information

Author(s): O Groene, M J M H Lombarts, N Klazinga, J Alonso, A Thompson, R Suñol

Primary Institution: Avedis Donabedian Institute, Autonomous University of Barcelona

Hypothesis

The implementation of strategies to improve patient-centredness is associated with hospital characteristics, including the maturity of the hospital’s quality management system.

Conclusion

Quality improvement systems seem to be effective in implementing selected patient-centredness strategies, but are insufficient for widespread implementation throughout the organization.

Supporting Evidence

  • Hospitals reported high implementation of policies for patients’ rights (85.5%) and informed consent (93%).
  • Strategies to involve patients (71%) and learn from their experience (66%) were less frequently implemented.
  • Institutions with a more developed quality improvement system reported better results for 13 out of 18 hospital strategies.

Takeaway

This study looked at how hospitals in Europe are trying to make care more focused on patients and found that while some strategies are used a lot, others, like involving patients in decisions, are not.

Methodology

Cross-sectional survey of hospital managers and professionals across 351 European hospitals.

Potential Biases

Self-reported data may introduce bias in the assessment of patient-centredness strategies.

Limitations

The study's findings may not be generalizable due to the non-random recruitment of hospitals and the reliance on self-reported data.

Participant Demographics

Hospital managers and professionals from various European countries.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1136/qshc.2008.029397

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