ArticleQuality & safety in health care2009
Is patient-centredness in European hospitals related to existing quality improvement strategies? Analysis of a cross-sectional survey (MARQuIS study).
Article in Quality & safety in health care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient, Family, and Community Advisory Councils in Health Care and Research: a Systematic Review.Journal of general internal medicine · 2019Pooled it
- The Challenge of Public Participation in European Hospitals: A Portuguese Case Study.Portuguese journal of public health · 2026Article
- How can we meet the needs of patients, their families and their communities? A qualitative study including clinicians, consumer representatives, patients, and community members.BMC health services research · 2023Article
- How do hospitals engage patients and family members in quality management? A grounded theory study of hospitals in Brazil.BMJ open · 2022Article
- Association of Hospital Characteristics and Previous Hospitalization-Related Experiences with Patients' Perceptions of Hospital Care in China.International journal of environmental research and public health · 2022Article
- A nationwide participatory programme to measure person-centred hospital care in Italy: Results and implications for continuous improvement.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Exploring power shifts as an enabler for a strengthened patient role in quality improvements: a Swedish survey study.BMJ open quality · 2021Article
- Perceptions of people with respiratory problems on physician performance evaluation-A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Care pathway and organisational features driving patient experience: statistical analysis of large NHS datasets.BMJ open · 2018Article
- Lessons from patient and parent involvement (P&PI) in a quality improvement program in cystic fibrosis care in France.Orphanet journal of rare diseases · 2018Article
- A Survey of Patients' Perspectives on Outpatient HIV Care in the Netherlands.Infectious diseases and therapy · 2017Article
- Patient Experience Shows Little Relationship with Hospital Quality Management Strategies.PloS one · 2015Article
- Involvement of patients or their representatives in quality management functions in EU hospitals: implementation and impact on patient-centred care strategies.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2014Article
- Implementation of patient safety and patient-centeredness strategies in Iranian hospitals.PloS one · 2014Article
- Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety?BMC health services research · 2011Article
- Investigating organizational quality improvement systems, patient empowerment, organizational culture, professional involvement and the quality of care in European hospitals: the 'Deepening our Understanding of Quality Improvement in Europe (DUQuE)' project.BMC health services research · 2010Article
- Learning from MARQuIS: future direction of quality and safety in hospital care in the European Union.Quality & safety in health care · 2009Article
- MARQulS: quality improvement strategies for European cross-border healthcare.Quality & safety in health care · 2009Article
- Reducing toxic stress in the neonatal intensive care unit to improve infant outcomes.Nursing outlookArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is growing recognition of patients' contributions to setting objectives for their own care, improving health outcomes and evaluating care.
objectiveTo quantify the extent to which European hospitals have implemented strategies to promote a patient-centred approach, and to assess whether these strategies are associated with hospital characteristics and the development of the hospital's quality improvement system.
designCross-sectional survey of 351 European hospital managers and professionals.
main outcome measuresPatients' rights, patient information and empowerment, patient involvement in quality management, learning from patients, and patient hotel services at the hospital and ward level were assessed. The hypothesis that the implementation of strategies to improve patient-centredness is associated with hospital characteristics, including maturity of the hospital's quality management system, was tested using binary logistic regression.
resultsIn general, hospitals reported high implementation of policies for patients' rights (85.5%) and informed consent (93%), whereas strategies to involve patients (71%) and learn from their experience (66%) were less frequently implemented. For 13 out of 18 hospital strategies, institutions with a more developed quality improvement system consistently reported better results (percentage differences within maturity classification ranged from 12.4% to 46.6%). The strength of association between implementation of patient-centredness strategies and the quality improvement system, however, seemed lower at the ward than at the hospital level. Some associations (OR 2.1 to 5.1) disappeared or were weaker after adjustment for potential confounding variables (OR 2.2 to 3.7).
conclusionsAlthough quality improvement systems seem to be effective with regard to the implementation of selected patient-centredness strategies, they seem to be insufficient to ensure widespread implementation of patient-centredness throughout the organisation.
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