Evidence map›Paper›PMID 24615596›Full record

ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2014

Involvement of patients or their representatives in quality management functions in EU hospitals: implementation and impact on patient-centred care strategies.

Oliver Groene, Rosa Sunol, Niek S Klazinga, Aolin Wang, Maral Dersarkissian, Caroline A Thompson, Andrew Thompson, Onyebuchi A Arah, DUQuE Project Consortium

Abstract read
In one paragraph

Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. An Innovative Framework for Sustainable Development in Healthcare: The Human Rights Assessment.International journal of environmental research and public health · 2022
    Article
  15. Organizational capacity for patient and family engagement in hospital planning and improvement: interviews with patient/family advisors, managers and clinicians.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021
    Article
  16. Article
  17. Approaches to optimize patient and family engagement in hospital planning and improvement: Qualitative interviews.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Oliver GroeneFaculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK. oliver.groene@lshtm.ac.uk.
Rosa Sunol
Niek S Klazinga
Aolin Wang
Maral Dersarkissian
Caroline A Thompson
Andrew Thompson
Onyebuchi A Arah
DUQuE Project Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to describe the involvement of patients or their representatives in quality management (QM) functions and to assess associations between levels of involvement and the implementation of patient-centred care strategies.

designA cross-sectional, multilevel STUDY

designthat surveyed quality managers and department heads and data from an organizational audit.

settingRandomly selected hospitals (n = 74) from seven European countries (The Czech Republic, France, Germany, Poland, Portugal, Spain and Turkey).

participantsHospital quality managers (n = 74) and heads of clinical departments (n = 262) in charge of four patient pathways (acute myocardial infarction, stroke, hip fracture and deliveries) participated in the data collection between May 2011 and February 2012.

main outcome measuresFour items reflecting essential patient-centred care strategies based on an on-site hospital visit: (1) formal survey seeking views of patients and carers, (2) written policies on patients' rights, (3) patient information literature including guidelines and (4) fact sheets for post-discharge care. The main predictors were patient involvement in QM at the (i) hospital level and (ii) pathway level.

resultsCurrent levels of involving patients and their representatives in QM functions in European hospitals are low at hospital level (mean score 1.6 on a scale of 0 to 5, SD 0.7), but even lower at departmental level (mean 0.6, SD 0.7). We did not detect associations between levels of involving patients and their representatives in QM functions and the implementation of patient-centred care strategies; however, the smallest hospitals were more likely to have implemented patient-centred care strategies.

conclusionsThere is insufficient evidence that involving patients and their representatives in QM leads to establishing or implementing strategies and procedures that facilitate patient-centred care; however, lack of evidence should not be interpreted as evidence of no effect.

Indexed as

Patient-Centered CarePatient ParticipationProxyCross-Sectional StudiesEuropean UnionHospitalsHumansQuality Assurance, Health CareQuality ImprovementTurkeyhospital care, hospital, patient involvementpatient-centred carequality managementquality measurement

Identifiers

PMID24615596
PMCPMC4001693

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.