Evidence map›Paper›PMID 34014021›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2021

A nationwide participatory programme to measure person-centred hospital care in Italy: Results and implications for continuous improvement.

Flavia Cardinali, Sara Carzaniga, Giorgia Duranti, Barbara Labella, Alessandro Lamanna, Micaela Cerilli, Giovanni Caracci, Fabrizio Carinci

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In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
–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

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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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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 · 2021
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4 · The record

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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

8 authors.

Flavia CardinaliItalian National Agency for Regional Health Services (AGENAS), Roma, Italy.
Sara CarzanigaItalian National Agency for Regional Health Services (AGENAS), Roma, Italy.
Giorgia DurantiItalian National Agency for Regional Health Services (AGENAS), Roma, Italy.
Barbara LabellaItalian National Agency for Regional Health Services (AGENAS), Roma, Italy.
Alessandro LamannaItalian National Agency for Regional Health Services (AGENAS), Roma, Italy.
Micaela CerilliItalian National Agency for Regional Health Services (AGENAS), Roma, Italy.
Giovanni CaracciItalian National Agency for Regional Health Services (AGENAS), Roma, Italy.
Fabrizio CarinciItalian National Agency for Regional Health Services (AGENAS), Roma, Italy.ORCID 0000-0002-7524-227X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient-centredness has been targeted by the Italian government as a key theme for the future development of health services.

objectiveMeasuring patient-centred health services in partnership with citizens, health professionals and decision makers.

designNational participatory survey in a large test set of hospitals at national level. SETTING AND

participantsA total of 387 hospital visits conducted in 16 Italian regions by over 1,500 citizens and health professionals during 2017-2018. MAIN VARIABLES AND OUTCOME MEASURES: An ad hoc checklist was used to assess person-centredness in hospital care through 243 items, grouped in 4 main areas, 12 sub-areas and 29 person-centred criteria (scored 0-10). GEE linear multivariate regression was used to explore the relation between hospital characteristics and person-centredness.

resultsPerson-centred scores were moderately high, with substantial variation overall (median score: 7.0, range: 3.2-9.5) and by area (Care Processes: 6.8, 2.0-9.8; Access: 7.4, 2.7-9.7; Transparency: 6.7, 3.4-9.5 and Relationship: 7.3, 0.8-10.0). Multivariate regression found higher scores for increasing volumes of activity (quartile increase: +0.21; 95% CI: 0.13, 0.29) and lower scores in the south and islands (-1.03; -1.62,-0.45). DISCUSSION: The checklist has been applied successfully by over 1,500 collaborators who assessed hospitals in 16 distinct Regions and Autonomous Provinces of Italy. Despite an overall positive mark, all scores were highly variable by location and hospital characteristics. CONCLUSION AND PATIENT OR PUBLIC CONTRIBUTION: A national participatory programme to improve patient-centredness in Italian hospitals highlighted critical areas with the direct input of citizens.

Indexed as

HospitalsPatient-Centered CareHealth PersonnelHealth ServicesHumansItalycitizen engagementmonitoringparticipatory evaluationperformance assessmentperson-centred carequality improvement

Identifiers

PMID34014021
PMCPMC8369125

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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.