Is hospital accreditation associated with more recommended patient care? A before and after study on the Faroe Islands
Introduction: Today, significant resources are spent on accreditation in over 70 countries. Yet the documentation of the effects of accreditation on processes and outcomes of healthcare is still scarce. Thus, robust empirical studies are needed to justify the expense of time and money. Objectives: T...
Main Authors: | , , , |
---|---|
Format: | Conference Object |
Language: | English |
Published: |
2021
|
Subjects: | |
Online Access: | https://portal.findresearcher.sdu.dk/da/publications/c44c4af2-3adc-4d02-9552-ab7688863c0a |
id |
ftsydanskunivpub:oai:sdu.dk:publications/c44c4af2-3adc-4d02-9552-ab7688863c0a |
---|---|
record_format |
openpolar |
spelling |
ftsydanskunivpub:oai:sdu.dk:publications/c44c4af2-3adc-4d02-9552-ab7688863c0a 2023-05-15T16:10:35+02:00 Is hospital accreditation associated with more recommended patient care? A before and after study on the Faroe Islands Bergholt, Maria Daniella Falstie-Jensen, Anne Mette von Plessen, Christian Johnsen, Søren Paaske 2021-07-10 https://portal.findresearcher.sdu.dk/da/publications/c44c4af2-3adc-4d02-9552-ab7688863c0a eng eng info:eu-repo/semantics/restrictedAccess Bergholt , M D , Falstie-Jensen , A M , von Plessen , C & Johnsen , S P 2021 , ' Is hospital accreditation associated with more recommended patient care? A before and after study on the Faroe Islands ' , ISQua’s 37th International Conference , 08/07/2021 - 11/07/2021 pp. 344 - 345 . Accreditation Quality of Health Care conferenceObject 2021 ftsydanskunivpub 2022-08-14T11:01:19Z Introduction: Today, significant resources are spent on accreditation in over 70 countries. Yet the documentation of the effects of accreditation on processes and outcomes of healthcare is still scarce. Thus, robust empirical studies are needed to justify the expense of time and money. Objectives: To examine the delivery of recommended patient care before and after the first-time hospital accreditation in the Faroe Islands. Hypothesis: Patients will receive more recommended patient care when treated in a hospital that has undergone accreditation. Methods: We conducted a before and after study on the Faroe Islands in connection with introducing accreditation in 2017. We compared the fulfillment of process performance measures through audit of patient records. The recommended patient care was evaluated against 67 process performance measures reflecting the national clinical guidelines. Process performance measures were calculated, as an opportunity-based composite score (percentage adherence to process performance measures) and an all-or-none score (100% adherence to process performance measures). All three hospitals participated. A random sample of patients ≥18 years, with one of seven clinical conditions (stroke/transient ischemic attack (TIA); bleeding ulcer; diabetes; chronic obstructive pulmonary disease (COPD); child birth; congestive heart failure; hip fracture) were included if they were in- or outpatients from 2012 to 2013 (before accreditation) or 2017 to 2018 (after accreditation). 345 We calculated the relative risk, risk difference and percentage difference for receiving recommended patient care using Poisson and linear regression, respectively. In all cases, we used mixed effects analyses with a random intercept at patient and hospital level. Results: A total of 475 inpatients and 392 outpatients from the three Faroese hospitals participated. The total opportunity-based composite score, including all clinical conditions, was slightly higher after hospital accreditation (adjusted difference percentage ... Conference Object Faroe Islands University of Southern Denmark Research Portal Faroe Islands |
institution |
Open Polar |
collection |
University of Southern Denmark Research Portal |
op_collection_id |
ftsydanskunivpub |
language |
English |
topic |
Accreditation Quality of Health Care |
spellingShingle |
Accreditation Quality of Health Care Bergholt, Maria Daniella Falstie-Jensen, Anne Mette von Plessen, Christian Johnsen, Søren Paaske Is hospital accreditation associated with more recommended patient care? A before and after study on the Faroe Islands |
topic_facet |
Accreditation Quality of Health Care |
description |
Introduction: Today, significant resources are spent on accreditation in over 70 countries. Yet the documentation of the effects of accreditation on processes and outcomes of healthcare is still scarce. Thus, robust empirical studies are needed to justify the expense of time and money. Objectives: To examine the delivery of recommended patient care before and after the first-time hospital accreditation in the Faroe Islands. Hypothesis: Patients will receive more recommended patient care when treated in a hospital that has undergone accreditation. Methods: We conducted a before and after study on the Faroe Islands in connection with introducing accreditation in 2017. We compared the fulfillment of process performance measures through audit of patient records. The recommended patient care was evaluated against 67 process performance measures reflecting the national clinical guidelines. Process performance measures were calculated, as an opportunity-based composite score (percentage adherence to process performance measures) and an all-or-none score (100% adherence to process performance measures). All three hospitals participated. A random sample of patients ≥18 years, with one of seven clinical conditions (stroke/transient ischemic attack (TIA); bleeding ulcer; diabetes; chronic obstructive pulmonary disease (COPD); child birth; congestive heart failure; hip fracture) were included if they were in- or outpatients from 2012 to 2013 (before accreditation) or 2017 to 2018 (after accreditation). 345 We calculated the relative risk, risk difference and percentage difference for receiving recommended patient care using Poisson and linear regression, respectively. In all cases, we used mixed effects analyses with a random intercept at patient and hospital level. Results: A total of 475 inpatients and 392 outpatients from the three Faroese hospitals participated. The total opportunity-based composite score, including all clinical conditions, was slightly higher after hospital accreditation (adjusted difference percentage ... |
format |
Conference Object |
author |
Bergholt, Maria Daniella Falstie-Jensen, Anne Mette von Plessen, Christian Johnsen, Søren Paaske |
author_facet |
Bergholt, Maria Daniella Falstie-Jensen, Anne Mette von Plessen, Christian Johnsen, Søren Paaske |
author_sort |
Bergholt, Maria Daniella |
title |
Is hospital accreditation associated with more recommended patient care? A before and after study on the Faroe Islands |
title_short |
Is hospital accreditation associated with more recommended patient care? A before and after study on the Faroe Islands |
title_full |
Is hospital accreditation associated with more recommended patient care? A before and after study on the Faroe Islands |
title_fullStr |
Is hospital accreditation associated with more recommended patient care? A before and after study on the Faroe Islands |
title_full_unstemmed |
Is hospital accreditation associated with more recommended patient care? A before and after study on the Faroe Islands |
title_sort |
is hospital accreditation associated with more recommended patient care? a before and after study on the faroe islands |
publishDate |
2021 |
url |
https://portal.findresearcher.sdu.dk/da/publications/c44c4af2-3adc-4d02-9552-ab7688863c0a |
geographic |
Faroe Islands |
geographic_facet |
Faroe Islands |
genre |
Faroe Islands |
genre_facet |
Faroe Islands |
op_source |
Bergholt , M D , Falstie-Jensen , A M , von Plessen , C & Johnsen , S P 2021 , ' Is hospital accreditation associated with more recommended patient care? A before and after study on the Faroe Islands ' , ISQua’s 37th International Conference , 08/07/2021 - 11/07/2021 pp. 344 - 345 . |
op_rights |
info:eu-repo/semantics/restrictedAccess |
_version_ |
1765995762496307200 |