Patients experience more support, information and involvement after first-time hospital accreditation: a before and after study in the Faroe Islands.
The impact of hospital accreditation on the experiences of patients remains a weak point in quality improvement research. This is surprising given the time and cost of accreditation and the fact that patient experiences influence outcomes. We investigated the impact of first-time hospital accreditat...
Published in: | International Journal for Quality in Health Care |
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2021
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Online Access: | https://serval.unil.ch/notice/serval:BIB_432FAD0C39E0 https://doi.org/10.1093/intqhc/mzab149 |
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ftunivlausanne:oai:serval.unil.ch:BIB_432FAD0C39E0 2023-05-15T16:11:04+02:00 Patients experience more support, information and involvement after first-time hospital accreditation: a before and after study in the Faroe Islands. Bergholt, M.D. Falstie-Jensen, A.M. Brink Valentin, J. Hibbert, P. Braithwaite, J. Johnsen, S.P. von Plessen, C. 2021-11-12 https://serval.unil.ch/notice/serval:BIB_432FAD0C39E0 https://doi.org/10.1093/intqhc/mzab149 eng eng info:eu-repo/semantics/altIdentifier/doi/10.1093/intqhc/mzab149 info:eu-repo/semantics/altIdentifier/pmid/34698825 info:eu-repo/semantics/altIdentifier/eissn/1464-3677 https://serval.unil.ch/notice/serval:BIB_432FAD0C39E0 doi:10.1093/intqhc/mzab149 urn:issn:1353-4505 International journal for quality in health care, vol. 33, no. 4, pp. mzab149 Accreditation Denmark Hospitalization Hospitals Humans Longitudinal Studies accreditation of hospitals benchmarking patient experiences patient satisfaction patient–provider communication/information shared decision-making surveys info:eu-repo/semantics/article article 2021 ftunivlausanne https://doi.org/10.1093/intqhc/mzab149 2023-04-09T23:54:46Z The impact of hospital accreditation on the experiences of patients remains a weak point in quality improvement research. This is surprising given the time and cost of accreditation and the fact that patient experiences influence outcomes. We investigated the impact of first-time hospital accreditation on patients' experience of support from health-care professionals, information and involvement in decisions. We aimed to examine the association between first-time hospital accreditation and patient experiences. We conducted a longitudinal study in the three Faroese hospitals that, unlike hospitals on the Danish mainland and elsewhere internationally, had no prior exposure to systematic quality improvement. The hospitals were accredited in 2017 according to a modified second version of the Danish Healthcare Quality program. Study participants were 18 years or older and hospitalized for at least 24 h in 2016 before or 2018 after accreditation. We administered the National Danish Survey of Patient Experiences for acute and scheduled hospitalization. Patients rated their experiences of support, information and involvement in decision-making on a 5-point Likert scale. We calculated individual and grouped mean item scores, the percentages of scores ≥4, the mean score difference, the relative risk (RR) for high/very high scores (≥4) using Poisson regression and the risk difference. Patient experience ratings were compared using mixed effects linear regression. In total, 400 patients before and 400 after accreditation completed the survey. After accreditation patients reported increased support from health professionals; adjusted mean score difference (adj. mean diff.) = 1.99 (95% confidence interval (CI): 1.89, 2.10), feeling better informed before and during the hospitalization; adj. mean diff. = 1.14 (95% CI: 1.07; 1.20) and more involved in decision-making; adj. mean diff. = 1.79 (95% CI: 1.76; 1.82). Additionally, the RR for a high/very high score (≥4) was significantly greater on 15 of the 16 questionnaire items. ... Article in Journal/Newspaper Faroe Islands Université de Lausanne (UNIL): Serval - Serveur académique lausannois Faroe Islands International Journal for Quality in Health Care 33 4 |
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Open Polar |
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Université de Lausanne (UNIL): Serval - Serveur académique lausannois |
op_collection_id |
ftunivlausanne |
language |
English |
topic |
Accreditation Denmark Hospitalization Hospitals Humans Longitudinal Studies accreditation of hospitals benchmarking patient experiences patient satisfaction patient–provider communication/information shared decision-making surveys |
spellingShingle |
Accreditation Denmark Hospitalization Hospitals Humans Longitudinal Studies accreditation of hospitals benchmarking patient experiences patient satisfaction patient–provider communication/information shared decision-making surveys Bergholt, M.D. Falstie-Jensen, A.M. Brink Valentin, J. Hibbert, P. Braithwaite, J. Johnsen, S.P. von Plessen, C. Patients experience more support, information and involvement after first-time hospital accreditation: a before and after study in the Faroe Islands. |
topic_facet |
Accreditation Denmark Hospitalization Hospitals Humans Longitudinal Studies accreditation of hospitals benchmarking patient experiences patient satisfaction patient–provider communication/information shared decision-making surveys |
description |
The impact of hospital accreditation on the experiences of patients remains a weak point in quality improvement research. This is surprising given the time and cost of accreditation and the fact that patient experiences influence outcomes. We investigated the impact of first-time hospital accreditation on patients' experience of support from health-care professionals, information and involvement in decisions. We aimed to examine the association between first-time hospital accreditation and patient experiences. We conducted a longitudinal study in the three Faroese hospitals that, unlike hospitals on the Danish mainland and elsewhere internationally, had no prior exposure to systematic quality improvement. The hospitals were accredited in 2017 according to a modified second version of the Danish Healthcare Quality program. Study participants were 18 years or older and hospitalized for at least 24 h in 2016 before or 2018 after accreditation. We administered the National Danish Survey of Patient Experiences for acute and scheduled hospitalization. Patients rated their experiences of support, information and involvement in decision-making on a 5-point Likert scale. We calculated individual and grouped mean item scores, the percentages of scores ≥4, the mean score difference, the relative risk (RR) for high/very high scores (≥4) using Poisson regression and the risk difference. Patient experience ratings were compared using mixed effects linear regression. In total, 400 patients before and 400 after accreditation completed the survey. After accreditation patients reported increased support from health professionals; adjusted mean score difference (adj. mean diff.) = 1.99 (95% confidence interval (CI): 1.89, 2.10), feeling better informed before and during the hospitalization; adj. mean diff. = 1.14 (95% CI: 1.07; 1.20) and more involved in decision-making; adj. mean diff. = 1.79 (95% CI: 1.76; 1.82). Additionally, the RR for a high/very high score (≥4) was significantly greater on 15 of the 16 questionnaire items. ... |
format |
Article in Journal/Newspaper |
author |
Bergholt, M.D. Falstie-Jensen, A.M. Brink Valentin, J. Hibbert, P. Braithwaite, J. Johnsen, S.P. von Plessen, C. |
author_facet |
Bergholt, M.D. Falstie-Jensen, A.M. Brink Valentin, J. Hibbert, P. Braithwaite, J. Johnsen, S.P. von Plessen, C. |
author_sort |
Bergholt, M.D. |
title |
Patients experience more support, information and involvement after first-time hospital accreditation: a before and after study in the Faroe Islands. |
title_short |
Patients experience more support, information and involvement after first-time hospital accreditation: a before and after study in the Faroe Islands. |
title_full |
Patients experience more support, information and involvement after first-time hospital accreditation: a before and after study in the Faroe Islands. |
title_fullStr |
Patients experience more support, information and involvement after first-time hospital accreditation: a before and after study in the Faroe Islands. |
title_full_unstemmed |
Patients experience more support, information and involvement after first-time hospital accreditation: a before and after study in the Faroe Islands. |
title_sort |
patients experience more support, information and involvement after first-time hospital accreditation: a before and after study in the faroe islands. |
publishDate |
2021 |
url |
https://serval.unil.ch/notice/serval:BIB_432FAD0C39E0 https://doi.org/10.1093/intqhc/mzab149 |
geographic |
Faroe Islands |
geographic_facet |
Faroe Islands |
genre |
Faroe Islands |
genre_facet |
Faroe Islands |
op_source |
International journal for quality in health care, vol. 33, no. 4, pp. mzab149 |
op_relation |
info:eu-repo/semantics/altIdentifier/doi/10.1093/intqhc/mzab149 info:eu-repo/semantics/altIdentifier/pmid/34698825 info:eu-repo/semantics/altIdentifier/eissn/1464-3677 https://serval.unil.ch/notice/serval:BIB_432FAD0C39E0 doi:10.1093/intqhc/mzab149 urn:issn:1353-4505 |
op_doi |
https://doi.org/10.1093/intqhc/mzab149 |
container_title |
International Journal for Quality in Health Care |
container_volume |
33 |
container_issue |
4 |
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1765996187337359360 |