T. Brzostek 1, L. Przewoźniak 1, P.Brzyski 1, M. Kózka 1, K.Gajda 1, M.Cisek 1, L. Aiken 2, W. Sermeus 3 1.Jagiellonian University Medical College, Krakow,

Slides:



Advertisements
Similar presentations
Acknowledgements RHH ED staff Safety and Quality Unit RHH for their participation and valuable contribution Next Steps It is envisaged over the next 12.
Advertisements

(CAHPS) Experience of Care Surveys From Design to Implementation
Health service utilization by patients with common mental disorder identified by the Self Reporting Questionnaire in a primary care setting in Zomba, Malawi.
The HCAHPS and Competency Connection HealthStream, Inc. The HCAHPS and Competency Connection HealthStream, Inc.
Effectiveness of Teamwork Education Program for Multidisciplinary Undergraduates Mei-Jin Chen-Sea 1, Jer-Hao Chang 2, Ling-Yi Lin 2, Yea-Shwu Hwang 2,
Comparing Job Demands, Coping Resources and Well-being Across Different Health Care Providers Working Together Jane B Lemaire MD, Jean E Wallace PhD, Janet.
Post discharge phone calls improve care coordination Paula Anton, MS, RN, CRRN, ACNS-BC, Michelle Fernamberg, BSN, MHA, RN, CRRN, Erica Duchnowski, Health.
ARAVIND EYE CARE SYSTEM Aravind Eye Hospital & Postgraduate Institute of Ophthalmology ARAVIND EYE CARE SYSTEM Aravind Eye Hospital & Postgraduate Institute.
Effect of Staff Attitudes on Quality in Clinical Microbiology Services Ms. Julie Sims Laboratory Technical specialist Strengthening of Medical Laboratories.
ETIM-1 CSE 5810 CSE5810: Intro to Biomedical Informatics Mobile Computing to Impact Patient Health and Data Exchange and Statistical Analysis Presenter:
NHS Highland Quality and Patient Safety Framework
1 Measuring Patients’ Experience of Hospital Care Angela Coulter Picker Institute Europe
TRENDS AND CONSUMERISM IN HEALTH CARE Important Attributes Of Quality Health Care: Consumer Perspectives.
Psychometric Properties of the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Adult Visit Survey September 11, 2012.
EVALUATING HIV AWARENESS AMONG OBSTETRIC POPULATION AT A PUBLIC HOSPITAL IN MALAYSIA Nazimah Idris, Pow Jun Yan, Sak Yeow Hong, Lavanya Narayanan, Lukmanul.
1 Rachel Torres, MPH, CHES Department of Health & Behavior Studies Teachers College, Columbia University Relationships between Health Literacy, Self- efficacy.
Lifestyles in Malta 2007 A Survey Study Judith Rocchiccioloi, PhD., RN Karen Jagiello, RN, MSN James Madison Univesity.
Therapeutic Education: Cancer Patients on chemotherapy: Shamim Akhter QURESHI MBBS,MPH, Ingénieur d’étude(EHESP) 2 nd June 2012 June 2010.
Quality of Life: Prevalence and Its Association on the Intention to Leave in Nursing Career. Nittaya Phosrikham ID
IMPACT OF EDUCATIONAL INTERVENTION ON PRESCRIBING BEHAVIOUR AND COST OF THERAPY IN BRONCHIAL ASTHMA IN COLONY HOSPITALS OF DELHI Kotwani A, Gupta U, Suri.
Musical Therapy for the Agitated Alzheimer's Patient By Stephanie Markarian.
INTRODUCTION RATIONALE OBJECTIVE METHODOLOGY DATA ANALYSIS RECOMMENDATION CONCLUSION.
Nursing Excellence Conference April 19,2013
ACOVE 4: Continuity and Coordination of Care in Vulnerable Elders Continuity is ‘‘care over time by a single individual or team of healthcare professionals’’
Complaint Management in Victorian Acute Health Care Public Hospitals & the key characteristics of Complaint Liaison Officers 3 rd National Health Care.
Self-reported cognitive and emotional effects and lifestyle changes shortly after preventive cardiovascular consultations in general practice Dea Kehler.
BACKGROUND Health Care Attitudes and Trends among the Pediatric Prescribing Community Mahesh Narayan 1 MB, MSE, Dimple Patel 1 MS, Peter C. Adamson 1,2,3.
Amany M. Shebl Professor Of Medical-surgical Nursing Dean. Nursing Faculty, Mansoura University, Egypt.
Coordinating Care Sierra Dulaney Lisa Fassett Morgan Little McKenzie McManus Summer Powell Jackie Richardson.
1 The Patient Perspective: Satisfaction Survey Presented at: Disease Management Colloquium June 22, 2005 Shulamit Bernard, RN, PhD.
Chang Gung University Lai-Chu See, Ph.D. Professor Department of Public Health, College of Medicine, Chang Gung University, Taiwan
THE SURVEY OF PATIENTS’ PERCEPTION AND UNDERSTANDING OF ORAL ANTICOAGULATION THERAPY Author: Fülöp Zsolt Zoltán, coauthors: Drágus Emőke, Elekes Andrea.
EFFECTIVENESS OF A MEDICAL EDUCATION INTERVENTION TO TREAT HYPERTENSION IN PRIMARY CARE Authors Institutions Authors: Silvia Martínez-Valverde MSc 1, Hortensia.
“The Effect of Patient Complexity on Treatment Outcomes for Patients Enrolled in an Integrated Depression Treatment Program- a Pilot Study” Ryan Miller,
Summary This study has been able to answer: Research Problem: – The ability of nurses to perform specific tasks affected by the inadequacy of workforce.
Impact of Restrictive State Policies on Utilization and Expenditures in the Medicaid Program Roberto Vargas, MD, MPH 1,2 Carole Gresenz, PhD 2 Jessie Riposo,
Survey Methodology Four Point Scale Very SatisfiedSatisfiedDissatisfiedVery Dissatisfied.
Interpersonal Skills 4 detailed studies Health Psychology.
Service Excellence Suburban Hospital Physician Orientation Johns Hopkins Medicine
Are clinical leaders and staff prepared for accreditation? Survey on knowledge, expectations and areas for improvement in the County of Copenhagen Gut.
Capacity for Consent - How Much Do We Know About It? Kate Evans Specialist Registrar in Emergency Medicine Derriford Hospital, Plymouth.
/ 14An Approach for Quality Improvement: Self-Rated Problems of Residents EQuiP Meeting, Heidelberg, An Approach for Quality Improvement: Self-Rated.
Abstract ID: 395 Author Name: Araya Sripairoj Presenter Name: Araya Sripairoj Authors: Sripairoj A, Liamputtong P, Harvey K.
Health Related Quality of Life: Prevalence and Its Association on the Intention to Leave in Nursing Career. Nittaya Phosrikham ID
Health Related Quality of Life: Prevalence and Its Associate on the Intention to Leave Nursing Career. Nittaya Phosrikham.
Access points to the different levels of health care in a country without a gate-keeping system; numbers and reasons Kathryn Hoffmann 1, K. Viktoria Stein.
Basic information about the Nursing science. Definition of Nursing  Nursing is a system of typical nursing activities concerning the individual, families.
Audit, Service Evaluation and Research Midhun Mohan STARSurg Steering Committee Protocol Launch Meeting and Research Skills Course September 16 th 2015,
Purpose Improvement Tools/Methods Limitations / Lessons Learned Results Process Improvement Improve Patient Satisfaction Fion Kung and Carmen Valdez, University.
1 Information Systems Use Among Ohio Registered Nurses: Testing Validity and Reliability of Nursing Informatics Measurements Amany A. Abdrbo, RN, MSN,
Monday, June 23, 2008Slide 1 KSU Females prospective on Maternity Services in PHC Maternity Services in Primary Health Care Centers : The Females Perception.
 Friends and Family Test (FFT) -single question ‘would you recommend…’  The Adult National Inpatient Survey (AIPS) - AIPS uses validated questions based.
Improving The ABI Transition Experience Hospital to Home/Community Elly Nadorp, MSW.,RSW
FOR Sissy.. =p definition of variables, Methods (which includes the schema and the tools we used), assumptions.
بسم الله الرحمن الرحيم Community Medicine Lec -11-
+ The attitude of medical students toward otolaryngology, head and neck surgery Ahmad Alroqi,MBBS,Ahmad Alkurdi,MD,Khalid Almazrou,MD,FAAP Presented By.
Background The occurrence of bedside teaching rounds has declined over the decades, with various barriers. One barrier sited is patient discomfort with.
Learning from patients’ experience Angela Coulter Picker Institute Europe Angela Coulter Picker Institute Europe
Context and Problem Effects of Changes Strategy for Change Aim: To reduce the length of handover by standardising the quality of information transmitted.
CLINICAL TRIALS.
Measuring teamwork and safety culture (climate) across 3 adult intensive care units of a single hospital cluster in Hong Kong Sammei Tam 18 Oct 2009.
1Emergency Department, University Hospitals Leuven, Belgium
Fibromyalgia Impact Questionnaire McGill Pain Questionnaire
BROOKHAVEN HOSPITAL’S
Exercise Adherence in Patients with Diabetes: Evaluating the role of psychosocial factors in managing diabetes Natalie N. Young,1, 2 Jennifer P. Friedberg,1,
Lisa Weiss, M.D. Brian F. Pendleton, Ph.D. Susan Labuda Schrop, M.S.
A RADICAL RECONSTRUCTION OF PATIENT CENTEREDNESS
Distraction Techniques during pediatric medical procedures
Bray, I1, Albarran, JW2, Kenny, G3, Williams, R4 and Pontin D5
Adherence, attitude to Standard Treatment Guidelines in clinical practice at tertiary care hospitals in Delhi State 1Sangeeta Sharma, 2Sharma KK, 3Sethi.
Presentation transcript:

T. Brzostek 1, L. Przewoźniak 1, P.Brzyski 1, M. Kózka 1, K.Gajda 1, M.Cisek 1, L. Aiken 2, W. Sermeus 3 1.Jagiellonian University Medical College, Krakow, Poland: Institute of Nursing and Midwifery, Department of Medical Sociology, Chair of Epidemiology and Preventive Medicine 2.University of Pennsylvania, USA 3.Catholic University Leuven, Belgium Factors influencing patients ’ willingness to recommend hospital as a place for therapy. Polish RN4CAST pilot study results. ESHMS 2010 Ghent

Patient satisfaction is an important indicator of Healthcare Quality Started in 1994 yr. The Centre of Monitoring Healthcare Quality The primary goals Education about Healthcare Quality for Teams from Health Care Service. Implementation and Improvement of Accreditation Process. Health Technology Assessment (HTA) Monitoring three Categories of Indicators of HealthCare Quality: medical, quality of life and patient’ satisfaction. The PASAT program is applied by 94 hospitals and 13 outpatient clinic with accreditation of the CMHQ

Pilot study To accomplish objectives of the RN4CAST project ( in Poland, a pilot study was conducted in one 24/7 acute care hospital This presentation shows selected data of the Patient Satisfaction Questionnaire concerning received medical care.

Aim of the pilot study Assessment of quality of questionnaire in terms of patients’ ability to understand questionnaire items and the level of responsiveness Assessment of patients satisfaction expressed in terms of willingness to recommend the hospital as a place for therapy

Material and methods The study sample included 119 patients hospitalized in one hospital, in internal medicine (n= 59) and surgical (n=66) wards, who voluntary and anonymously agreed to participate in the study, and filled in the questionnaire. Survey method, self-report standardized questionnaire.

Questionnaire The questionnaire consisted of 14 items concerning different aspects of patients’ experiences during hospital stay: 1) respect showed by doctors (3 items) and by nurses (4 items) 2) hospital environment (2 items) 3) pharmacological management of pain (conditional, 2 items) 4) information about introduced new drug (conditional, 2 items) 5) assistance with physiological needs (conditional, 1 item) Response format: 4-item Likert scale: 1. never, 2. sometimes, 3. usually, 4. always 6) received information about possible side effects and self-care after leaving the hospital (2 items) Dichotomous response format

Background variables Type of unit, expected number of days to stay in the hospital, self-rated health, education level, Statistical analysis Multivariate logistic regression model – 9 models for every dimension of patient satisfaction separately Analysis was done with SPSS 15 for Windows Main outcome measure of patient satisfaction: „Would you recommend this hospital to your friends and family?”: definitely no, probably no, probably yes, definitely yes

Results 1 Quality of questionnaire 46% responders completed 100% of the questions 74% responders completed 90% of the questions (missing less than 2/24 questions) 90% responders completed 80% of the questions (missing less than 5/24 questions)

Results 2 Characteristics of the sample VariableCategory% EducationElementary33 Secondary53 University14 Self-rated health (SRH)Poor42 Mean17 Good32 Expected duration of the hospital stay<=2 days days52 8+ days19

Results 3 Percentage of patients entirely satisfied with: 1. respect showed by doctors70 2. respect showed by nurses respect showed by medical staff67 3. hospital environment53 4. pharmacological management of pain c introducing new drug c pharmacology c assistance with physiological needs c 77 summary measure of satisfaction33 7. full information about self care after hospital leaving77 Lack of doubts when recommending the hospital: 58%

lack of satisfaction with:OR95%CI 1. respect showed by doctors – respect showed by nurses – respect showed by medical staff hospital environment – pharmacological management of pain c introducing new drug c – pharmacology c assistance with physiological needs c – 11.5 summary measure of satisfaction – 21.7 Odd-ratio of having doubts when recommending the hospital related to Results 4

Odd-ratio of having doubts when recommending the hospital 1.Patients who did not obtained full information about self-care after leaving the hospital had higher odds (OR=4,3) of having doubts in models regarding respect from medical staff. 2.Patient who expected to stay in hospital from 3 to 7 days had lower odds (OR=0,2) of having doubts. 3.Patients with poor and mean SRH had higher odds (OR=3,1) of having doubts. Results 5

Conclusions: lack of respect from medical staff, especially from physicians, effective pain management lack of full information concerning: 1. The questionnaire was well received, understood, the response level was high and logical. 2. Factors influencing willingness to recommend the hospital as a place for treatment are: introduction of the new drugs, possible side effects and self-care after leaving hospital.