[Towards excellence in hospital management. A description of strategical management model].
Hacia la excelencia en gestión hospitalaria. Un modelo de gestión estratégica.
Clinical knowledge
Conocimiento clínico
Excelencia
Excellence
Experiencia del paciente
Gestión hospitalaria
Hospital management
Management methodology
Mejora de la calidad
Metodología de gestión
Patient experience
Quality improvement
Journal
Journal of healthcare quality research
ISSN: 2603-6479
Titre abrégé: J Healthc Qual Res
Pays: Spain
ID NLM: 101735273
Informations de publication
Date de publication:
Historique:
received:
23
07
2018
revised:
08
02
2019
accepted:
18
02
2019
pubmed:
6
6
2019
medline:
5
6
2020
entrez:
6
6
2019
Statut:
ppublish
Résumé
Health services are evolving from the traditional view of paternalistic medicine towards a more informed and participatory patient-provider relationship. This situation includes the empowerment and participation of patients and their families in health management, including their joint responsibility in the development of health services. The objective of this article is to describe the experience in a large teaching hospital in Spain on the application of a model that focuses on a three-fold approach to healthcare management that includes the experience of the patient. This approach is identified by the initials EMC2 transforming the E of excellence into 3main areas of improvement: methodology, clinical knowledge and client, or patient, experience. the model has been implemented in different areas: childbirth, asthma care, outpatient clinics, and operating theatre. In the case of childbirth, there was a reduction in caesarean sections, episiotomies, induction of delivery, mean hospital stay, and number of deliveries with instrumentation. The Net Promoter Score went from 82 to 86. There was also an improvement in the areas of patient experience, hospital procedures, and clinical knowledge. Qualitative improvement results were obtained in other areas such as, asthma management, outpatient visits, and the operating room. This model can be applied to different areas. It promotes patient-focused practice, as well as system sustainability, efficiency, effectiveness, and level of satisfaction with the health care process.
Sections du résumé
BACKGROUND AND OBJECTIVE
Health services are evolving from the traditional view of paternalistic medicine towards a more informed and participatory patient-provider relationship. This situation includes the empowerment and participation of patients and their families in health management, including their joint responsibility in the development of health services. The objective of this article is to describe the experience in a large teaching hospital in Spain on the application of a model that focuses on a three-fold approach to healthcare management that includes the experience of the patient.
MATERIAL AND METHODS
This approach is identified by the initials EMC2 transforming the E of excellence into 3main areas of improvement: methodology, clinical knowledge and client, or patient, experience. the model has been implemented in different areas: childbirth, asthma care, outpatient clinics, and operating theatre.
RESULTS
In the case of childbirth, there was a reduction in caesarean sections, episiotomies, induction of delivery, mean hospital stay, and number of deliveries with instrumentation. The Net Promoter Score went from 82 to 86. There was also an improvement in the areas of patient experience, hospital procedures, and clinical knowledge. Qualitative improvement results were obtained in other areas such as, asthma management, outpatient visits, and the operating room.
CONCLUSIONS
This model can be applied to different areas. It promotes patient-focused practice, as well as system sustainability, efficiency, effectiveness, and level of satisfaction with the health care process.
Identifiants
pubmed: 31164322
pii: S2603-6479(19)30047-8
doi: 10.1016/j.jhqr.2019.02.005
pii:
doi:
Types de publication
Journal Article
Langues
spa
Sous-ensembles de citation
IM
Pagination
148-153Informations de copyright
Copyright © 2019 FECA. Publicado por Elsevier España, S.L.U. All rights reserved.