A nationwide participatory programme to measure person-centred hospital care in Italy: Results and implications for continuous improvement.
citizen engagement
monitoring
participatory evaluation
performance assessment
person-centred care
quality improvement
Journal
Health expectations : an international journal of public participation in health care and health policy
ISSN: 1369-7625
Titre abrégé: Health Expect
Pays: England
ID NLM: 9815926
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
revised:
01
02
2021
received:
21
07
2020
accepted:
21
02
2021
pubmed:
21
5
2021
medline:
26
10
2021
entrez:
20
5
2021
Statut:
ppublish
Résumé
Patient-centredness has been targeted by the Italian government as a key theme for the future development of health services. Measuring patient-centred health services in partnership with citizens, health professionals and decision makers. National participatory survey in a large test set of hospitals at national level. A total of 387 hospital visits conducted in 16 Italian regions by over 1,500 citizens and health professionals during 2017-2018. 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. Person-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). 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. A national participatory programme to improve patient-centredness in Italian hospitals highlighted critical areas with the direct input of citizens.
Sections du résumé
BACKGROUND
Patient-centredness has been targeted by the Italian government as a key theme for the future development of health services.
OBJECTIVE
Measuring patient-centred health services in partnership with citizens, health professionals and decision makers.
DESIGN
National participatory survey in a large test set of hospitals at national level.
SETTING AND PARTICIPANTS
A 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.
RESULTS
Person-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.
Identifiants
pubmed: 34014021
doi: 10.1111/hex.13231
pmc: PMC8369125
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1145-1157Informations de copyright
© 2021 The Authors. Health Expectations published by John Wiley & Sons Ltd.
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