Deepening our understanding of quality improvement in Europe (DUQuE): overview of a study of hospital quality management in seven countries.


Secanell, M; Groene, O; Arah, OA; Lopez, MA; Kutryba, B; Pfaff, H; Klazinga, N; Wagner, C; Kristensen, S; Bartels, PD; Garel, P; Bruneau, C; Escoval, A; França, M; Mora, N; Suñol, R; on behalf of the DUQuE Project Consortium, ; (2014) Deepening our understanding of quality improvement in Europe (DUQuE): overview of a study of hospital quality management in seven countries. International journal for quality in health care. ISSN 1353-4505 DOI: https://doi.org/10.1093/intqhc/mzu025

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Abstract

DESIGN /st>DUQuE was designed as a multi-level cross-sectional study with data collection at hospital, pathway, professional and patient level in eight countries. SETTING AND PARTICIPANTS /st>We aimed to collect data for the assessment of hospital-wide constructs from up to 30 randomly selected hospitals in each country, and additional data at pathway and patient level in 12 of these 30. MAIN OUTCOME MEASURES /st>A comprehensive conceptual framework was developed to account for the multiple levels that influence hospital performance and patient outcomes. We assessed hospital-specific constructs (organizational culture and professional involvement), clinical pathway constructs (the organization of care processes for acute myocardial infarction, stroke, hip fracture and deliveries), patient-specific processes and outcomes (clinical effectiveness, patient safety and patient experience) and external constructs that could modify hospital quality (external assessment and perceived external pressure). RESULTS /st>Data was gathered from 188 hospitals in 7 participating countries. The overall participation and response rate were between 75% and 100% for the assessed measures. CONCLUSIONS /st>This is the first study assessing relation between quality management and patient outcomes at EU level. The study involved a large number of respondents and achieved high response rates. This work will serve to develop guidance in how to assess quality management and makes recommendations on the best ways to improve quality in healthcare for hospital stakeholders, payers, researchers, and policy makers throughout the EU.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
PubMed ID: 24671120
Web of Science ID: 335921700003
URI: http://researchonline.lshtm.ac.uk/id/eprint/1635733

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