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Qual Saf Health Care · Jun 2004
Comparative StudyComparison of health care professionals' self-assessments of standards of care and patients' opinions on the care they received in hospital: observational study.
- P Durieux, A Bissery, S Dubois, I Gasquet, and J Coste.
- Department of Public Health and Medical Informatics, Faculté de Médecine Broussais Hôtel Dieu and Hôpital Européen Georges Pompidou, Paris, France. pierre.durieux@spim.jussieu.fr
- Qual Saf Health Care. 2004 Jun 1; 13 (3): 198-202.
ObjectivesTo compare the views of healthcare professionals and patients regarding compliance with standards of care concerning patient information.DesignSelf-rated questionnaire survey.SettingNine wards in short stay French hospitals.Participants939 patients and 359 healthcare professionals (physicians, nurses, assistants and other professionals).Main Outcome MeasurePatients' and healthcare professionals' views of compliance with 20 standards of patient care described in the French accreditation manual. Comparison of the rank order of the standards within the two samples.ResultsThe response rate was 61.5% in the patient group and 85.8% in the healthcare professionals. The rank orders for the 20 items were similar in both groups (Spearman rank order correlation 0.6, p = 0.004). The two items ranked highest by healthcare professionals ("consent request for a surgical procedure" and "the doctors ask the visitors to leave the room before examining a patient") were also the two ranked highest by the patients. Three items were ranked low by both groups: "consent request for students to be present", "health education given to patients", and "possibility to express satisfaction during discharge". Patients were more satisfied with their pain management than were healthcare providers. Professionals were more satisfied with the social services than the patients.ConclusionThere are both similarities and differences between patients' and healthcare professionals' views of care. Accurate assessments of quality performed during the accreditation procedure require that both patients' and professionals' views be taken into account.
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