title: Is patient-centredness in European hospitals related to existing quality improvement strategies? Analysis of a cross-sectional survey (MARQuIS study).
abstract: BACKGROUND
  There is growing recognition of patients' contributions to setting objectives for their own care, improving health outcomes and evaluating care.
  
  
  OBJECTIVE
  To quantify the extent to which European hospitals have implemented strategies to promote a patient-centred approach, and to assess whether these strategies are associated with hospital characteristics and the development of the hospital's quality improvement system.
  
  
  METHODS
  Cross-sectional survey of 351 European hospital managers and professionals.
  
  
  METHODS
  Patients' rights, patient information and empowerment, patient involvement in quality management, learning from patients, and patient hotel services at the hospital and ward level were assessed. The hypothesis that the implementation of strategies to improve patient-centredness is associated with hospital characteristics, including maturity of the hospital's quality management system, was tested using binary logistic regression.
  
  
  RESULTS
  In general, hospitals reported high implementation of policies for patients' rights (85.5%) and informed consent (93%), whereas strategies to involve patients (71%) and learn from their experience (66%) were less frequently implemented. For 13 out of 18 hospital strategies, institutions with a more developed quality improvement system consistently reported better results (percentage differences within maturity classification ranged from 12.4% to 46.6%). The strength of association between implementation of patient-centredness strategies and the quality improvement system, however, seemed lower at the ward than at the hospital level. Some associations (OR 2.1 to 5.1) disappeared or were weaker after adjustment for potential confounding variables (OR 2.2 to 3.7).
  
  
  CONCLUSIONS
  Although quality improvement systems seem to be effective with regard to the implementation of selected patient-centredness strategies, they seem to be insufficient to ensure widespread implementation of patient-centredness throughout the organisation.
authors.affiliation: Avedis Donabedian University Institute, Autonomous University of Barcelona, CIBER Epidemiology and Public Health (CIBERESP), Barcelona, Spain. ogroene@fadq.org
authors.forename: O
authors.initials: O
authors.lastname: Groene
authors.forename: M J M H
authors.initials: MJ
authors.lastname: Lombarts
authors.forename: N
authors.initials: N
authors.lastname: Klazinga
authors.forename: J
authors.initials: J
authors.lastname: Alonso
authors.forename: A
authors.initials: A
authors.lastname: Thompson
authors.forename: R
authors.initials: R
authors.lastname: Suñol
mesh_terms: D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005060:Europe; D019538:Health Care Surveys; D006284:Health Plan Implementation; D006739:Hospital Administration; D006761:Hospitals / Q000592:standards*; D006801:Humans; D016015:Logistic Models; D016134:Organizational Policy; D028701:Patient Rights; D018802:Patient-Centered Care / Q000592:standards / Q000706:statistics & numerical data*; D011785:Quality Assurance, Health Care