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International Journal for Quality in Health Care Advance Access originally published online on December 7, 2007
International Journal for Quality in Health Care 2008 20(1):13-21; doi:10.1093/intqhc/mzm063
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© The Author 2007. Published by Oxford University Press on behalf of International Society for Quality in Health Care; all rights reserved

Health staff perception regarding quality of delivered information to inpatients

Antoine Duclos1, Florence Gillaizeau1–3,, Isabelle Colombet1–3,, Joel Coste2,4 and Pierre Durieux1–3,

1 Département d'Informatique Hospitalière, Hôpital Européen Georges Pompidou, Assistance Publique - Hôpitaux de Paris, Paris, France
2 Université Paris-Descartes, Paris, France
3 INSERM, UMR_S 872, Eq. 20, Paris, France
4 Département de Biostatistique et Informatique Médicale, Hôpital Cochin, Assistance Publique - Hôpitaux de Paris, Paris, France

Background. Accreditation usually requires that healthcare staff assess the quality of care delivered to patients in their own hospitals. It is unknown whether this assessment depends on the workplace rather than on the professional category of health personnel.

Objective. We aimed to identify major determinants of the perception of various categories of healthcare professionals concerning the quality of delivered information to inpatients in their ward, with a perspective to help the development of recommendations on how to compose self-assessment teams for the accreditation process.

Method. A self-administered questionnaire survey was conducted in nine wards from five short-stay hospitals in Paris, France. Three hundred and fifteen healthcare professionals (physicians, nurses and nursing assistants) were included. The views of various categories of healthcare professionals regarding the compliance with a set of quality standards were compared by nonparametric statistical analyses. Determinants of the self-assessment of quality of care, including ward effect, were identified by fitting the data to a hierarchical model.

Results. The participation rate was 86%, with 272 respondents (58 physicians, 149 nurses and 65 nursing assistants). Overall perceptions of various categories of healthcare professionals were not different. The final hierarchical model showed a strong ward effect (intracluster correlation coefficient=0.06, P<0.01) and a significant relationship between age of professionals and their opinion about quality of care.

Conclusion. We observed a ward cluster effect on healthcare staff perception of quality, but the category of healthcare professional was not a determinant. A satisfactory representativeness on age of professionals selected into the teams in charge of self-assessment during hospital accreditation is recommended.

Keywords: accreditation, health personnel, quality of health care, questionnaires, self-assessment

Address reprint requests to: Florence Gillaizeau, Département d'Informatique Hospitalière (DIH)-Evaluation et Gestion des Connaissances, Hôpital Européen Georges Pompidou, 20-40 rue Leblanc, 75908 Paris cedex 15, France. Tel: +33 1 56 09 20 30; Fax: +33 1 56 09 20 52; E-mail: florence.gillaizeau{at}egp.aphp.fr

Accepted for publication November 4, 2007.


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