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Implementing patient-focused care: Before-after effects
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
Värmland County Council, Karlstad, Sweden.
Department of Surgery, Central Hospital, Karlstad, Sweden.
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
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2014 (English)In: International journal of health care quality assurance/MCB University Press, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 27, no 7, 594-604 p.Article, review/survey (Refereed) Published
Abstract [en]

Purpose

The purpose of this paper is to evaluate an organizationally oriented, patient-focused care (PFC) model's effects on care quality and work climate.

Design/methodology/approach

The study has a before-after (PFC implementation) design. The sample included 1,474 patients and 458 healthcare providers in six participating wards before and after PFC implementation, plus five additional randomly chosen wards, which only featured in the post-assessment.

Findings

No pre-post differences were found regarding care perceptions or provider work climate evaluations. Statistically significant improvements were noted among provider care evaluations. Using aggregate-level ward data, multiple regression analyses showed that high adherence to PFC principles and a positive work climate contributed significantly to variance among care quality ratings.

Research limitations/implications

Among healthcare providers, questions related to specific PFC aspects during evenings, nights and weekends had to be dropped owing to a low response rate.

Practical implications

An important requirement for both practice and research is to tailor PFC to various health and social care contexts.

Originality/value

The study is large-scale before-after PFC model review, where patient and provider data were collected using well-established measurements.

Place, publisher, year, edition, pages
2014. Vol. 27, no 7, 594-604 p.
Keyword [en]
Patient centeredness, organizational devolpment, job satisfaction, quality assessment
National Category
Health Sciences
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:kau:diva-33291DOI: 10.1108/IJHCQA-06-2013-0067PubMedID: 25252565OAI: oai:DiVA.org:kau-33291DiVA: diva2:735764
Available from: 2014-07-31 Created: 2014-07-31 Last updated: 2016-09-29Bibliographically approved

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