Journal of Healthcare Quality Research最新文献

{"title":"Analysis of quality of life of patients with refractive errors in India","authors":"Neha Purohit ,&nbsp;Aarti Goyal ,&nbsp;Parul Chawla Gupta ,&nbsp;Kathirvel Soundappan ,&nbsp;Atul Kotwal ,&nbsp;Shankar Prinja","doi":"10.1016/j.jhqr.2024.08.001","DOIUrl":"10.1016/j.jhqr.2024.08.001","url":null,"abstract":"<div><h3>Introduction</h3><div>It is important to determine the health-related quality of life (HRQoL) to devise population-based cost-effective service delivery models. The present study aimed to evaluate the HRQoL of patients with refractive errors (RE) using generic and vision-specific instruments, identify the determinants of HRQoL, and examine the validity between the quality-of-life instruments for refractive errors.</div></div><div><h3>Methods</h3><div>Face-to-face interviews were conducted with 515 participants with RE using generic as well as vision-specific HRQoL measures. Mean EuroQol-five dimensions-five levels (EQ-5D-5L) utility value, National Eye Institute-Visual Function Questionnaire-25 (NEI-VFQ-25) composite score, and EuroQol-Visual analogue scale (EQ-VAS) score were computed, and determinants of quality of life were determined using generalized linear regression model. The validity between generic and disease-specific measures was ascertained using Pearson's coefficient.</div></div><div><h3>Results</h3><div>The mean EQ-5D-5L utility score for patients with RE was estimated as 0.72 (95% CI: 0.70–0.75). The mean NEI-VFQ-25 composite score and EQ-VAS score were 71.3 (95% CI: 69.8–73), and 74.7 (95% CI: 73.4–76.1), respectively. Visual acuity, gender, and presence of co-morbidities were significantly associated with quality of life. The concurrence between the generic and vision-specific instruments was found to be low to moderate.</div></div><div><h3>Conclusion</h3><div>The findings of the study indicate the importance of the value of quality of life for patients with RE, which could be taken into account by health administrators, doctors and researchers to carry out economic evaluations, since these measures provide a basis for an evaluation more precisely the impact of RE and guide the determination of efficient ways to alleviate the burden of treatable visual impairment.</div><div>More research is required to explore the potential integration of a vision component, the sixth dimension, into the EQ-5D-5L instrument, given the moderate agreement observed between the generic and specific assessment tools.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 12-21"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"¿Qué conocimientos tienen los pacientes sobre su tratamiento? Estrategias «no hacer» en el uso adecuado de los medicamentos","authors":"O. Tornero-Torres ,&nbsp;R. Fuentes-Irigoyen ,&nbsp;Á. Berbel García ,&nbsp;C. Resino Luis ,&nbsp;C. Ruiz-Huerta García de Viedma","doi":"10.1016/j.jhqr.2024.04.002","DOIUrl":"10.1016/j.jhqr.2024.04.002","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 56-58"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140783600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Un modelo práctico para implementar la participación de pacientes en hospitales terciarios (modelo ICE)","authors":"Ana Martí,&nbsp;Clara Grau,&nbsp;Emmanuel Giménez,&nbsp;Karla Salas-Gama,&nbsp;Marta Aguayo,&nbsp;Antonio Román,&nbsp;Albert Salazar","doi":"10.1016/j.jhqr.2024.09.003","DOIUrl":"10.1016/j.jhqr.2024.09.003","url":null,"abstract":"<div><h3>Objective</h3><div>Democratise healthcare and research through a model that ensures the participation of patients and professionals.</div></div><div><h3>Method</h3><div>Weaknesses are analysed and corrections are articulated with a model through biweekly meetings between the hospital's citizen attention and healthcare management.</div></div><div><h3>Results</h3><div>The resulting model is proactive in nature, deployed between November-2021 and December-2023 and had three elements: Information, Co-creation and Strategy (ICE). The Information is materialized with: an Association Attention Office (AAO) and an Easy Reading Commission (ERC). Co-creation is organized through Stable Work Commissions (SWC) formed by professional-patient. The Strategy that is materialized through a Strategic Plan for institutional participation and a Strategic Committee for participation. The AAO has registered 304 entities and managed 112 projects. The ERC has evaluated 41 documents in 2023. 13<!--> <!-->SWCs related to therapeutic areas were generated where 108 professionals and 101 patient representatives participated and 42 objectives were agreed upon, working on templates for informative documents, guides or organizing informative days. The Strategic Participation Plan is translated into 8<!--> <!-->lines with objectives and actions, creating the Strategic Participation Committee as the governing body.</div></div><div><h3>Conclusions</h3><div>The ICE-VH model is a replicable opportunity to implement patient and professional participation in any hospital and improve person-centered care by incorporating the values and preferences of all stakeholders.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 3-11"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Valor social integrado generado en un hospital monográfico de pacientes crónicos","authors":"José Antonio González-Gutiérrez ,&nbsp;Iker Apraiz-Sánchez ,&nbsp;Arantxa Picón-Santamaría ,&nbsp;María Begoña de la Fuente-Martínez ,&nbsp;Sendoa Ballesteros-Peña","doi":"10.1016/j.jhqr.2024.09.002","DOIUrl":"10.1016/j.jhqr.2024.09.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Measuring social value has always been a challenge for organizations that generate such value, including foundations, NGOs, social enterprises, and governmental entities. Often, the benefits of these initiatives are perceived as intangible or long-term, making them difficult to quantify. Assessing social value demonstrates the impact of investments and accountability to stakeholders.Healthcare organizations should be evaluated from a broad perspective, where the quality of healthcare services is an integral part of the social value with multiple beneficiaries.This study aims to determine the economic and social impact of Hospital Santa Marina on the Bizkaia (Basque Country) population in 2023, as well as to evaluate the evolution of the hospital's social value from 2018 to 2023.</div></div><div><h3>Materials and methods</h3><div>The study was conducted from the multifaceted perspective of social accounting (stakeholder theory), utilizing the Social Return on Investment (SROI) tool. The economic value of the hospital (both direct and indirect) and the hospital's specific social value were calculated based on areas identified by stakeholders. Subsequently, the hospital's integrated social value and socio-emotional value were determined.</div></div><div><h3>Results</h3><div>The hospital contributed €34,696,178.20 to society in Direct and Indirect Market Social Value (SROI), and the Non-Market Social Value amounted to €119,758,230.71. This generated an integrated social value of the hospital of €154,454,408.91, which, considering the satisfaction index for the year 2023 was 0.9805, leads to a socio-emotional value of €211,998,238.76.</div></div><div><h3>Conclusions</h3><div>Hospital Santa Marina generates significant economic value for the society, beyond its direct contribution to the population's health. These findings underscore the importance of adopting a broader perspective on health and highlight the role of healthcare institutions as drivers of sustainable development.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 22-28"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting second victims’ intervention support programs","authors":"H. Knezevic Krajina ,&nbsp;J. Mira ,&nbsp;B. Knezevic ,&nbsp;I. Carrillo ,&nbsp;P. Sousa","doi":"10.1016/j.jhqr.2024.07.001","DOIUrl":"10.1016/j.jhqr.2024.07.001","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"39 6","pages":"Pages 405-407"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resultados del uso de Pulse Point Arrow como herramienta de lean healthcare en la gestión de la seguridad del paciente pediátrico en el área quirúrgica","authors":"A. Cervera Barajas ,&nbsp;L. López Rodríguez ,&nbsp;E. Pérez Fernández ,&nbsp;D. Moreno Borrego ,&nbsp;R.M. Romero Ruiz ,&nbsp;P. Bonachela Solás","doi":"10.1016/j.jhqr.2024.09.006","DOIUrl":"10.1016/j.jhqr.2024.09.006","url":null,"abstract":"<div><h3>Objective</h3><div>To improve the safety's management in the urology paediatric surgical process of the Ambulatory Major Surgery Unit (AMSU) through the use of this tool.</div></div><div><h3>Material and methods</h3><div>Observational study lasting 9 months divided into a PRE-period for collecting information on the safety indicators defined by the team and reflected in the Pulse Point Arrow, using the “Hoja de Ruta”, an intervention period and a POST collection stage of the same information.</div></div><div><h3>Results</h3><div>In both periods, a total of 1464 “Hojas de Ruta” were collected in the CMA unit, 55.8% of the total corresponding to the PRE-period, and the rest to the POST.</div><div>The selected indicators improved significantly, highlighting the correct placement of bracelets, bed assignment, allergy registration, and administration of preoperative treatment.</div></div><div><h3>Conclusions</h3><div>The use of new management tools in healthcare systems is essential for improving healthcare processes and achieving better health outcomes. In our experience the introduction of Pulse Point Arrow improved results of surgical safety of the paediatric patient.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"39 6","pages":"Pages 399-404"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing vaccine accessibility and efficacy through microneedle patches","authors":"V. Kumar ,&nbsp;N. Rai ,&nbsp;S. Sah ,&nbsp;M. Soni","doi":"10.1016/j.jhqr.2024.09.004","DOIUrl":"10.1016/j.jhqr.2024.09.004","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"39 6","pages":"Pages 343-345"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between adherence to oral antidiabetic drugs and control of type 2 diabetes mellitus","authors":"E. Esquivel-Prados ,&nbsp;E. Pareja-Martínez ,&nbsp;J.P. García-Corpas","doi":"10.1016/j.jhqr.2024.06.007","DOIUrl":"10.1016/j.jhqr.2024.06.007","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Poor adherence to oral antidiabetic drugs (Adh-OAD) is a risk factor for poor control of type 2 diabetes mellitus (T2DM). Therefore, it is necessary to quantify the Adh-OAD. This quantification is possible through electronic dispensing records from the community pharmacy.</div><div>The objective was to evaluate the influence of the Adh-OAD on the control of T2DM and the percentage of glycosylated hemoglobin (%HbA1c) in the patient.</div></div><div><h3>Materials and methods</h3><div>A cross-sectional descriptive observational study was conducted in 8 community pharmacies in Granada (Spain). Patients older than 18 years with T2DM and on oral antidiabetic drugs (OADs) for at least 6 months were included. The main study variables were the control of T2DM, %HbA1c, and the Adh-OAD considering three cut-off points (≥80%, ≥70%, ≥60%). This relationship was studied using multivariate binary logistic regression and multivariate linear regression, respectively.</div></div><div><h3>Results</h3><div>A total of 107 patients were included. The mean age was 70.5 years (SD: 9.7), and 54.2% were men. Eighty-five patients (79.4%) had well-controlled T2DM (mean %HbA1c: 6.5%; SD<!--> <!-->=<!--> <!-->0.6). Considering Adh-OAD<!--> <!-->≥<!--> <!-->80%, 13.1% (<em>n</em> <!-->=<!--> <!-->14) had a poor adherence and was related to the %HbA1c (<em>β</em> <!-->=<!--> <!-->0.742; <em>p</em> <!-->=<!--> <!-->0.007) and the control of T2DM (OR: 7.327; 95% CI: 1.302–41.241). Poor adherence was found in 9.3% (<em>n</em> <!-->=<!--> <!-->10) considering Adh-OAD<!--> <!-->≥<!--> <!-->70% and in 3.7% (<em>n</em> <!-->=<!--> <!-->4) considering Adh-OAD<!--> <!-->≥<!--> <!-->60%. In both cases, a statistically significant relationship was found between Adh-OAD and the %HbA1c and between Adh-OAD and the control of T2DM.</div></div><div><h3>Conclusions</h3><div>Adh-OAD influenced the %HbA1c in patients with T2DM and the control of their disease.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"39 6","pages":"Pages 346-355"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of multicomponent intervention on hospitalized clinical patient outcomes: A pre–post study in a university hospital","authors":"M.R.R. Falcetta ,&nbsp;F. Pivatto Júnior ,&nbsp;É.P. Cassol ,&nbsp;A. Boni ,&nbsp;T. Vaz ,&nbsp;F.M. da Costa ,&nbsp;D.F. do Canto ,&nbsp;L.M.G. Paskulin ,&nbsp;J.M. Dora","doi":"10.1016/j.jhqr.2024.06.003","DOIUrl":"10.1016/j.jhqr.2024.06.003","url":null,"abstract":"<div><h3>Background and objective</h3><div>Hospitalization significantly interferes with the individual's well-being and it occurs both during and after the hospitalization period. Different approaches to minimize morbidity related to hospitalization and the post-discharge period have been proposed, especially to those aimed at reducing readmission rates. The aim of this study is to evaluate the effect of multicomponent intervention (MI) on operational indicators and continuity of care outcomes.</div></div><div><h3>Materials and methods</h3><div>A quasi-experimental study conducted in a Brazilian university hospital in order to compare the impact of the intervention with usual care. The MI was the implementation of multidisciplinary rounds, the inclusion of the role of the navigator nurse, and care transition actions with half of the Internal Medicine teams in a clinical unit of a general hospital. Adult patients hospitalized were included in 2 periods and divided in 3 groups – Group A: before the intervention; Group B: after and with MI; Group C after and without MI.</div></div><div><h3>Results</h3><div>A total of 2333 hospitalizations were evaluated. There was a reduction in the rate of intensive care transfers to intensive care unit (ICU) and in the length of stay (LOS). LOS, discharge before noon, and transfers to ICU improved when comparing before and after the intervention, but were not different in post-intervention groups with and without MI.</div></div><div><h3>Conclusion</h3><div>These results reflect the improvement of care provided by MI, an effect that could be due to cross contamination also to teams without the intervention.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"39 6","pages":"Pages 365-372"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validación y fiabilidad de un instrumento para la evaluación de la calidad de servicios, adaptado a familiares, pacientes y personal de enfermería","authors":"A. Renghea ,&nbsp;S. Hernandez-Iglesias ,&nbsp;M.A. Cuevas-Budhart ,&nbsp;M.T. Iglesias López ,&nbsp;J.A. Sarrion-Bravo ,&nbsp;A. Crespo Cañizares ,&nbsp;M. Gómez del Pulgar García-Madrid","doi":"10.1016/j.jhqr.2024.07.003","DOIUrl":"10.1016/j.jhqr.2024.07.003","url":null,"abstract":"<div><h3>Aim</h3><div>To analyze the internal validity and reliability of the instrument for evaluating the quality of services adapted to three interest groups: patients, nurses, family members, and primary caregivers.</div></div><div><h3>Material and method</h3><div>Our research was conducted meticulously, employing a mixed methodology with two phases: qualitative, using the focus group for internal validation of the instrument, and quantitative. Subsequently, the survey was passed to the interest group of 430 patients, 525 relatives, and 298 nurses. Chronbac's alpha reliability analysis, the multiple linear regression model as a point estimator of the parameters, and exploratory factor analysis with a maximum likelihood factor using Kaiser-Meyer-Olkin to analyze the constructor and its indicators were performed to validate the adaptation. Finally, confirmatory factor analysis determines their respective measurement models’ unidimensionality, validity, and reliability.</div></div><div><h3>Results</h3><div>The result shows that the factor loading of each subconstruct is more significant than 0.5 in the three models, which indicates that the aptitude indices of the model were met. In addition, the model meets the discriminant validity criteria. The behavior of the SERVPERF questionnaire was analyzed in terms of consistency, Cronbach's alpha<!--> <!-->=<!--> <!-->0.94.</div></div><div><h3>Conclusion</h3><div>The scale items’ discrimination concerning the questions on global satisfaction is confirmed. This shows that the instrument is valid, reliable, and useful.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"39 6","pages":"Pages 381-390"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}