Challenging the holy grail of hospital accreditation: A cross sectional study of inpatient satisfaction in the field of cardiology
Open Access
- 12 May 2010
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Health Services Research
- Vol. 10 (1), 120
- https://doi.org/10.1186/1472-6963-10-120
Abstract
Background Subjective parameters such as quality of life or patient satisfaction gain importance as outcome parameters and benchmarks in health care. In many countries hospitals are now undergoing accreditation as mandatory or voluntary measures. It is believed but unproven that accreditations positively influence quality of care and patient satisfaction. The present study aims to assess in a defined specialty (cardiology) the relationship between patient satisfaction (as measured by the recommendation rate) and accreditation status. Methods Consecutive patients discharged from 25 cardiology units received a validated patient satisfaction questionnaire. Data from 3,037 patients (response rate > 55%) became available for analysis. Recommendation rate was used as primary endpoint. Different control variables such as staffing level were considered. Results The 15 accredited units did not differ significantly from the 10 non-accredited units regarding main hospital (i.e. staffing levels, no. of beds) and patient (age, gender) characteristics. The primary endpoint "recommendation rate of a given hospital" for accredited hospitals (65.6%, 95% Confidence Interval (CI) 63.4 - 67.8%) and hospitals without accreditation (65.8%, 95% CI 63.1 - 68.5%) was not significantly different. Conclusion Our results support the notion that - at least in the field of cardiology - successful accreditation is not linked with measurable better quality of care as perceived by the patient and reflected by the recommendation rate of a given institution. Hospital accreditation may represent a step towards quality management, but does not seem to improve overall patient satisfaction.This publication has 33 references indexed in Scilit:
- The Effect of Hospital Size and Teaching Status on Patient Experiences With Hospital CareMedical Care, 2007
- Nurse Staffing Models as Predictors of Patient OutcomesMedical Care, 2003
- Quality Management System of a University Cardiac Surgery Department According to DIN EN ISO 9001 : 2000The Thoracic and Cardiovascular Surgeon, 2003
- Patient satisfaction and research-related problems (part 2). Is triangulation the answer?Journal of Nursing Management, 2000
- Benefits of an ISO 9001 certification – the case of a Swiss regional hospitalInternational Journal of Health Care Quality Assurance, 2000
- Die Bestimmung der Patientenzufriedenheit als Teil des Qualitätsmanagements im KrankenhausDeutsche Medizinische Wochenschrift (1946), 1996
- Using patient reports to improve medical careQuality Management in Health Care, 1993
- Patient sociodemographic characteristics as predictors of satisfaction with medical care: A meta-analysisSocial Science & Medicine (1982), 1990
- Tapping patient satisfaction: a strategy for quality assessmentPatient Education and Counseling, 1988
- The reliability and validity of hospital accreditation in AustraliaJournal of Advanced Nursing, 1981