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Comparison of health care professionals’ self-assessments of standards of care and patients’ opinions on the care they received in hospital: observational study
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  1. P Durieux1,
  2. A Bissery2,
  3. S Dubois1,
  4. I Gasquet3,
  5. J Coste4
  1. 1Department of Public Health and Medical Informatics, Faculté de Médecine Broussais Hôtel Dieu and Hôpital Européen Georges Pompidou, Paris, France
  2. 2Centre d’Investigations Cliniques 9201, Assistance-Publique des hôpitaux de Paris/INSERM, Hôpital Européen Georges Pompidou, Paris, France
  3. 3Public Health Unit, Hôpital Paul Brousse, Villejuif, France
  4. 4Department of Biostatistics and Medical Informatics, Hôpital Cochin, Paris, France
  1. Correspondence to:
 Dr D P Durieux
 Santé Publique et Informatique Médicale, Faculté de Médecine Broussais Hôtel Dieu, 15 rue de l’Ecole de Médecine, 75006 Paris, France; pierre.durieuxspim.jussieu.fr

Abstract

Objectives: To compare the views of healthcare professionals and patients regarding compliance with standards of care concerning patient information.

Design: Self-rated questionnaire survey.

Setting: Nine wards in short stay French hospitals.

Participants: 939 patients and 359 healthcare professionals (physicians, nurses, assistants and other professionals).

Main outcome measure: Patients’ and healthcare professionals’ views of compliance with 20 standards of patient care described in the French accreditation manual. Comparison of the rank order of the standards within the two samples.

Results: The response rate was 61.5% in the patient group and 85.8% in the healthcare professionals. The rank orders for the 20 items were similar in both groups (Spearman rank order correlation 0.6, p = 0.004). The two items ranked highest by healthcare professionals (“consent request for a surgical procedure” and “the doctors ask the visitors to leave the room before examining a patient”) were also the two ranked highest by the patients. Three items were ranked low by both groups: “consent request for students to be present”, “health education given to patients”, and “possibility to express satisfaction during discharge”. Patients were more satisfied with their pain management than were healthcare providers. Professionals were more satisfied with the social services than the patients.

Conclusion: There are both similarities and differences between patients’ and healthcare professionals’ views of care. Accurate assessments of quality performed during the accreditation procedure require that both patients’ and professionals’ views be taken into account.

  • patients’ views
  • patient-caregiver relationship

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Footnotes

  • Funding: The study was supported by the Direction des Hôpitaux, Ministère de l’Emploi et de la Solidarité (Projets Hospitaliers de Recherche Clinique, Délégation à la Recherche Clinique d’Ile de France, grant no AOM 98–111).

  • Conflict of interest: none

  • Authorship: PD had the original idea, designed the study and drafted the manuscript. AB and JC performed the statistical analysis. All authors analysed and interpreted the data, revised the manuscript critically for content and approved the final version.

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