Article

Hospital quality reports in Germany: patient and physician opinion of the reported quality indicators

Public Health Programme, University Hospital of the Heinrich-Heine-University, Moorenstrasse 5, 40225 Düsseldorf, Germany.
BMC Health Services Research (Impact Factor: 1.66). 02/2007; 7:157. DOI: 10.1186/1472-6963-7-157
Source: PubMed

ABSTRACT Starting in 2005, Germany's health law required hospital quality reports to be published every two years by all acute care hospitals. The reports were intended to help patients and physicians make informed choices of hospitals. However, while establishing the quality indicators that form the content of the reports, the information needs of the target groups were not explicitly taken into account. Therefore, the aim of our study was to determine patient and physician opinion of the relevance of the reported quality indicators for choosing or referring to a hospital.
Convenience samples of 50 patients and 50 physicians were asked to rate the understandability (patients), suitability (physicians) and relevance (both groups) of a set of 29 quality indicators. The set was drawn from the reports (24 indicators) and supplemented by five indicators commonly used in hospital quality reports. We analysed the differences in patient and physician ratings of relevance of all indicators by applying descriptive statistics, t-tests and Wilcoxon tests.
Only three indicators were considered not understandable by the interviewed patients and unsuitable by the interviewed physicians. The patients rated 19 indicators as highly or very relevant, whereas the physicians chose 15 indicators. The most relevant indicator for the patients was "qualification of doctors", and for the physicians "volume of specified surgical procedures". Patient and physician rankings of individual indicators differed for 25 indicators. However, three groups of indicators could be differentiated, in which the relevance ratings of patients and physicians differed only within the groups. Four of the five indicators that were added to the existing set of reported indicators ranked in the first or second group ("kindness of staff", "patient satisfaction", "recommendation", and "distance to place of living").
Most of the content of Germany's hospital quality reports seems to be useful for patients and physicians and influence their choice of hospitals. However, the target groups revealed that approximately one third of the indicators (mostly hospital structural characteristics), were not useful and hence could have been omitted from the reports. To enhance the usefulness of the reports, indicators on patient experiences should be added.

1 Follower
 · 
88 Views
  • Source
    • "Table 1.North American and European articles/ conferences proceedings on health mobility Author, year, ref. State Topic of the study Geraedts, 2007 [8] "
    [Show abstract] [Hide abstract]
    ABSTRACT: Intra-regional, extra-regional and international health mobility are important phenomena for regional and national healthcare planning. Pediatric data on this topic are scarce. We therefore conducted a systematic literature search on the PubMed database. Because of the insufficiency of published data we also resorted to conference proceedings and publications retrieved by Google Scholar and Google search engines. Thirty-one articles were identified. Main components of patients mobility were looking for better quality and timely treatment, advanced technology, expertise, and major organization. Our analysis highlights that pediatric mobility causes relevant medical, sociological and financial consequences.
    09/2012; 4:57-61.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The analysis of hospital quality and management indicators and their evolution through time is essential for a proper evaluation on the hospital services and has the aim of improving its efficiency maintaining the trust of its users. These indicators have been used in several studies concerning various countries all over the world. Because, as far as we know, there are no previous studies in Portugal which used this methodology, this paper aims to assess the Portuguese health care quality system. It also aims to analyze the development of quality and management indicators of Hospital S. João and to analyze each indicator in particular in order to understand their relation with different variables like age, sex and others. This is an observational and retrospective study which used all inpatient admissions data, spanning from 1999 to 2008, from a nationwide acute care hospital database comprising 500000 records. We have been processing the database on patient admissions of Hospital S. João since 1999 to 2008 by using the statistical software SPSS, to analyze the data of each indicator following specific rules to each one. It seems to be some differences, among the evolution of each indicator. Although, we can conclude that the system is performing satisfactorily, which reveal an improvement of the quality of health care in the last ten years.
  • Source
    Assuring the Quality of Health Care in the European Union. A case for action., European Observatory Studies Series Nr 12, 2008 edited by Legido-Quigley H, McKee M, Nolte E, Glinos IA, chapter Assuring the Quality of Health Care in the EU: Chapter 4: Germany., pages 116-120; WHO, Copenhagen., ISBN: 978 92 890 7193 2
Show more

Preview (2 Sources)

Download
0 Downloads
Available from