A comparison of the quality of care in accident and emergency departments in England and the Netherlands as experienced by patients
| العنوان: | A comparison of the quality of care in accident and emergency departments in England and the Netherlands as experienced by patients |
|---|---|
| المؤلفون: | Augustinus J. P. Schrijvers, Leontien M. Sturms, Nanne Bos, Rebecca K. Stellato, Ian J. Seccombe, Henk F. van Stel |
| المصدر: | Health Expectations, 19(3), 773. Wiley-Blackwell |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Male, Poison control, Quality indicators, Suicide prevention, Occupational safety and health, State Medicine, 0302 clinical medicine, Surveys and Questionnaires, Health care, Medicine, 030212 general & internal medicine, Netherlands, 030503 health policy & services, Human factors and ergonomics, Patient satisfaction, Middle Aged, England, Female, Risk Adjustment, Health Services Research, Public Health, Emergency care, Across-country comparison, 0305 other medical science, Emergency Service, Hospital, Emergency service, Adult, medicine.medical_specialty, Patients, Best practice, 03 medical and health sciences, Young Adult, Hospital, Nursing, Injury prevention, Journal Article, Humans, Aged, Quality Indicators, Health Care, Quality of Health Care, business.industry, Patients' experiences, Environmental and Occupational Health, Public Health, Environmental and Occupational Health, Cross-Sectional Studies, Family medicine, Accidents, business, Original Research Papers |
| الوصف: | Background: Measuring patients' experiences to determine health-care performance and quality of care from their perspective can provide valuable evidence for international improvements in the quality of care. We compare patients' experiences in Accident & Emergency departments (A&E) in England and the Netherlands and discuss the usefulness of this comparison. Methods: A cross-sectional survey was conducted among patients attending A&Es aged 18 years and older. In England, 134 A&Es were surveyed. In the Netherlands, nine hospitals participated in the study. Main outcome measures were patients' experiences represented by six domain scores aggregated on the country level or on the A&E level. Results: In England, 43 892 completed questionnaires were received (40%). In the Netherlands, 1865 completed questionnaires were received (42%). Three of six domain scores were significantly higher for patients in the Netherlands: 'waiting time' [mean scores of 73.8 (NL) versus 67.2 (ENG)], 'doctors and nurses' [mean scores of 85.7 (NL) versus 80.6 (ENG)] and 'your care and treatment' [mean scores of 82.6 (NL) and 80.2 (ENG)]. The variance among the English A&Es was large. The best and worst practices on five domains were English. Conclusions: The mean quality of care in the A&E appeared to be better in the Netherlands on three domains, but the best practices were English A&Es. The within-country differences between A&Es were much larger than differences between countries. Healthcare performance in the A&E can be compared between countries by surveying patients' experiences, and there seems much to learn across A&Es both within and among countries. |
| وصف الملف: | image/pdf |
| اللغة: | English |
| تدمد: | 1369-6513 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e23f837c5490b8cb28d85683883ede20 https://dspace.library.uu.nl/handle/1874/334317 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....e23f837c5490b8cb28d85683883ede20 |
| قاعدة البيانات: | OpenAIRE |
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