In Canada, the hospital listens to patients to improve care

According to a new study in Canada, asking patients to report their experience in hospitals could greatly help improve the quality of care.

In recent years, we have been hearing more and more the term "patient-centered approach". According to the High Authority for Health (HAS), it "relies on a relationship of partnership with the patient, his family, and the health professional or a multi-professional team to lead to the construction together of an option care, monitoring of its implementation and its adjustment over time ". Thus, the patient is no longer reduced to his symptoms or medical condition.

This method "considers that there is a complementarity between the expertise of professionals and the experience of the patient acquired over time with his health or psychosocial problems, the disease and its repercussions on his personal life and that of his relatives ". According to a new study conducted in Canada and published in the Canadian Journal of Cardiologyasking patients to report their experience in hospitals could greatly help to improve what can be done.

To reach this conclusion, the researchers analyzed responses from the Canadian Patient Experience Survey of just over 1000 heart patients in Alberta who underwent coronary artery bypass grafting and / or valvular replacement between April 2014 and March 2018 in 93 different hospitals in Alberta. Patients answered 56 questions after returning home. These included communication with doctors and nurses, medication, patient involvement in care, pain control, the physical environment, and coordination of care. Participants were asked on a scale of 0 to 10. Overall, the results were very positive, the researchers noted. In fact, over 73% of respondents gave 9 or 10 to all of their care.

Not enough information about possible side effects of drugs

But these responses have also identified areas that could be improved. For example, less than 40% reported that the space around their room was still quiet at night and only 45% noted that hospital staff always warned of the potential side effects of new drugs administered.

"To our knowledge, this is the first study of its kind in Canada that links the patient's return with administratively collected data to examine the hospital's understanding of a particular clinical group," says Kyle A. .Kemp, from the University of Calgary who conducted the study. "Examine the experience of patients who have undergone cardiac procedures as a valve replacement can be of enormous value given the costly nature of these procedures and the necessary work," he continues.

"These discoveries are important because historically much effort has been made to improve hospital care by administrators or doctors, most often without asking the patient for advice," he adds.

And to conclude: "Being the first Canadian study of its kind, there is an opportunity to serve as a database (...) in Alberta and other Canadian provinces." The study's methodology can also be reproduced at other places in Canada and around the world to examine the experience of other clinical groups, such as women giving birth or seniors living with clinical conditions. "

In France, generally positive patient feedback

For Michelle M. Graham (University of Alberta) and Colleen M. Norris (Mazankowski Alberta Heart Institute), this study is "a step in the right direction". It represents "the first step towards achieving the triple goal of being sought, improving health, improving the health care experience and reducing the costs of the Canadian health care system," they comment in an editorial on the sidelines. of the study.

In France, health authorities are increasingly seeking to involve the patient in their care journey. In recent years, the HAS has been trying to measure the satisfaction of people hospitalized "more than 48 hours in medicine, surgery, obstetrics". At the end of 2017, it published an overall positive report. Of 122,060 patients surveyed, 85% report having a good opinion of their entire hospital stay.

In addition, 60% of respondents would recommend the institution where they were hospitalized while only 5% would dissuade others. In detail, the patients especially appreciated the care by nurses and caregivers and their listening. Finally, almost all patients were satisfied or very satisfied with their privacy (89%) and professional secrecy (94%).

Video: Quality Improvement in Healthcare (April 2020).