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A comparison of the quality of care in accident and emergency departments in England and the Netherlands as experienced by patients.
- Source :
- Health Expectations; Jun2016, Vol. 19 Issue 3, p773-784, 12p
- Publication Year :
- 2016
-
Abstract
- 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- ACCIDENTS
GOVERNMENT agencies
EMERGENCY medicine
EXPERIENCE
HEALTH
HOSPITAL admission & discharge
HOSPITAL emergency services
MEDICAL care
MEDICAL quality control
MEDICAL referrals
NATIONAL health services
NURSES
PATIENTS
PHYSICIANS
QUESTIONNAIRES
RESEARCH funding
DATA analysis
ACQUISITION of data
Subjects
Details
- Language :
- English
- ISSN :
- 13696513
- Volume :
- 19
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Health Expectations
- Publication Type :
- Academic Journal
- Accession number :
- 114888069
- Full Text :
- https://doi.org/10.1111/hex.12282