Use of a national collaborative to improve hospital quality in a low-income setting

International Health
Erika LinnanderElizabeth Bradley

Abstract

Quality improvement collaboratives are a widely used mechanism to improve hospital performance in high-income settings, but we lack evidence about their effectiveness in low-income settings. We conducted cross-sectional and longitudinal analysis of data from the Ethiopian Hospital Alliance for Quality, a national collaborative sponsored by Ethiopia's Federal Ministry of Health. We identified hospital strategies associated with more positive patient satisfaction using linear regression and assessed changes in patient experience over a 3-year period (2012-2014) using matched t-tests. A total of 68 hospitals (response rate 68/120, 56.7%) were included in cross-sectional analysis. Four practices were significantly associated with more positive patient satisfaction (p<0.05): posting a record of cleaning activity in toilets and in patient wards, distributing leaflets in the local language with each prescription, and sharing ideas about patient experience across the hospital. Among hospitals that had complete data for longitudinal analysis (44/68, 65%), we found a 10% improvement in a 10-point measure of patient satisfaction (7.7 vs 8.4, p<0.01) from the start to the end of the study period. Quality improvement collaboratives can be u...Continue Reading

References

Jun 24, 2005·American Journal of Surgery·E Patchen DellingerJonathan R Sugarman
Dec 25, 2007·The International Journal of Health Planning and Management·Kari HartwigElizabeth H Bradley
Jun 26, 2008·BMJ : British Medical Journal·Loes M T SchoutenRichard P T M Grol
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Jul 4, 2009·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Rex Wong, Elizabeth H Bradley
Jan 20, 2010·Journal of the American College of Cardiology·Elizabeth H BradleyHarlan M Krumholz
Jan 25, 2011·Global Public Health·Sosena KebedeElizabeth H Bradley
Jan 29, 2011·BMJ Quality & Safety·Mathilde M H StratingRoland A Bal
May 3, 2011·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Tashonna R WebsterElizabeth H Bradley
Nov 3, 2012·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Nana A Y Twum-DansoPierre M Barker
May 23, 2013·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Kristina Talbert-SlagleElizabeth H Bradley
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Jun 5, 2013·International Journal of Health Care Quality Assurance·Edward BroughtonKarimou Sani
Jun 14, 2013·The Milbank Quarterly·Erum NadeemSarah McCue Horwitz
Apr 20, 2014·BMC Health Services Research·Zahirah McNattElizabeth H Bradley
Nov 26, 2015·Bulletin of the World Health Organization·Zahirah McNattElizabeth H Bradley

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Citations

Sep 28, 2017·International Journal of Health Policy and Management·Erika L LinnanderElizabeth H Bradley
Jun 13, 2017·Bulletin of the World Health Organization·Maureen E CanavanElizabeth H Bradley
Jan 28, 2021·International Journal of Environmental Research and Public Health·XinXin PengJing Hua Zhang

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