The Impact of Applying Quality Management Practices on Patient Centeredness in Jordanian Public Hospitals: Results of Predictive Modeling

• Published in: Inquiry (Chicago) 2018-01, Vol.55, p.1-15
• Main Authors: Hijazi, Heba H., Harvey, Heather L., Alyahya, Mohammad S., Alshraideh, Hussam A., Al abdi, Rabah M., Parahoo, Sanjai K.
• Format: Article
• Language: English
• Subjects: Accreditation; Accreditation - organization & administration; Administrators; Adult; Certification; Clinical outcomes; Cross-Sectional Studies; Female; Health care; Health care industry; Health Personnel - psychology; Health services; Hospital Administrators - psychology; Hospitals; Hospitals, Public - organization & administration; Hospitals, Public - standards; Humans; Influence; Institution building; Jordan; Leadership; Male; Management; Managers; Medical personnel; Middle Aged; Nurses; Original Research; Participation; Patient Satisfaction; Patient-Centered Care - organization & administration; Patient-Centered Care - standards; Patients; Physicians; Quality control; Quality improvement; Quality Improvement - organization & administration; Quality Improvement - standards; Quality management; Quality of care; Quality of service; Satisfaction; Structural equation modeling; Total quality; Total Quality Management - organization & administration; Total Quality Management - standards
• ISSN: 0046-9580; 1945-7243
• DOI: 10.1177/0046958018754739

Targeting the patient’s needs and preferences has become an important contributor for improving care delivery, enhancing patient satisfaction, and achieving better clinical outcomes. This study aimed to examine the impact of applying quality management practices on patient centeredness within the context of health care accreditation and to explore the differences in the views of various health care workers regarding the attributes affecting patient-centered care. Our study followed a cross-sectional survey design wherein 4 Jordanian public hospitals were investigated several months after accreditation was obtained. Total 829 clinical/nonclinical hospital staff members consented for study participation. This sample was divided into 3 main occupational categories to represent the administrators, nurses, as well as doctors and other health professionals. Using a structural equation modeling, our results indicated that the predictors of patient-centered care for both administrators and those providing clinical care were participation in the accreditation process, leadership commitment to quality improvement, and measurement of quality improvement outcomes. In particular, perceiving the importance of the hospital’s engagement in the accreditation process was shown to be relevant to the administrators (gamma = 0.96), nurses (gamma = 0.80), as well as to doctors and other health professionals (gamma = 0.71). However, the administrator staff (gamma = 0.31) was less likely to perceive the influence of measuring the quality improvement outcomes on the delivery of patient-centered care than nurses (gamma = 0.59) as well as doctors and other health care providers (gamma = 0.55). From the nurses’ perspectives only, patient centeredness was found to be driven by building an institutional framework that supports quality assurance in hospital settings (gamma = 0.36). In conclusion, accreditation is a leading factor for delivering patient-centered care and should be on a hospital’s agenda as a strategy for continuous quality improvement.