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Can patients contribute to safer care in meetings with healthcare professionals? A cross-sectional survey of patient perceptions and beliefs.
Cardiology and Speciality Medicine Centre, Region Ostergotland, Linkoping, Sweden .
Department of Medical and Health Sciences, Linköping University, Linkoping, Sweden.
Faculty of Health and Life Sciences, Linnaeus University, Kalmar, Sweden.
Faculty of Health and Life Sciences, Linnaeus University, Kalmar, Sweden.
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2019 (English)In: BMJ Quality and Safety, ISSN 2044-5415, E-ISSN 2044-5423, Vol. 28, no 8, p. 657-666, article id bmjqs-2018-008524Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To investigate patients' perceptions of their meetings with healthcare professionals and the extent to which they believe they can influence patient safety in these meetings.

DESIGN: Cross-sectional survey of patients using a study-specific questionnaire. Data were analysed using both parametric and non-parametric statistics.

SETTING: The study was conducted in primary and secondary care in three county councils in southeast Sweden by means of a survey questionnaire despatched in January 2017.

PARTICIPANTS: Survey data were collected from 1445 patients, 333 of whom were complainants (patients who had filed a complaint about being harmed in healthcare) and 1112 regular patients (patients recruited from healthcare units).

MAIN OUTCOME MEASURES: Patients' perceptions of meetings with physicians and nurses, beliefs concerning patients' contributions to safer care and whether the patients had suffered harm in healthcare during the past 10 years.

RESULTS: Most respondents reported that it was easy to ask physicians and nurses questions (84.9% and 86.6%) and to point out if something felt odd in their care (77.7% and 80.7%). In general, complainants agreed to a higher extent compared with regular patients that patients can contribute to safer care (mean 1.92 and 2.13, p<0.001). Almost one-third (31.2%) of the respondents (both complainants and regular patients) reported that they had suffered harm in healthcare during the past 10 years.

CONCLUSIONS: Most respondents believed that healthcare professionals can facilitate patient interaction and increase patient safety by encouraging patients to ask questions and take an active part in their care. Further research will need to identify strategies to support such questioning in routine practice and ensure that it achieves its intended goals.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2019. Vol. 28, no 8, p. 657-666, article id bmjqs-2018-008524
Keywords [en]
adverse events, epidemiology and detection, medical error, measurement/epidemiology, patient safety, patient satisfaction
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Nursing
Identifiers
URN: urn:nbn:se:hj:diva-44175DOI: 10.1136/bmjqs-2018-008524ISI: 000477894500008PubMedID: 31018984Scopus ID: 2-s2.0-85065298242Local ID: HOA HHJ 2019;HHJÖvrigtISOAI: oai:DiVA.org:hj-44175DiVA, id: diva2:1321209
Available from: 2019-06-07 Created: 2019-06-07 Last updated: 2019-08-09Bibliographically approved

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Broström, AndersPakpour, Amir H.

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