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Implementation of patient-focused care: before-after effects

Bodil Wilde-Larsson (Department of Health Sciences, Karlstad University, Karlstad, Sweden and Department of Public Health, Hedmark University College, Elverum, Norway)
Marianne Inde (Värmland County Council, Karlstad, Sweden)
Annika Carlson (Department of Surgery, Central Hospital, Karlstad, Sweden)
Gun Nordström (Department of Health Sciences, Karlstad University, Karlstad, Sweden and Department of Public Health, Hedmark University College, Elverum, Norway)
Gerry Larsson (Department of Security, Strategy and Leadership, Swedish National Defence College, Karlstad, Sweden)
Ingrid Rystedt (Department of Health Sciences, Karlstad University, Karlstad, Sweden)

International Journal of Health Care Quality Assurance

ISSN: 0952-6862

Article publication date: 5 August 2014

872

Abstract

Purpose

The purpose of this paper is to evaluate an organizationally oriented, patient-focused care (PFC) model's effects on care quality and work climate.

Design/methodology/approach

The study has a before-after (PFC implementation) design. The sample included 1,474 patients and 458 healthcare providers in six participating wards before and after PFC implementation, plus five additional randomly chosen wards, which only featured in the post-assessment.

Findings

No pre-post differences were found regarding care perceptions or provider work climate evaluations. Statistically significant improvements were noted among provider care evaluations. Using aggregate-level ward data, multiple regression analyses showed that high adherence to PFC principles and a positive work climate contributed significantly to variance among care quality ratings.

Research limitations/implications

Among healthcare providers, questions related to specific PFC aspects during evenings, nights and weekends had to be dropped owing to a low response rate.

Practical implications

An important requirement for both practice and research is to tailor PFC to various health and social care contexts.

Originality/value

The study is large-scale before-after PFC model review, where patient and provider data were collected using well-established measurements.

Keywords

Citation

Wilde-Larsson, B., Inde, M., Carlson, A., Nordström, G., Larsson, G. and Rystedt, I. (2014), "Implementation of patient-focused care: before-after effects", International Journal of Health Care Quality Assurance, Vol. 27 No. 7, pp. 594-604. https://doi.org/10.1108/IJHCQA-06-2013-0067

Publisher

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Emerald Group Publishing Limited

Copyright © 2014, Emerald Group Publishing Limited

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