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Can patients contribute to safer care in meetings with healthcare professionals? A cross-sectional survey of patient perceptions and beliefs.

Authors
  • Ericsson, Carin1, 2
  • Skagerström, Janna2, 3
  • Schildmeijer, Kristina4
  • Årestedt, Kristofer4, 5
  • Broström, Anders6, 7
  • Pakpour, Amir6, 8
  • Nilsen, Per2
  • 1 Cardiology and Speciality Medicine Centre, Region Ostergotland, Linkoping, Sweden [email protected] , (Sweden)
  • 2 Department of Medical and Health Sciences, Linköping University, Linkoping, Sweden. , (Sweden)
  • 3 Research and Development Unit, Region Ostergotland, Linkoping, Sweden. , (Sweden)
  • 4 Faculty of Health and Life Sciences, Linnaeus University, Kalmar, Sweden. , (Sweden)
  • 5 The Research Section, Kalmar County Council, Kalmar, Sweden. , (Sweden)
  • 6 Department of Nursing, School of Health and Welfare, Jonkoping University, Jonkoping, Sweden. , (Sweden)
  • 7 Department of Clinical Neurophysiology, Region Ostergotland, Linkoping, Sweden. , (Sweden)
  • 8 Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran. , (Iran)
Type
Published Article
Journal
BMJ Quality & Safety
Publisher
BMJ
Publication Date
Aug 01, 2019
Volume
28
Issue
8
Pages
657–666
Identifiers
DOI: 10.1136/bmjqs-2018-008524
PMID: 31018984
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

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. Cross-sectional survey of patients using a study-specific questionnaire. Data were analysed using both parametric and non-parametric statistics. 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. 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). 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. 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. 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. © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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