Evaluating the impact of continuous quality improvement methods at hospitals in Tanzania: a cluster-randomized trial
To evaluate the impact of implementing continuous quality improvement (CQI) methods on patient's experiences and satisfaction in Tanzania. Cluster-randomized trial, which randomly allocated district-level hospitals into treatment group and control group, was conducted. Sixteen district-level ho...
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| Veröffentlicht in: | International journal for quality in health care 2017-02, Vol.29 (1), p.32-39 |
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| container_title | International journal for quality in health care |
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| creator | KAMIYA, YUSUKE ISHIJMA, HISAHIRO HAGIWARA, AKIKO TAKAHASHI, SHIZU NGONYANI, HENOOK A.M. SAMKY, ELEUTER |
| description | To evaluate the impact of implementing continuous quality improvement (CQI) methods on patient's experiences and satisfaction in Tanzania.
Cluster-randomized trial, which randomly allocated district-level hospitals into treatment group and control group, was conducted.
Sixteen district-level hospitals in Kilimanjaro and Manyara regions of Tanzania.
Outpatient exit surveys targeting totally 3292 individuals, 1688 in the treatment and 1604 in the control group, from 3 time-points between September 2011 and September 2012.
Implementation of the 5S (Sort, Set, Shine, Standardize, Sustain) approach as a CQI method at outpatient departments over 12 months.
Cleanliness, waiting time, patient's experience, patient's satisfaction.
The 5S increased cleanliness in the outpatient department, patients' subjective waiting time and overall satisfaction. However, negligible effects were confirmed for patient's experiences on hospital staff behaviours.
The 5S as a CQI method is effective in enhancing hospital environment and service delivery; that are subjectively assessed by outpatients even during the short intervention period. Nevertheless, continuous efforts will be needed to connect CQI practices with the further improvement in the delivery of quality health care. |
| doi_str_mv | 10.1093/intqhc/mzw128 |
| format | Article |
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Cluster-randomized trial, which randomly allocated district-level hospitals into treatment group and control group, was conducted.
Sixteen district-level hospitals in Kilimanjaro and Manyara regions of Tanzania.
Outpatient exit surveys targeting totally 3292 individuals, 1688 in the treatment and 1604 in the control group, from 3 time-points between September 2011 and September 2012.
Implementation of the 5S (Sort, Set, Shine, Standardize, Sustain) approach as a CQI method at outpatient departments over 12 months.
Cleanliness, waiting time, patient's experience, patient's satisfaction.
The 5S increased cleanliness in the outpatient department, patients' subjective waiting time and overall satisfaction. However, negligible effects were confirmed for patient's experiences on hospital staff behaviours.
The 5S as a CQI method is effective in enhancing hospital environment and service delivery; that are subjectively assessed by outpatients even during the short intervention period. Nevertheless, continuous efforts will be needed to connect CQI practices with the further improvement in the delivery of quality health care.</description><identifier>ISSN: 1353-4505</identifier><identifier>EISSN: 1464-3677</identifier><identifier>DOI: 10.1093/intqhc/mzw128</identifier><identifier>PMID: 27920249</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Female ; Housekeeping, Hospital - statistics & numerical data ; Humans ; Male ; Outpatient Clinics, Hospital - statistics & numerical data ; Outpatients - psychology ; Patient Satisfaction - statistics & numerical data ; Quality Improvement - organization & administration ; Quality of Health Care - statistics & numerical data ; Surveys and Questionnaires ; Tanzania ; Time Factors</subject><ispartof>International journal for quality in health care, 2017-02, Vol.29 (1), p.32-39</ispartof><rights>The Author 2016</rights><rights>The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-7ee3d318aa3a37e46199378f512cfdc732a6ba4b53fbd9749c4822e1745fafb63</citedby><cites>FETCH-LOGICAL-c354t-7ee3d318aa3a37e46199378f512cfdc732a6ba4b53fbd9749c4822e1745fafb63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/48519120$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/48519120$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27920249$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KAMIYA, YUSUKE</creatorcontrib><creatorcontrib>ISHIJMA, HISAHIRO</creatorcontrib><creatorcontrib>HAGIWARA, AKIKO</creatorcontrib><creatorcontrib>TAKAHASHI, SHIZU</creatorcontrib><creatorcontrib>NGONYANI, HENOOK A.M.</creatorcontrib><creatorcontrib>SAMKY, ELEUTER</creatorcontrib><title>Evaluating the impact of continuous quality improvement methods at hospitals in Tanzania: a cluster-randomized trial</title><title>International journal for quality in health care</title><addtitle>Int J Qual Health Care</addtitle><description>To evaluate the impact of implementing continuous quality improvement (CQI) methods on patient's experiences and satisfaction in Tanzania.
Cluster-randomized trial, which randomly allocated district-level hospitals into treatment group and control group, was conducted.
Sixteen district-level hospitals in Kilimanjaro and Manyara regions of Tanzania.
Outpatient exit surveys targeting totally 3292 individuals, 1688 in the treatment and 1604 in the control group, from 3 time-points between September 2011 and September 2012.
Implementation of the 5S (Sort, Set, Shine, Standardize, Sustain) approach as a CQI method at outpatient departments over 12 months.
Cleanliness, waiting time, patient's experience, patient's satisfaction.
The 5S increased cleanliness in the outpatient department, patients' subjective waiting time and overall satisfaction. However, negligible effects were confirmed for patient's experiences on hospital staff behaviours.
The 5S as a CQI method is effective in enhancing hospital environment and service delivery; that are subjectively assessed by outpatients even during the short intervention period. Nevertheless, continuous efforts will be needed to connect CQI practices with the further improvement in the delivery of quality health care.</description><subject>Female</subject><subject>Housekeeping, Hospital - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Outpatient Clinics, Hospital - statistics & numerical data</subject><subject>Outpatients - psychology</subject><subject>Patient Satisfaction - statistics & numerical data</subject><subject>Quality Improvement - organization & administration</subject><subject>Quality of Health Care - statistics & numerical data</subject><subject>Surveys and Questionnaires</subject><subject>Tanzania</subject><subject>Time Factors</subject><issn>1353-4505</issn><issn>1464-3677</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM1Lw0AUxBdRbK0ePSp79BK7n9nkKKV-QMFLBW_hZbOxW5Jsm91U2r_elNSe3mPmxzAMQveUPFOS8qltwnalp_Xhl7LkAo2piEXEY6Uu-59LHglJ5AjdeL8mhMZcxtdoxFTKCBPpGH3Pd1B1EGzzg8PKYFtvQAfsSqxd06ud6zzedlDZsD-arduZ2jQB1yasXOExBLxyfmMDVB7bBi-hOUBj4RZdlb1k7k53gr5e58vZe7T4fPuYvSwizaUIkTKGF5wmABy4MiKmacpVUkrKdFloxRnEOYhc8jIvUiVSLRLGDFVCllDmMZ-gpyG3r7btjA9Zbb02VQWN6btnNBExV4SRIxoNqG6d960ps01ra2j3GSXZccxsGDMbxuz5x1N0l9emONP_6_XAwwCsfXDt2ReJpCllhP8BmN19lQ</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>KAMIYA, YUSUKE</creator><creator>ISHIJMA, HISAHIRO</creator><creator>HAGIWARA, AKIKO</creator><creator>TAKAHASHI, SHIZU</creator><creator>NGONYANI, HENOOK A.M.</creator><creator>SAMKY, ELEUTER</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170201</creationdate><title>Evaluating the impact of continuous quality improvement methods at hospitals in Tanzania</title><author>KAMIYA, YUSUKE ; ISHIJMA, HISAHIRO ; HAGIWARA, AKIKO ; TAKAHASHI, SHIZU ; NGONYANI, HENOOK A.M. ; SAMKY, ELEUTER</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-7ee3d318aa3a37e46199378f512cfdc732a6ba4b53fbd9749c4822e1745fafb63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Female</topic><topic>Housekeeping, Hospital - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Outpatient Clinics, Hospital - statistics & numerical data</topic><topic>Outpatients - psychology</topic><topic>Patient Satisfaction - statistics & numerical data</topic><topic>Quality Improvement - organization & administration</topic><topic>Quality of Health Care - statistics & numerical data</topic><topic>Surveys and Questionnaires</topic><topic>Tanzania</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KAMIYA, YUSUKE</creatorcontrib><creatorcontrib>ISHIJMA, HISAHIRO</creatorcontrib><creatorcontrib>HAGIWARA, AKIKO</creatorcontrib><creatorcontrib>TAKAHASHI, SHIZU</creatorcontrib><creatorcontrib>NGONYANI, HENOOK A.M.</creatorcontrib><creatorcontrib>SAMKY, ELEUTER</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal for quality in health care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KAMIYA, YUSUKE</au><au>ISHIJMA, HISAHIRO</au><au>HAGIWARA, AKIKO</au><au>TAKAHASHI, SHIZU</au><au>NGONYANI, HENOOK A.M.</au><au>SAMKY, ELEUTER</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluating the impact of continuous quality improvement methods at hospitals in Tanzania: a cluster-randomized trial</atitle><jtitle>International journal for quality in health care</jtitle><addtitle>Int J Qual Health Care</addtitle><date>2017-02-01</date><risdate>2017</risdate><volume>29</volume><issue>1</issue><spage>32</spage><epage>39</epage><pages>32-39</pages><issn>1353-4505</issn><eissn>1464-3677</eissn><abstract>To evaluate the impact of implementing continuous quality improvement (CQI) methods on patient's experiences and satisfaction in Tanzania.
Cluster-randomized trial, which randomly allocated district-level hospitals into treatment group and control group, was conducted.
Sixteen district-level hospitals in Kilimanjaro and Manyara regions of Tanzania.
Outpatient exit surveys targeting totally 3292 individuals, 1688 in the treatment and 1604 in the control group, from 3 time-points between September 2011 and September 2012.
Implementation of the 5S (Sort, Set, Shine, Standardize, Sustain) approach as a CQI method at outpatient departments over 12 months.
Cleanliness, waiting time, patient's experience, patient's satisfaction.
The 5S increased cleanliness in the outpatient department, patients' subjective waiting time and overall satisfaction. However, negligible effects were confirmed for patient's experiences on hospital staff behaviours.
The 5S as a CQI method is effective in enhancing hospital environment and service delivery; that are subjectively assessed by outpatients even during the short intervention period. Nevertheless, continuous efforts will be needed to connect CQI practices with the further improvement in the delivery of quality health care.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>27920249</pmid><doi>10.1093/intqhc/mzw128</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Female Housekeeping, Hospital - statistics & numerical data Humans Male Outpatient Clinics, Hospital - statistics & numerical data Outpatients - psychology Patient Satisfaction - statistics & numerical data Quality Improvement - organization & administration Quality of Health Care - statistics & numerical data Surveys and Questionnaires Tanzania Time Factors |
| title | Evaluating the impact of continuous quality improvement methods at hospitals in Tanzania: a cluster-randomized trial |
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