Impact of Tools for the Development of Patient Centered Care at Hospital

Study Overview
=================
Brief Summary
-----------------
A national context for patient centered care development exists in France at hospital with strong support for the implementation of operational patient centered care tools. Patient centered care is a global vision of patient or family management promoting the respect of patient freedom, of patient listening and of patient needs. Patient centered care is an important issue of quality and security of care. The FORAP (Fédération des Organismes Régionaux et territoriaux pour l'Amélioration des Pratiques et des organisations) and the la HAS (High Authority of Health) have developed and validated five tools promoting patient centered care at hospital. They can be implemented one by one or in association according to hospital situation. Hospitals should identify the association of tools fitting the most to their objectives and the actions already done. The objectives of the project are to analyse the effectiveness of the implementation of HAS - FORAP tools on the development of patient centred care at hospital and to analyse the individual and organisational determinants of their effectiveness. It focuses on acute care hospitals that have the choice of the combination of tools and that are followed during two years with combined quantitative and qualitative analyses. Quantitative assessment are based on validated indicators on patient satisfaction, patient centred care development and organizational context. Qualitative data collection are realised in each included hospital and combine individual interviews and focus groups including Physicians, nurses and managerial staff.

Official Title
-----------------
Effectiveness and Determinants of Effectiveness of Implementation of Tools for the Development of Patient Centred Care at Hospital

Conditions
-----------------
Patient Centred Care

Intervention / Treatment
-----------------
* Other: Operational patient centered care tools


Participation Criteria
=================
Eligibility Criteria
-----------------
No specific eligibility criteria for health care professionals Eligibility criteria for patients: Inclusion Criteria: Patients hospitalized for a minimum of 2 consecutive nights Patients contact details known after hospitalization end Exclusion Criteria: Anonymous patient Patient deceased during hospitalization Patient non resident in France

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Health care professionals<br>Physicians, nurses and managerial staff | Other: Operational patient centered care tools<br>* The FORAP (Fédération des Organismes Régionaux et territoriaux pour l'Amélioration des Pratiques et des organisations) and the la HAS (High Authority of Health) have developed and validated five tools promoting patient centered care at hospital. They can be implemented one by one or in association according to hospital situation. Hospitals should identify the association of tools fitting the most to their objectives and the actions already done.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self assessment score of patient centred care at hospital by health care professionals and patients |  | At study start in hospital, between 2 to 4 months before tool implementation | 
| Self assessment score of patient centred care at hospital by health care professionals and patients |  | 6 months after tool implementation for promoting patient centered care at hospital | 
| Self assessment score of patient centred care at hospital by health care professionals and patients |  | 18 months after tool implementation for promoting patient centered care at hospital | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patients global satisfaction score |  | At study start, between 2 to 4 months before tool implementation for promoting patient centered care at hospital, 6 month and 18 month after | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Patient centred care