A framework for the continuous monitoring of person-centred hospital care: validation of a checklist for participatory service improvement
Abstract Background In 2018, a nationwide survey carried out in 387 acute care hospitals from 16 out of 21 Italian regions, allowed defining an extended checklist for the participatory evaluation of person-centredness in hospital care. We aimed to validate a reduced set of core items for continuous...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | Archives of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13690-024-01410-5 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832595000578277376 |
|---|---|
| author | F. Cardinali S. Carzaniga L. Martini M. T. Loiudice Fabrizio Carinci |
| author_facet | F. Cardinali S. Carzaniga L. Martini M. T. Loiudice Fabrizio Carinci |
| author_sort | F. Cardinali |
| collection | DOAJ |
| description | Abstract Background In 2018, a nationwide survey carried out in 387 acute care hospitals from 16 out of 21 Italian regions, allowed defining an extended checklist for the participatory evaluation of person-centredness in hospital care. We aimed to validate a reduced set of core items for continuous use across the country. Methods Factor analysis was used to validate the construct of the checklist. Varimax rotation with eigenvalues > 1 was used to optimize factor structure. Items with an item-total correlation > 0.30 and factor loadings > 0.4 were attributed to individual factors. Items with inter-item correlation coefficient > 0.70 were submitted to expert opinion for final decision. Overall internal consistency was assessed through Cronbach’s alpha. Results A total of 183 out of 243 items in the original checklist were submitted to factor analysis. A subgroup of 67 items was retained in 4 main areas, allocated as follows: 16 items in 4 sub-areas of “Person-oriented organizational and care processes”, 16 items in 4 sub-areas of “Physical accessibility, liveability and comfort of the facilities”, 15 items in 3 sub-areas of “Access to information, streamlining and transparency”, and 20 items in 4 sub-areas of “Taking care of the relationship with patients and citizens”. Overall values of Cronbach’s alpha ranged between 0.77 and 0.90, showing high consistency. Conclusions This study validated a “core” checklist that can be routinely used to monitor the implementation of person-centred care in Italian hospitals. The tool can be applied more widely by multiple stakeholders as a measurement instrument for the participatory evaluation of person-centredness. |
| format | Article |
| id | doaj-art-c440856e5e574376ab7f954913552dfb |
| institution | Kabale University |
| issn | 2049-3258 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Archives of Public Health |
| spelling | doaj-art-c440856e5e574376ab7f954913552dfb2025-01-19T12:11:21ZengBMCArchives of Public Health2049-32582025-01-0183111210.1186/s13690-024-01410-5A framework for the continuous monitoring of person-centred hospital care: validation of a checklist for participatory service improvementF. Cardinali0S. Carzaniga1L. Martini2M. T. Loiudice3Fabrizio Carinci4Agenzia Nazionale per i Servizi Sanitari Regionali (AGENAS)Agenzia Nazionale per i Servizi Sanitari Regionali (AGENAS)Agenzia Nazionale per i Servizi Sanitari Regionali (AGENAS)Agenzia Nazionale per i Servizi Sanitari Regionali (AGENAS)Unicamillus International Medical UniversityAbstract Background In 2018, a nationwide survey carried out in 387 acute care hospitals from 16 out of 21 Italian regions, allowed defining an extended checklist for the participatory evaluation of person-centredness in hospital care. We aimed to validate a reduced set of core items for continuous use across the country. Methods Factor analysis was used to validate the construct of the checklist. Varimax rotation with eigenvalues > 1 was used to optimize factor structure. Items with an item-total correlation > 0.30 and factor loadings > 0.4 were attributed to individual factors. Items with inter-item correlation coefficient > 0.70 were submitted to expert opinion for final decision. Overall internal consistency was assessed through Cronbach’s alpha. Results A total of 183 out of 243 items in the original checklist were submitted to factor analysis. A subgroup of 67 items was retained in 4 main areas, allocated as follows: 16 items in 4 sub-areas of “Person-oriented organizational and care processes”, 16 items in 4 sub-areas of “Physical accessibility, liveability and comfort of the facilities”, 15 items in 3 sub-areas of “Access to information, streamlining and transparency”, and 20 items in 4 sub-areas of “Taking care of the relationship with patients and citizens”. Overall values of Cronbach’s alpha ranged between 0.77 and 0.90, showing high consistency. Conclusions This study validated a “core” checklist that can be routinely used to monitor the implementation of person-centred care in Italian hospitals. The tool can be applied more widely by multiple stakeholders as a measurement instrument for the participatory evaluation of person-centredness.https://doi.org/10.1186/s13690-024-01410-5Person-centred careMonitoringParticipatory evaluationCitizens engagementQuality improvementPerformance assessment |
| spellingShingle | F. Cardinali S. Carzaniga L. Martini M. T. Loiudice Fabrizio Carinci A framework for the continuous monitoring of person-centred hospital care: validation of a checklist for participatory service improvement Archives of Public Health Person-centred care Monitoring Participatory evaluation Citizens engagement Quality improvement Performance assessment |
| title | A framework for the continuous monitoring of person-centred hospital care: validation of a checklist for participatory service improvement |
| title_full | A framework for the continuous monitoring of person-centred hospital care: validation of a checklist for participatory service improvement |
| title_fullStr | A framework for the continuous monitoring of person-centred hospital care: validation of a checklist for participatory service improvement |
| title_full_unstemmed | A framework for the continuous monitoring of person-centred hospital care: validation of a checklist for participatory service improvement |
| title_short | A framework for the continuous monitoring of person-centred hospital care: validation of a checklist for participatory service improvement |
| title_sort | framework for the continuous monitoring of person centred hospital care validation of a checklist for participatory service improvement |
| topic | Person-centred care Monitoring Participatory evaluation Citizens engagement Quality improvement Performance assessment |
| url | https://doi.org/10.1186/s13690-024-01410-5 |
| work_keys_str_mv | AT fcardinali aframeworkforthecontinuousmonitoringofpersoncentredhospitalcarevalidationofachecklistforparticipatoryserviceimprovement AT scarzaniga aframeworkforthecontinuousmonitoringofpersoncentredhospitalcarevalidationofachecklistforparticipatoryserviceimprovement AT lmartini aframeworkforthecontinuousmonitoringofpersoncentredhospitalcarevalidationofachecklistforparticipatoryserviceimprovement AT mtloiudice aframeworkforthecontinuousmonitoringofpersoncentredhospitalcarevalidationofachecklistforparticipatoryserviceimprovement AT fabriziocarinci aframeworkforthecontinuousmonitoringofpersoncentredhospitalcarevalidationofachecklistforparticipatoryserviceimprovement AT fcardinali frameworkforthecontinuousmonitoringofpersoncentredhospitalcarevalidationofachecklistforparticipatoryserviceimprovement AT scarzaniga frameworkforthecontinuousmonitoringofpersoncentredhospitalcarevalidationofachecklistforparticipatoryserviceimprovement AT lmartini frameworkforthecontinuousmonitoringofpersoncentredhospitalcarevalidationofachecklistforparticipatoryserviceimprovement AT mtloiudice frameworkforthecontinuousmonitoringofpersoncentredhospitalcarevalidationofachecklistforparticipatoryserviceimprovement AT fabriziocarinci frameworkforthecontinuousmonitoringofpersoncentredhospitalcarevalidationofachecklistforparticipatoryserviceimprovement |