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Evaluating a questionnaire to measure improvement initiatives in Swedish healthcare
Division of Quality Technology and Management, Linköping University, Linköping.
Division of Quality Technology and Management and HELIX Vinn Excellence Centre, Linköping University, Linköping.
Nyckeln competence centre for pedagogy in health care, Kalmar County Council, Kalmar.ORCID iD: 0000-0003-1515-0485
Faculty of Health and Society, Malmö University, Malmö.
2013 (English)In: BMC Health Services Research, ISSN 1472-6963, Vol. 13, 48- p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Quality improvement initiatives have expanded recently within the healthcare sector. Studies have shown that less than 40% of these initiatives are successful, indicating the need for an instrument that can measure the progress and results of quality improvement initiatives and answer questions about how quality initiatives are conducted. The aim of the present study was to develop and test an instrument to measure improvement process and outcome in Swedish healthcare.

METHODS:

A questionnaire, founded on the Minnesota Innovation Survey (MIS), was developed in several steps. Items were merged and answer alternatives were revised. Employees participating in a county council improvement program received the web-based questionnaire. Data was analysed by descriptive statistics and correlation analysis. The questionnaire psychometric properties were investigated and an exploratory factor analysis was conducted.

RESULTS:

The Swedish Improvement Measurement Questionnaire consists of 27 items. The Improvement Effectiveness Outcome dimension consists of three items and has a Cronbach's alpha coefficient of 0.67. The Internal Improvement Processes dimension consists of eight sub-dimensions with a total of 24 items. Cronbach's alpha coefficient for the complete dimension was 0.72. Three significant item correlations were found. A large involvement in the improvement initiative was shown and the majority of the respondents were satisfied with their work.

CONCLUSIONS:

The psychometric property tests suggest initial support for the questionnaire to study and evaluate quality improvement initiatives in Swedish healthcare settings. The overall satisfaction with the quality improvement initiative correlates positively to the awareness of individual responsibilities.

Place, publisher, year, edition, pages
BioMed Central, 2013. Vol. 13, 48- p.
Keyword [en]
quality improvement, Swedish healthcare
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:rkh:diva-742DOI: 10.1186/1472-6963-13-48PubMedID: 23391160OAI: oai:DiVA.org:rkh-742DiVA: diva2:683289
Available from: 2014-01-03 Created: 2014-01-03 Last updated: 2015-10-15Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
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More styles
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  • de-DE
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More languages
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