The goal of the DUQuE project is to study the effectiveness of quality management systems in European hospitals. This is done by assessing the relationship of quality management systems and organisational culture, professionalsĺ involvement, and patient empowerment with the quality of hospital care (including clinical effectiveness, patient safety and patient involvement).
DUQuE has collected data in around 200 hospitals in the Czech Republic, France, Germany, Poland, Portugal, Spain, Turkey and England. Around 10,000 professionals responded to the organisational surveys, more than 6,000 patients shared their views on the quality of care, over 9,000 patient charts were reviewed and most study hospitals contributed administrative data and participated in external visits to assess quality management systems and activities.
Advanced statistical modelling techniques are being used to assess associations between the key constructs and to determine the impact of hospital quality management systems on quality of care outcomes.
The outputs of this research should help hospital managers in developing their quality management systems and purchasers to assess hospitals.
A substantial amount of research has been carried out in the last 30 years on assessing and improving the quality of health care. Despite considerable progress in conceptualisation and measurement, quality and safety problems persist and the debate on how to accelerate and sustain quality improvement is more relevant than ever.
This problem is of high relevance from the perspective of individual health care providers to facilitate management as well as for organisations purchasing hospital services, and ultimately, for patients.
The project has four research objectives:
The DUQuE project is at the forefront of quality improvement research and addresses questions such as "does quality management lead to better quality of care?" or "which quality management strategies have the biggest impact". Scientific publications will address the development and validation of constructs and questionnaires and associational analysis to explore relationships between hospital, departmental and patient-level constructs. In addition, practical tools will be developed for hospital managers and purchasers.
Two main research outputs with practical application will be designed: