La sécurité liée aux soins : écarts entre l’expérience et la satisfaction de patients hospitalisés à partir d’entretiens menés par des représentants d’usagers - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Epidemiology and Public Health = Revue d'Epidémiologie et de Santé Publique Année : 2020

La sécurité liée aux soins : écarts entre l’expérience et la satisfaction de patients hospitalisés à partir d’entretiens menés par des représentants d’usagers

Résumé

Introduction: The purpose of this article is to present the results of a qualitative survey conducted by user representatives (URs) focusing on the health care safety experience of hospitalized patients. The authors wished to identify factors associated with safety of care and, more specifically, with the possibly ominous medical events reported by patients. Methods: After being trained with these objectives in mind, eight URs conducted semi-directive interviews with fourteen patients hospitalized in eleven separate hospital units in nine different hospitals. Results: Eight types of factors consisting in 30 contributing factors liable to be reported by patients were identified: 1) factors related to patients' basic needs; 2) personalization of care; 3) professional factors; 4) organizational factors; 5) communication factors; 6) caregiver responsiveness; 7) infectious risks; 8) continuity of care. Patients' overall feelings about their hospitalization remained excellent notwithstanding more tempered, even negative experiences. Conclusion: This paradoxical result shows that the patients' actual experience is far more instructive than their degree of satisfaction. In light of this study, the acceptability of this type of research (i.e. research conducted by URs) is excellent and it also appears highly feasible, whatever the limitations imposed by organizational considerations.
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hal-03492937 , version 1 (21-11-2022)

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O. Gross, B. Agostini, P. Belleval, I. Cavé, M. Citrini, et al.. La sécurité liée aux soins : écarts entre l’expérience et la satisfaction de patients hospitalisés à partir d’entretiens menés par des représentants d’usagers. Epidemiology and Public Health = Revue d'Epidémiologie et de Santé Publique, 2020, 68, pp.337 - 346. ⟨10.1016/j.respe.2020.10.004⟩. ⟨hal-03492937⟩
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