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Human Resources for Health
Published in: Human Resources for Health 1/2015

Open Access 01-12-2015 | Research article

Assessing health-care providers’ readiness for reporting quality and patient safety indicators at primary health-care centres in Lebanon: a national cross-sectional survey

Authors: Mohamad Alameddine, Shadi Saleh, Nabil Natafgi

Published in: Human Resources for Health | Issue 1/2015

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Abstract

Background

Successful endorsement of quality indicators hinges on the readiness and acceptability of care providers for those measures. This paper aims to assess the readiness of care providers in the primary health-care sector in Lebanon for the implementation of quality and patient safety indicators.

Methods

A cross-sectional survey methodology was utilized to gather information from 943 clinical care providers working at 123 primary health-care centres in Lebanon. The questionnaire included two sections: the first assessed four readiness dimensions (appropriateness, management support, efficacy, and personal valence) of clinical providers to use quality and safety indicators using the Readiness for Organization Change (ROC) scale, and the second section assessed the safety attitude at the primary care centre utilizing the Agency of Health Research and Quality (AHRQ) Safety Attitude Questionnaire (SAQ)-Ambulatory version.

Results

Although two thirds (66 %) of respondents indicated readiness for implementation of quality and patient safety indicators in their centres, there appear to be differences by professional group. Physicians displayed the lowest scores on all readiness dimensions except for personal valence which was the lowest among nurses (60 %). In contrast, allied health professionals displayed the highest scores across all readiness dimensions. Generally, respondents reflected a positive safety attitude climate in the centres. Yet, there remain a few areas of concern related to punitive culture (only 12.8 % agree that staff should not be punished for reported errors/incidents), continuity of care (41.1 % believe in the negative consequences of lack in continuity of care process), and resources (48.1 % believe that the medical equipment they have are adequate). Providers with the highest SAQ score had 2.7, 1.7, 7 and 2.4 times the odds to report a higher readiness on the appropriateness, efficacy, management and personal valence ROC subscales, respectively (P value <0.01). Nurses displayed relatively lower odds of readiness across all other ROC subscales as compared to all other providers.

Conclusion

Health-care providers at the primary health care (PHC) centres in Lebanon are ready to engage in employing quality and patient safety indicators. This is a key finding given the active efforts by the MoPH to strengthen the quality culture in the PHC sector through various strategies.
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Literature
1.
WHO. Declaration of the Alma-Ata: international conference on primary health care. 1978.
2.
WHO. The World Health Report 2008 - primary health care (now more than ever). 2008.
3.
Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. J Interprof Care. 2002;16(4):413.CrossRef
4.
Saleh SS, Alameddine MS, Natafgi NM. Beyond accreditation: a multi-track quality-enhancing strategy for primary health care in low- and middle-income countries. Int J Health Serv. 2014;44(2):355–72.CrossRefPubMed
5.
Gibberd R, Hancock S, Howley P, Richards K. Using indicators to quantify the potential to improve the quality of health care. Int J Qual Health Care. 2004;16 Suppl 1:i37–43.CrossRefPubMed
6.
Marshall MN, Shekelle PG, McGlynn EA, Campbell S, Brook RH, Roland MO. Can health care quality indicators be transferred between countries? Qual Saf Health Care. 2003;12(1):8–12.CrossRefPubMedPubMedCentral
7.
Campbell SM, Braspenning J, Hutchinson A, Marshall MN. Research methods used in developing and applying quality indicators in primary care. BMJ. 2003;326(7393):816–9.CrossRefPubMedPubMedCentral
8.
Holt DT, Helfrich CD, Hall CG, Weiner BJ. Are you ready? How health professionals can comprehensively conceptualize readiness for change. J Gen Intern Med. 2010;25 Suppl 1:50–5.CrossRefPubMedPubMedCentral
9.
Smith I. Achieving readiness for organizational change. Libr Manag. 2005;26(6/7):408–12.CrossRef
10.
11.
Eby LT, Adams DM, Russell JEA, Gaby SH. Perceptions of organizational readiness for change: factors related to employees’ reactions to the implementation of team-based selling. Hum Relat. 2000;53(3):419–42.CrossRef
12.
Cunningham CE, Woodward CA, Shannon HS, MacIntosh J, Lendrum B, Rosenbloom D, et al. Readiness for organizational change: a longitudinal study of workplace, psychological and behavioural correlates. J Occup Organ Psychol. 2002;75(4):377–92.CrossRef
13.
Hamilton S, McLaren S, Mulhall A. Assessing organisational readiness for change: use of diagnostic analysis prior to the implementation of a multidisciplinary assessment for acute stroke care. Implement Sci. 2007;2:21.CrossRefPubMedPubMedCentral
14.
Holt DT, Armenakis AA, Feild HS, Harris SG. Readiness for organizational change: the systematic development of a scale. J Appl Behav Sci. 2007;43(2):232–55.CrossRef
15.
Jennett P, Yeo M, Pauls M, Graham J. Organizational readiness for telemedicine: implications for success and failure. J Telemed Telecare. 2003;9 Suppl 2:S27–30.CrossRefPubMed
16.
Naveh E, Katz-Navon T, Stern Z. Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety. Med Care. 2006;44(2):117–23.CrossRefPubMed
17.
Jones RA, Jimmieson NL, Griffiths A. The impact of organizational culture and reshaping capabilities on change implementation success: the mediating role of readiness for change. J Manag Stud. 2005;42(2):361–86.CrossRef
18.
Backer TE, David SL, Soucy G. Reviewing the behavioral science knowledge base on technology transfer. Introduction. NIDA Res Monogr. 1995;155:1–20.PubMed
19.
Ammar W. Health system and reform in Lebanon: Beirut. Lebanon: World Health Organization Eastern Mediterranean Regional Office; 2003.
20.
Ammar W. Health beyond politics: first ed. Beirut, Lebanon: World Health Organization Eastern Mediterranean Regional Office; 2009.
21.
Ministry of Public Health. Annual report on primary health care. 2012.
22.
Ministry of Public Health in Lebanon - Primary Health Care Directorate. Primary health care - first mid-year annual report. 2012.
23.
Accreditation Canada. Lebanon to invest in the quality of primary health care. 2009.
24.
Anonymous. The Ministry of Public Health finalizes its first round of primary health care accreditation. Al Moustaqbal Newspaper. 27 April 2011; Issue 3981, page 12.
25.
Kaya S, Barsbay S, Karabulut E. The Turkish version of the safety attitudes questionnaire: psychometric properties and baseline data. Qual Saf Health Care. 2010;19(6):572–7.PubMed
26.
Field A. Discovering statistics using SPSS for Windows. London: Sage; 2000.
27.
Wechsler H, Levine S, Idelson RK, Schor EL, Coakley E. The physician’s role in health promotion revisited–a survey of primary care practitioners. N Engl J Med. 1996;334(15):996–8.CrossRefPubMed
28.
Eriksson L, Nga NT, Malqvist M, Persson LA, Ewald U, Wallin L. Evidence-based practice in neonatal health: knowledge among primary health care staff in northern Viet Nam. Hum Resour Health. 2009;7:36. -4491-7-36.CrossRefPubMedPubMedCentral
29.
Kushner RF. Barriers to providing nutrition counseling by physicians: a survey of primary care practitioners. Prev Med. 1995;24(6):546–52.CrossRefPubMed
30.
Storey C, Cheater F, Ford J, Leese B. Retention of nurses in the primary and community care workforce after the age of 50 years: database analysis and literature review. J Adv Nurs. 2009;65(8):1596–605.CrossRefPubMed
31.
Storey C, Cheater F, Ford J, Leese B. Retaining older nurses in primary care and the community. J Adv Nurs. 2009;65(7):1400–11.CrossRefPubMed
32.
Hayes LJ, O’Brien-Pallas L, Duffield C, Shamian J, Buchan J, Hughes F, et al. Nurse turnover: a literature review - an update. Int J Nurs Stud. 2012;49(7):887–905.CrossRefPubMed
33.
Modak I, Sexton JB, Lux TR, Helmreich RL, Thomas EJ. Measuring safety culture in the ambulatory setting: the safety attitudes questionnaire–ambulatory version. J Gen Intern Med. 2007;22(1):1–5.CrossRefPubMedPubMedCentral
34.
Byrd HS, Barton FE, Orenstein HH, Rohrich RJ, Burns AJ, Hobar PC, et al. Safety and efficacy in an accredited outpatient plastic surgery facility: a review of 5316 consecutive cases. Plast Reconstr Surg. 2003;112(2):636–41. discussion 642–6.CrossRefPubMed
35.
Rohrich RJ, White PF. Safety of outpatient surgery: is mandatory accreditation of outpatient surgery centers enough? Plast Reconstr Surg. 2001;107(1):189–92.CrossRefPubMed
36.
Lapetina EM, Armstrong EM. Preventing errors in the outpatient setting: a tale of three states. Health Aff (Millwood). 2002;21(4):26–39.CrossRef
37.
Al Tehewy M, Salem B, Habil I, El Okda S. Evaluation of accreditation program in non-governmental organizations’ health units in Egypt: short-term outcomes. Int J Qual Health Care. 2009;21(3):183–9.CrossRefPubMed
38.
Hofmann DA, Stetzer A. The role of safety climate and communication in accident interpretation: implications for learning from negative events. Acad Manage J. 1998;41(6):644–57.CrossRef
39.
Zohar D. A group-level model of safety climate: testing the effect of group climate on microaccidents in manufacturing jobs. J Appl Psychol. 2000;85(4):587–96.CrossRefPubMed
40.
Christl B, Harris MF, Jayasinghe UW, Proudfoot J, Taggart J, Tan J, et al. Readiness for organisational change among general practice staff. Qual Saf Health Care. 2010;19(5):e12.PubMed
41.
Madsen SR, Miller D, John CR. Readiness for organizational change: do organizational commitment and social relationships in the workplace make a difference? Hum Resour Dev Q. 2005;16(2):213–34.CrossRef
42.
Amirkhanyan AA, Kim HJ, Lambright KT. Does the public sector outperform the nonprofit and for-profit sectors? Evidence from a national panel study on nursing home quality and access. J Policy Anal Manage. 2008;27(2):326–53.CrossRefPubMed
Metadata
Title
Assessing health-care providers’ readiness for reporting quality and patient safety indicators at primary health-care centres in Lebanon: a national cross-sectional survey
Authors
Mohamad Alameddine
Shadi Saleh
Nabil Natafgi
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Human Resources for Health / Issue 1/2015
Electronic ISSN: 1478-4491
DOI
https://doi.org/10.1186/s12960-015-0031-5

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