HHE 2018 | Page 37

registries have PROMs, and all registries also have patient representatives in the steering committee”.
One way to encourage patient participation is to develop and invest in new digital solutions. New digital tools can give people more influence, and also greater opportunities to take responsibility for their own healthcare. SALAR is involved in the management and development of the Swedish nationwide web portal 1177. se, which purpose is, among other things, to improve access to correct scientific health-related information and increase health literacy, but also to facilitate patients’ access to their own electronic medical records. patients. After all, patients view situations from a different point of view and they are the only ones who complete the entire care process.
“ This approach is an essential addition to your own perspective. We believe the patient should be actively and systematically involved when drafting, executing and evaluating patient safety policy. Patient involvement is one of the basic demands in the Safety Management System”.
united kingdom the netherlands
Mr Sander Gerritsen HOPE Governor, Dutch Hospital Association
Could you outline the strategy / approach adopted in your country on quality and patient safety or the two / three initiatives in the hospital and healthcare sector in the past ten years? To embed patient safety in healthcare practices, all Dutch hospitals have an accredited or certified Safety Management System( VMS in Dutch). Through this system, hospitals continuously identify risks, implement improvement, establish, evaluate and modify policy. The programme( 2008 – 2012) has led to a large reduction of avoidable damages and mortalities. From 2012, parts of the programme continued as the Safety Agenda, focusing on three pillars: medication safety; the safe application of medical technology; and infection prevention / antibiotics.
Could you present us the two / three expectations that your organisation / country have today on improving the quality of healthcare using the experiences and competencies of patients? Patient involvement is not an end in itself. It is a promising way of increasing patient safety by making use of knowledge and experience of
Patient involvement is not an end in itself. It is a promising way of increasing patient safety by making use of knowledge and experience of patients
Mr Niall Dickson HOPE Governor, NHS Confederation
Could you outline the strategy / approach adopted in your country on quality and patient safety or the two / three initiatives in the hospital and healthcare sector in the past ten years? The Care Quality Commission( CQC), a quality regulator established as part of wide-ranging reforms to the NHS in 2012, has had major impact on the approach of the NHS to quality and patient safety. The CQC developed a new inspection regime for hospitals and other trusts in the NHS, providing ratings under five different domains, one of which is safety. Trusts performing poorly are placed in‘ special measures’ and offered additional support to improve care. These changes have been credited with focusing the minds of hospital boards on safety, with 16 of 31 Trusts placed in special measures having moved out of this programme after improving the quality of care.
Another pivotal influence on patient safety has been the final report of the Mid-Staffordshire NHS Foundation Trust Public Inquiry. Published in 2013 in the wake of a serious patient safety scandal, this report has shaped much of the direction of patient safety initiatives in recent years. Its wide ranging recommendations focused particularly on the importance of openness, transparency and candour throughout the health service. This led to a number of legislative changes and an increase in nursing staff numbers in the acute sector.
In 2012 the UK was first the country in the
the netherlands
2000
2008
2015
Total health expenditure as % of Gross Domestic Product( GDP)
7.1 %
9.5 %
10.7 %
Percentage of current public expenditure on health as % of total current health expenditure
66.4 %
81.7 %
80.7 %
Hospital current health expenditure, as % of total current health expenditure
37.1 %
32.1 %
37.6 %
Out-of-pocket expenditure, % of current expenditure on health
9.4 %
10.7 %
12.3 %
All hospital beds per 100,000 inhabitants
483.0
470.0
418.0
Acute care hospital beds per 100,000 inhabitants
305.0
310.0
361.0
Acute care admissions / discharges per 100 inhabitants
9.0
11.0
11.5
Average length of stay for acute care hospitals( bed-days)
9.0
6.0
6.4
Practicing physicians per 100,000 inhabitants
n. a
n. a
347.0
Practicing nurses per 100,000 inhabitants
783.0
840.0
1047.0
37 HHE 2018 | hospitalhealthcare. com