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Facilitators for using data from a quality registry in local quality improvement work : a cross-sectional survey of the Danish Cardiac Rehabilitation Database
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- Egholm, Cecilie Lindström (author)
- Univ Southern Denmark, Ctr Rehabil & Palliat Care, Danish Knowledge Ctr Rehabil & Palliat Care, Odense, Denmark;Region Southern Denmark, Odense, Denmark;Holbaek Univ Hosp, Dept Med, Holbaek, Denmark
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- Helmark, Charlotte (author)
- Zealand Univ Hosp, Dept Cardiol, Roskilde, Denmark
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- Christensen, Jan (author)
- Copenhagen Univ Hosp, Rigshosp, Dept Occupat & Physiotherapy, Copenhagen, Denmark
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- Eldh, Ann Catrine (author)
- Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten
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- Winblad, Ulrika, 1968- (author)
- Uppsala universitet,Hälso- och sjukvårdsforskning,Uppsala Univ, Sweden
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- Bunkenborg, Gitte (author)
- Holbaek Univ Hosp, Dept Anesthesiol, Holbaek, Denmark
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- Zwisler, Ann-Dorthe (author)
- Univ Southern Denmark, Ctr Rehabil & Palliat Care, Danish Knowledge Ctr Rehabil & Palliat Care, Odense, Denmark
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- Nilsen, Per (author)
- Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten
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(creator_code:org_t)
- 2019-06-12
- 2019
- English.
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In: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 9:6
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Abstract
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- Objectives To investigate use of data from a clinical quality registry for cardiac rehabilitation in Denmark, considering the extent to which data are used for local quality improvement and what facilitates the use of these data, with a particular focus on whether there are differences between frontline staff and managers. Design Cross-sectional nationwide survey study. Setting, methods and participants A previously validated, Swedish questionnaire regarding use of data from clinical quality registries was translated and emailed to frontline staff, mid-level managers and heads of departments (n=175) in all 30 hospital departments participating in the Danish Cardiac Rehabilitation Database. Data were analysed descriptively and through multiple linear regression. Results Survey response rate was 58% (101/175). Reports of registry use at department level (measured through an index comprising seven items; score min 0, max 7, where a low score indicates less use of data) varied significantly between groups of respondents: frontline staff mean score 1.3 (SD=2.0), mid-level management mean 2.4 (SD=2.3) and heads of departments mean 3.0 (SD=2.5), p=0.006. Overall, department level use of data was positively associated with higher perceived data quality and usefulness (regression coefficient=0.22, p=0.019), management request for data (regression coefficient=0.40, p=0.008) and personal motivation of the respondent (regression coefficient=1.63, p<0.001). Among managers, use of registry data was associated with data quality and usefulness (regression coefficient=0.43, p=0.027), and among frontline staff, reported data use was associated with management involvement in quality improvement work (regression coefficient=0.90, p=0.017) and personal motivation (regression coefficient=1.66, p<0.001). Conclusions The findings suggest relatively sparse use of data in local quality improvement work. A complex interplay of factors seem to be associated with data use with varying aspects being of importance for frontline staff and managers.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
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