PMID- 23217088
OWN - NLM
STAT- MEDLINE
DCOM- 20130523
LR  - 20240323
IS  - 1472-6963 (Electronic)
IS  - 1472-6963 (Linking)
VI  - 12
DP  - 2012 Dec 7
TI  - Design of a prospective cohort study to assess ethnic inequalities in patient 
      safety in hospital care using mixed methods.
PG  - 450
LID - 10.1186/1472-6963-12-450 [doi]
AB  - BACKGROUND: While US studies show a higher risk of adverse events (AEs) for 
      ethnic minorities in hospital care, in Europe ethnic inequalities in patient 
      safety have never been analysed. Based on existing literature and exploratory 
      research, our research group developed a conceptual model and empirical study to 
      increase our understanding of the role ethnicity plays in patient safety. Our 
      study is designed to (1) assess the risk of AEs for hospitalised patients of 
      non-Western ethnic origin in comparison to ethnic Dutch patients; (2) analyse 
      what patient-related determinants affect the risk of AEs; (3) explore the 
      mechanisms of patient-provider interactions that may increase the risk of AEs; 
      and (4) explore possible strategies to prevent inequalities in patient safety. 
      METHODS: We are conducting a prospective mixed methods cohort study in four Dutch 
      hospitals, which began in 2010 and is running until 2013. 2000 patients (1000 
      ethnic Dutch and 1000 of non-Western ethnic origin, ranging in age from 45-75 
      years) are included. Survey data are collected to capture patients' explanatory 
      variables (e.g., Dutch language proficiency, health literacy, socio-economic 
      status (SES)-indicators, and religion) during hospital admission. After 
      discharge, a two-stage medical record review using a standardized instrument is 
      conducted by experienced reviewers to determine the incidence of AEs. Data will 
      be analysed using multilevel multivariable logistic regression. Qualitative 
      interviews with providers and patients will provide insight into the mechanisms 
      of AEs and potential prevention strategies. CONCLUSION: This study uses a robust 
      study plan to quantify the risk difference of AEs between ethnic minority and 
      Dutch patients in hospital care. In addition we are developing an in-depth 
      description of the mechanisms of excess risk for some groups compared to others, 
      while identifying opportunities for more equitable distributions of patient 
      safety for all.
FAU - van Rosse, Floor
AU  - van Rosse F
AD  - Department of Public Health, Academic Medical Center, Meibergdreef 9, Amsterdam, 
      AZ 1105, The Netherlands. f.vanrosse@amc.uva.nl
FAU - de Bruijne, Martine C
AU  - de Bruijne MC
FAU - Wagner, Cordula
AU  - Wagner C
FAU - Stronks, Karien
AU  - Stronks K
FAU - Essink-Bot, Marie-Louise
AU  - Essink-Bot ML
LA  - eng
PT  - Comparative Study
PT  - Evaluation Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20121207
PL  - England
TA  - BMC Health Serv Res
JT  - BMC health services research
JID - 101088677
SB  - IM
MH  - Aged
MH  - Cohort Studies
MH  - Ethnicity/*classification
MH  - Female
MH  - Health Services Research
MH  - *Health Status Disparities
MH  - Hospitals/*standards/statistics & numerical data
MH  - Humans
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Middle Aged
MH  - Netherlands
MH  - Outcome and Process Assessment, Health Care/*methods
MH  - Patient Admission/standards
MH  - Patient Safety/*standards
MH  - Patient Satisfaction
MH  - Professional-Patient Relations
MH  - Prospective Studies
MH  - Qualitative Research
MH  - *Quality Indicators, Health Care
MH  - Research Design
MH  - Surveys and Questionnaires
MH  - Transients and Migrants/psychology/statistics & numerical data
PMC - PMC3570405
EDAT- 2012/12/12 06:00
MHDA- 2013/05/25 06:00
PMCR- 2012/12/07
CRDT- 2012/12/11 06:00
PHST- 2011/08/22 00:00 [received]
PHST- 2012/11/29 00:00 [accepted]
PHST- 2012/12/11 06:00 [entrez]
PHST- 2012/12/12 06:00 [pubmed]
PHST- 2013/05/25 06:00 [medline]
PHST- 2012/12/07 00:00 [pmc-release]
AID - 1472-6963-12-450 [pii]
AID - 10.1186/1472-6963-12-450 [doi]
PST - epublish
SO  - BMC Health Serv Res. 2012 Dec 7;12:450. doi: 10.1186/1472-6963-12-450.