Unni Krogstad - Academia.edu (original) (raw)
Papers by Unni Krogstad
Tidsskrift for Den Norske Laegeforening, 1997
Pasienterfaringer blir vanligvis samlet gjennom spørreskjemaer med forhåndsoppstilte svaralternat... more Pasienterfaringer blir vanligvis samlet gjennom spørreskjemaer med forhåndsoppstilte svaralternativer. En analyse av 3600 svarskjemaer viste at innpå hver femte svarer beny et seg av anledningen til å utdype sine avkryssinger medkommentarer i fri tekst. Selv om de fleste kommentarene gjaldt emner som var ta opp i spørsmålene, tok de imidlertidikke opp alle temaene i spørreskjemaet. På den måten gav svarernes kommentarprofil et fyldigere bilde enn deresavkryssingsprofil, og viste hvilke opplevelser pasientene var mest oppta av å gi tilbakemelding om. De friekommentarene gir helsetjenesten ny ig tilleggsinformasjon i et kvalitetsutviklingsperspektiv.
Knowledge Centre for the Health Services at The Norwegian Institute of Public Health (NIPH), 2007
Annali dell'Istituto Superiore di Sanità, 2003
This article describes a well developed, but not yet widespread, statistical method. It presents ... more This article describes a well developed, but not yet widespread, statistical method. It presents its distinguishing characteristic (and pre-empts the misunderstanding that all it is about, is including predictors from more than one level). It walks the reader through a simplified example: how can multilevel analysis be used to explain variances in patient satisfaction with the way hospital work is organized. It also discusses the importance of the disciplinary setting for the extra benefit provided by multilevel analysis, as compared to traditional contextual analysis.
Tidsskrift for Den norske legeforening, Feb 17, 2005
The purpose of this paper is to describe the development and evaluation of the patient experience... more The purpose of this paper is to describe the development and evaluation of the patient experiences questionnaire (PEQ) for somatic outpatients. Literature review, focus groups, interviews with patients and clinicians, and pre-testing of questionnaire items were used. A postal survey among 12,525 patients of 23 outpatient clinics for adults in two Norwegian health regions was conducted during 2003. 6824 (55%) patients responded to the questionnaire. Low levels of missing data suggest that the questionnaire is acceptable to patients. Factor analysis of items deemed applicable to all patients produced three scales: clinic access (2 items), communication (6 items) and organisation (4 items). The remaining items contributed to the hypothesised scales of information (6 items), hospital standards (3 items), and pre-visit experience (3 items). With the exception of the pre-visit experience scale, the levels of Cronbach's alpha met the criterion of 0.7. The great majority of the results ...
Tidsskrift for Den norske legeforening, Aug 20, 2002
Reorganisation has become the slogan of how to improve health service without increasing expenses... more Reorganisation has become the slogan of how to improve health service without increasing expenses. The question is whether we have the knowledge necessary to build good hospital organisations. The inside information of staff members is one important source for information about hospital organisation. The Foundation for Health Services Research performed surveys among doctors, nurses and auxiliaries in Norwegian hospitals in 1998, 2000 and 2001. The questionnaire maps the following dimensions of hospital work: general job satisfaction, workload, leadership, work organisation, professional and personal feedback, competence, continuity, cooperation and architecture. This article presents data from the 2000 study. About 75% out of 1,832 respondents claim to be satisfied with their jobs, nurses more so than doctors. Small hospitals are experienced as a better place to work than large ones in nearly all respects. Younger employees and staff with a foreign cultural background are less sati...
Objective. To explore doctor and nurse perception of inter-professional co-operation in hospitals... more Objective. To explore doctor and nurse perception of inter-professional co-operation in hospitals; discuss professional differences as reflections of cultural diversity in the perspective of quality improvement. Design. Cross-sectional survey data from a stratified sample of 15 Norwegian hospitals, September 1998: 551 doctors and 2050 nurses at medical and surgical wards. Measures. Doctor and nurse evaluation of their inter-professional co-operation was mapped. Logistic regression models predicting their satisfaction were compared. Results. Doctors were significantly more often than nurses satisfied with the inter-professional co-operation of the two groups. Satisfaction with inter-professional co-operation was predicted by a number of work situation variables. Some of them contribute differently to doctor and nurse satisfaction. Conclusions. Doctors and nurses not only evaluate their inter-professional co-operation differently, they also appear to define the concept in different wa...
in Norwegian hospitals: relevance for micro unit culture
bedre kvalitet pa behandlingen? Dette er et viktig sporsmal for helsemyndigheter, helsearbeidere,... more bedre kvalitet pa behandlingen? Dette er et viktig sporsmal for helsemyndigheter, helsearbeidere, helsetjenesteforskere og befolkningen. Enkelte helseorganisasjoner i USA har innfort volumstandarder for sykehus og leger. Dette droftes ogsa i norsk helsetjeneste. Kunnskapssenteret har gjennomgatt og sammenstilt forskningen om pasientvolum og behandlingskvalitet med basis i litteratur for perioden 2001−2006. Denne delrapporten tar for seg behandling av hjerteog karsykdommer for folgende omrader: Behandling av akutt koronarsykdom, akutt og planlagt perkutan koronar intervensjon (PCI), kirurgi pa halspulsaren (karotiskirurgi), utposinger pa magepulsaren (abdominale aortaaneurismer), hjerneslag og intrakranielle aneurismer, operasjoner for tette pulsarer pa bena og hjertekirurgi. Konklusjoner: • Det er sammenheng mellom volum og utfall ved behandling av aortaaneurismer, PCIbehandling og koronar bypass. • Resultatene er ikke entydige for karotiskirurgi og operasjoner for tette pulsarer pa...
Tidsskrift for Den Norske Laegeforening, 2005
Tidsskrift for Den Norske Laegeforening, 2002
Background. Reorganisation has become the slogan of how to improve health service without increas... more Background. Reorganisation has become the slogan of how to improve health service without increasing expenses. The question is whether we have the knowledge necessary to build good hospital organisations. The inside information of staff members is one important source for information about hospital organisation. Material and methods. The Foundation for Health Services Research performed surveys among doctors, nurses and auxiliaries in Norwegian hospitals in 1998, 2000 and 2001. The questionnaire maps the following dimensions of hospital work: general job satisfaction, workload, leadership, work organisation, professional and personal feedback, competence, continuity, cooperation and architecture. This article presents data from the 2000 study. Results. About 75 % out of 1,832 respondents claim to be satisfied with their jobs, nurses more so than doctors. Small hospitals are experienced as a better place to work than large ones in nearly all respects. Younger employees and staff with...
om å oppdatere Kunnskapssenterets rapport pasientvolum og behandlingskvalitet ved hjerteog karsyk... more om å oppdatere Kunnskapssenterets rapport pasientvolum og behandlingskvalitet ved hjerteog karsykdommer fra 2007. Dette notatet er en oppdatering av kapitlet om behandling av pasienter med slag eller intrakraniale aneurismer Vi har søkt etter nye publikasjoner i Medline frem til august 2008. Resultater: • I denne oppdateringen inkluderte vi én ny studie fra Canada om behandling av hjerneslag. Vi fant ingen nye studier for intrakraniale aneurismer. Samlet sett har vi dermed inkludert seks publikasjoner om volum og kvalitet ved behandling av pasienter med hjerneslag. Tre publikasjoner er fra et tysk kvalitetsregister, to studier har analysert administrative data fra USA og én studie har administrative data fra Canada. • Litteraturen om betydningen av sykehusvolum ved slagbehandling er begrenset, og resultatene er ikke entydige. •Analyser av data fra et tysk kvalitetsregister konkluderte med at sykehusvolum hadde betydning ved behandling med trombolyse, men ikke ved annen slagbehandlin...
Denne publikasjonen er en oversettelse av "Respectful Management of Serious Clinical Adverse... more Denne publikasjonen er en oversettelse av "Respectful Management of Serious Clinical Adverse Events Sec. Ed) fra, Institute for Healthcare Improvement (IHI). Publikasjonen bygger pa amerikansk helsetjeneste og virkelighet.
Tidsskrift for Den Norske Laegeforening, 1997
Pasienterfaringer blir vanligvis samlet gjennom spørreskjemaer med forhåndsoppstilte svaralternat... more Pasienterfaringer blir vanligvis samlet gjennom spørreskjemaer med forhåndsoppstilte svaralternativer. En analyse av 3600 svarskjemaer viste at innpå hver femte svarer beny et seg av anledningen til å utdype sine avkryssinger medkommentarer i fri tekst. Selv om de fleste kommentarene gjaldt emner som var ta opp i spørsmålene, tok de imidlertidikke opp alle temaene i spørreskjemaet. På den måten gav svarernes kommentarprofil et fyldigere bilde enn deresavkryssingsprofil, og viste hvilke opplevelser pasientene var mest oppta av å gi tilbakemelding om. De friekommentarene gir helsetjenesten ny ig tilleggsinformasjon i et kvalitetsutviklingsperspektiv.
Knowledge Centre for the Health Services at The Norwegian Institute of Public Health (NIPH), 2007
Annali dell'Istituto Superiore di Sanità, 2003
This article describes a well developed, but not yet widespread, statistical method. It presents ... more This article describes a well developed, but not yet widespread, statistical method. It presents its distinguishing characteristic (and pre-empts the misunderstanding that all it is about, is including predictors from more than one level). It walks the reader through a simplified example: how can multilevel analysis be used to explain variances in patient satisfaction with the way hospital work is organized. It also discusses the importance of the disciplinary setting for the extra benefit provided by multilevel analysis, as compared to traditional contextual analysis.
Tidsskrift for Den norske legeforening, Feb 17, 2005
The purpose of this paper is to describe the development and evaluation of the patient experience... more The purpose of this paper is to describe the development and evaluation of the patient experiences questionnaire (PEQ) for somatic outpatients. Literature review, focus groups, interviews with patients and clinicians, and pre-testing of questionnaire items were used. A postal survey among 12,525 patients of 23 outpatient clinics for adults in two Norwegian health regions was conducted during 2003. 6824 (55%) patients responded to the questionnaire. Low levels of missing data suggest that the questionnaire is acceptable to patients. Factor analysis of items deemed applicable to all patients produced three scales: clinic access (2 items), communication (6 items) and organisation (4 items). The remaining items contributed to the hypothesised scales of information (6 items), hospital standards (3 items), and pre-visit experience (3 items). With the exception of the pre-visit experience scale, the levels of Cronbach's alpha met the criterion of 0.7. The great majority of the results ...
Tidsskrift for Den norske legeforening, Aug 20, 2002
Reorganisation has become the slogan of how to improve health service without increasing expenses... more Reorganisation has become the slogan of how to improve health service without increasing expenses. The question is whether we have the knowledge necessary to build good hospital organisations. The inside information of staff members is one important source for information about hospital organisation. The Foundation for Health Services Research performed surveys among doctors, nurses and auxiliaries in Norwegian hospitals in 1998, 2000 and 2001. The questionnaire maps the following dimensions of hospital work: general job satisfaction, workload, leadership, work organisation, professional and personal feedback, competence, continuity, cooperation and architecture. This article presents data from the 2000 study. About 75% out of 1,832 respondents claim to be satisfied with their jobs, nurses more so than doctors. Small hospitals are experienced as a better place to work than large ones in nearly all respects. Younger employees and staff with a foreign cultural background are less sati...
Objective. To explore doctor and nurse perception of inter-professional co-operation in hospitals... more Objective. To explore doctor and nurse perception of inter-professional co-operation in hospitals; discuss professional differences as reflections of cultural diversity in the perspective of quality improvement. Design. Cross-sectional survey data from a stratified sample of 15 Norwegian hospitals, September 1998: 551 doctors and 2050 nurses at medical and surgical wards. Measures. Doctor and nurse evaluation of their inter-professional co-operation was mapped. Logistic regression models predicting their satisfaction were compared. Results. Doctors were significantly more often than nurses satisfied with the inter-professional co-operation of the two groups. Satisfaction with inter-professional co-operation was predicted by a number of work situation variables. Some of them contribute differently to doctor and nurse satisfaction. Conclusions. Doctors and nurses not only evaluate their inter-professional co-operation differently, they also appear to define the concept in different wa...
in Norwegian hospitals: relevance for micro unit culture
bedre kvalitet pa behandlingen? Dette er et viktig sporsmal for helsemyndigheter, helsearbeidere,... more bedre kvalitet pa behandlingen? Dette er et viktig sporsmal for helsemyndigheter, helsearbeidere, helsetjenesteforskere og befolkningen. Enkelte helseorganisasjoner i USA har innfort volumstandarder for sykehus og leger. Dette droftes ogsa i norsk helsetjeneste. Kunnskapssenteret har gjennomgatt og sammenstilt forskningen om pasientvolum og behandlingskvalitet med basis i litteratur for perioden 2001−2006. Denne delrapporten tar for seg behandling av hjerteog karsykdommer for folgende omrader: Behandling av akutt koronarsykdom, akutt og planlagt perkutan koronar intervensjon (PCI), kirurgi pa halspulsaren (karotiskirurgi), utposinger pa magepulsaren (abdominale aortaaneurismer), hjerneslag og intrakranielle aneurismer, operasjoner for tette pulsarer pa bena og hjertekirurgi. Konklusjoner: • Det er sammenheng mellom volum og utfall ved behandling av aortaaneurismer, PCIbehandling og koronar bypass. • Resultatene er ikke entydige for karotiskirurgi og operasjoner for tette pulsarer pa...
Tidsskrift for Den Norske Laegeforening, 2005
Tidsskrift for Den Norske Laegeforening, 2002
Background. Reorganisation has become the slogan of how to improve health service without increas... more Background. Reorganisation has become the slogan of how to improve health service without increasing expenses. The question is whether we have the knowledge necessary to build good hospital organisations. The inside information of staff members is one important source for information about hospital organisation. Material and methods. The Foundation for Health Services Research performed surveys among doctors, nurses and auxiliaries in Norwegian hospitals in 1998, 2000 and 2001. The questionnaire maps the following dimensions of hospital work: general job satisfaction, workload, leadership, work organisation, professional and personal feedback, competence, continuity, cooperation and architecture. This article presents data from the 2000 study. Results. About 75 % out of 1,832 respondents claim to be satisfied with their jobs, nurses more so than doctors. Small hospitals are experienced as a better place to work than large ones in nearly all respects. Younger employees and staff with...
om å oppdatere Kunnskapssenterets rapport pasientvolum og behandlingskvalitet ved hjerteog karsyk... more om å oppdatere Kunnskapssenterets rapport pasientvolum og behandlingskvalitet ved hjerteog karsykdommer fra 2007. Dette notatet er en oppdatering av kapitlet om behandling av pasienter med slag eller intrakraniale aneurismer Vi har søkt etter nye publikasjoner i Medline frem til august 2008. Resultater: • I denne oppdateringen inkluderte vi én ny studie fra Canada om behandling av hjerneslag. Vi fant ingen nye studier for intrakraniale aneurismer. Samlet sett har vi dermed inkludert seks publikasjoner om volum og kvalitet ved behandling av pasienter med hjerneslag. Tre publikasjoner er fra et tysk kvalitetsregister, to studier har analysert administrative data fra USA og én studie har administrative data fra Canada. • Litteraturen om betydningen av sykehusvolum ved slagbehandling er begrenset, og resultatene er ikke entydige. •Analyser av data fra et tysk kvalitetsregister konkluderte med at sykehusvolum hadde betydning ved behandling med trombolyse, men ikke ved annen slagbehandlin...
Denne publikasjonen er en oversettelse av "Respectful Management of Serious Clinical Adverse... more Denne publikasjonen er en oversettelse av "Respectful Management of Serious Clinical Adverse Events Sec. Ed) fra, Institute for Healthcare Improvement (IHI). Publikasjonen bygger pa amerikansk helsetjeneste og virkelighet.