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Patient Experience

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9 papers 0 to 25 followers
Sophie Staniszewska, Felicity Boardman, Lee Gunn, Julie Roberts, Diane Clay, Kate Seers, Jo Brett, Liz Avital, Ian Bullock, Norma O' Flynn
OBJECTIVE: This paper presents the development of the Warwick Patient Experiences Framework (WaPEF) and describes how it informed the development of the NICE Guidance and Quality Standard, 'Patient experience in adult NHS services: improving the experience of care for people using adult NHS services'. DESIGN: The WaPEF was developed using a thematic qualitative overview that utilized a systematic review approach. Search strategies were developed, inclusion and exclusion criteria developed and data extracted from papers...
April 2014: International Journal for Quality in Health Care
Matthew P Manary, William Boulding, Richard Staelin, Seth W Glickman
Do patients' reports of their health care experiences reflect the quality of care? Despite the increasing role of such measures in research and policy, there's no consensus regarding their legitimacy in quality assessment. Indeed, as physician and hospital compensation becomes increasingly tied to..
January 17, 2013: New England Journal of Medicine
Robert Weech-Maldonado, Allyson Hall, Thomas Bryant, Kevin A Jenkins, Marc N Elliott
BACKGROUND: Prior studies have shown that racial/ethnic minorities have lower Consumer Assessments of Healthcare Providers and Systems (CAHPS) scores. Perceived discrimination may mediate the relationship between race/ethnicity and patient experiences with care. OBJECTIVE: To examine the relationship between perceived discrimination based on race/ethnicity and Medicaid insurance and CAHPS reports and ratings of care. METHODS: The study analyzed 2007 survey data from 1509 Florida Medicaid beneficiaries...
September 2012: Medical Care
Stefan G Kertesz, David E Pollio, Richard N Jones, Jocelyn Steward, Erin J Stringfellow, Adam J Gordon, Nancy K Johnson, Theresa A Kim, Shanette G Daigle, Erika L Austin, Alexander S Young, Joya G Chrystal, Lori L Davis, David L Roth, Cheryl L Holt
BACKGROUND: Homeless patients face unique challenges in obtaining primary care responsive to their needs and context. Patient experience questionnaires could permit assessment of patient-centered medical homes for this population, but standard instruments may not reflect homeless patients' priorities and concerns. OBJECTIVES: This report describes (a) the content and psychometric properties of a new primary care questionnaire for homeless patients; and (b) the methods utilized in its development...
August 2014: Medical Care
Paul D Cleary, Mark Meterko, Steven M Wright, Alan M Zaslavsky
BACKGROUND: Surveys are increasingly used to assess patient experiences with health care. Comparisons of hospital scores based on patient experience surveys should be adjusted for patient characteristics that might affect survey results. Such characteristics are commonly drawn from patient surveys that collect little, if any, clinical information. Consequently some hospitals, especially those treating particularly complex patients, have been concerned that standard adjustment methods do not adequately reflect the challenges of treating their patients...
July 2014: Medical Care
Nadia R Llanwarne, Gary A Abel, Marc N Elliott, Charlotte A M Paddison, Georgios Lyratzopoulos, John L Campbell, Martin Roland
PURPOSE: Clinical quality and patient experience are both widely used to evaluate the quality of health care, but the relationship between these 2 domains remains uncertain. The aim of this study was to examine this relationship using data from 2 established measures of quality in primary care in England. METHODS: Practice-level analyses (N = 7,759 practices in England) were conducted on measures of patient experience from the national General Practice Patient Survey (GPPS), and measures of clinical quality from the national pay-for-performance scheme (Quality and Outcomes Framework)...
September 2013: Annals of Family Medicine
Elizabeth Morrow, Phil Cotterell, Glenn Robert, Patricia Grocott, Fiona Ross
OBJECTIVE: To identify and examine mechanisms through which patients' experiences of chronic disease can be accessed, understood, and used to improve outcomes, health care costs, and quality of life for individual patients. STUDY DESIGN AND SETTING: Interpretive synthesis of the research literature on chronic disease and associated areas of clinical practice and service development. Searches of electronic databases (MEDLINE, EMBASE, and British Nursing Index), Internet searches, and snowballing techniques identified 66 relevant publications...
August 2013: Journal of Clinical Epidemiology
Laura A Schmidt, Diane R Rittenhouse, Kevin J Wu, James A Wiley
BACKGROUND: The patient-centered medical home (PCMH) is a key service delivery innovation in health reform. However, there are growing questions about whether the changes in clinics promoted by the PCMH model lead to improvements in the patient experience. OBJECTIVE: To test the hypothesis that PCMH improvements in safety-net primary care clinics are associated with a more positive patient experience. RESEARCH DESIGN: Multilevel cross-sectional analysis of patients nested within the primary care clinics that serve them...
February 2013: Medical Care
Mark Schlesinger, David E Kanouse, Lise Rybowski, Steven C Martino, Dale Shaller
BACKGROUND: As indicators of clinician quality proliferate, public reports increasingly include multiple metrics. This approach provides more complete performance information than did earlier reports but may challenge consumers' ability to understand and use complicated reports. OBJECTIVES: To assess the effects of report complexity on consumers' understanding and use of patient experience measures derived from the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey...
November 2012: Medical Care
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