A systematic review of the validity and reliability of patient‐reported experience measures

Bull, Claudia; Byrnes, Joshua; Hettiarachchi, Ruvini; Downes, Martin

doi:10.1111/1475-6773.13187

Cited by 200 publications

(208 citation statements)

References 153 publications

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“…PREMs differ from patient-reported outcome measures, which aim to measure the patient's health status quality, as well as more subjective patient satisfaction measures. 32 According to our analysis, both satisfaction and PQHC appear to be subjective concepts, influenced by subjective measures, where patients tend to emphasize the importance of the same/various predictors at a different level in terms of satisfaction and PQHC that leads to distinction between them. Thus, we may observe a different level of correlation that proves that patients may form different views regarding these two concepts, even though observing their similarity at the same time.…”

Section: Discussionmentioning

confidence: 79%

“…Patient satisfaction is identified as one of the most important goals in any ED, relying on patient-reported experience measures (PREM), which gains increasing attention as an indicator of the quality of health care. 32 According to a recent systematic review, currently available PREMs for use in EDs have uncertain validity, reliability, and responsiveness. 33 Several attempts to upgrade the validity of PREM have been explored.…”

Section: Discussionmentioning

confidence: 99%

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Predictors of Patient Satisfaction and the Perceived Quality of Healthcare in an Emergency Department in Portugal

Abidova

Silva

Moreira

2020

WestJEM

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Introduction: The predictors of patient satisfaction in emergency medicine (EM) have been widely studied and discussed in the scientific literature; the results vary depending on the specific EM attributes, cultural aspects, researchers’ preferences, and approaches. However, it is not clear whether the same predictors of patient satisfaction can contribute to a better-perceived quality of healthcare or whether patients’ perceptions form a different attitude toward satisfaction and perceived quality of healthcare. The goal of this study was to identify the key predictors of patient satisfaction and perceived quality of healthcare in the framework of an emergency department (ED). Methods: We conducted a retrospective study of patients seen at an ED between January -December 2016. Data collection took place in the public hospital in Lisbon, Portugal, between May - November 2017. The total sample size included 382 patients. The sample distribution had a 5% margin of error and a 95% confidence interval. Data for this research, using a questionnaire, was collected by mail or e-mail according to the respondent’s preference. Results: A detailed analysis showed that three out of the 18 predictors had a statistically significant relationship with satisfaction: overall satisfaction with doctors, with a positive correlation (r = 0.14, p ≤ 0.01); qualitative perceived waiting time for triage, with a positive correlation (r = 0.08, p ≤ 0.05); and meeting expectations, with a positive correlation (r = 0.53, p ≤ 0.01). Furthermore, a detailed analysis showed that only two out of the 18 predictors had a statistically significant relationship with the perceived quality of healthcare (PQHC): overall satisfaction with doctors, with a positive correlation (r = 0.43, p ≤ 0.01) and meeting expectations, with a positive correlation (r = 0.26, p ≤ 0.01). Conclusion: The main predictors of satisfaction and perceived quality of healthcare were overall satisfaction with doctors and meeting expectations. We should note that “meeting expectations” plays the most important role in terms of satisfaction; however, in terms of PQHC the predictor “overall satisfaction with doctors” plays the most important role due to its stronger correlation. In addition, the qualitative perceived waiting time for triage could be considered as another predictor, influencing satisfaction only, thus emphasizing similarities and differences between satisfaction and the PQHC in an ED context.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Predictors of Patient Satisfaction and the Perceived Quality of Healthcare in an Emergency Department in Portugal

Abidova

Silva

Moreira

2020

WestJEM

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“…Patient-reported experience measures (PREMs) are important metrics of patient-centred quality of care that are complementary to process and outcomes measures. PREMs aim at informing health system policy and improvement initiatives on user perspectives and experiences with health services 14…”

Section: Introductionmentioning

confidence: 99%

Psychometric validation of a Patient-Centred Quality of Cancer Care Questionnaire in Mexico

Doubova

Martínez-Vega

Gutiérrez-De-la-Barrera

et al. 2020

BMJ Open

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ObjectivesTo develop and validate a Patient-Centred Quality of Cancer Care Questionnaire in Spanish (PCQCCQ-S) appropriate to the Mexican context.DesignPsychometric validation of a questionnaire.SettingTwo public oncology hospitals in Mexico City.Participants1809 patients with cancer aged ≥18 years.Source of informationCross-sectional survey.MethodsThe validation procedures comprised (1) content validity through a group of experts and patients; (2) item reduction and evaluation of the factor structure, through an exploratory factor analysis based on the polychoric correlation matrix; (3) internal consistency using Cronbach’s alpha; (4) convergent validity between the PCQCCQ-S and supportive care needs scale; (5) correlation analysis between the PCQCCQ-S and quality of life scale by calculating Spearman’s rank-correlation coefficient; and (6) differentiation by ‘known groups’ through the Wilcoxon rank-sum test.ResultsThe PCQCCQ-S has 30 items with the following five factors accounting for 96.5% of the total variance: (1) timely care; (2) clarity of the information; (3) information for treatment decision-making; (4) activities to address biopsychosocial needs; and (5) respectful and coordinated care. Cronbach’s alpha values ranged from 0.73 to 0.90 among the factors. PCQCCQ-S has moderate convergent validity with supportive care needs scale, revealing that higher quality is correlated with lower patient needs. PCQCCQ-S has acceptable ability to differentiate by ‘known groups’, showing that older patients and those with low levels of education perceived lower total quality of care as compared with their counterparts.ConclusionPCQCCQ-S has acceptable psychometric properties and can be used to measure quality of patient-centred cancer care in Mexico and serve as a reference to develop PCQCCQ-S in other Spanish-speaking countries.

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“…In the last decade, we have observed a growing interest on patient-reported experience measures (PREMs). These measures became a widely used quality indicator to inform the general public, policy-makers, but also health care professionals and organizations about patient-centered health care service delivery, wherein aspects of the care experience are measured [4,5]. However, a shortcoming to most instruments on PREMs should be acknowledged: many lack standardization or proper reporting about its validity/reliability [4].…”

Section: Introductionmentioning

confidence: 99%

Eliciting preferences for outpatient care experiences in Hungary: A discrete choice experiment with a national representative sample

et al. 2020

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Introduction Patient-reported experience measures (PREMs) are central to inform on the responsiveness of health systems to citizens' health care needs and expectations. At their current form, PREMs do not reflect the weights that patients assign to varying aspects of the care experience. We aimed to investigate patients' preferences and willingness to pay (WTP) for attributes of the care experience in outpatient settings. Methods A discrete choice experiment was conducted among a representative sample of the general adult population of Hungary (n = 1000). Choice set attributes and levels were defined based on OECD's standardized PREMs (e.g. a doctor spending enough time in consultation, providing easy to understand explanations, giving opportunity to ask questions, and involving in decision making) and a price attribute. Conditional and mixed logit analyses were conducted. WTP estimates were computed in preference and WTP space. Results The respondents most preferred attribute was that of a doctor spending enough time in consultation, followed by involvement in decision making. Moreover, waiting times had a less important effect on respondents' choice preference compared with aspects of the doctorpatient relationship. Estimates in the WTP space varied from €4.38 (2.85-5.90) for waiting an hour less at a doctor's office to €36.13 (32.07-40.18) for a consultation where a doctor spends enough time with a patient relative to a consultation where a doctor does not. Conclusions A preference-based PREMs approach provide insight on the value patients assign to different aspects of their care experience. This can inform the decisions of policy-makers and

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A systematic review of the validity and reliability of patient‐reported experience measures

Cited by 200 publications

References 153 publications

Predictors of Patient Satisfaction and the Perceived Quality of Healthcare in an Emergency Department in Portugal

Predictors of Patient Satisfaction and the Perceived Quality of Healthcare in an Emergency Department in Portugal

Psychometric validation of a Patient-Centred Quality of Cancer Care Questionnaire in Mexico

Eliciting preferences for outpatient care experiences in Hungary: A discrete choice experiment with a national representative sample

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