Analyzing Health Outcomes Through International Comparisons

Psychiatric patients' satisfaction with their hospital care has not been reported in the Western literature. The concept of asking psychiatric patients about their perceptions of care is relatively new. The purpose of the present investigation was to assess the satisfaction of the care received by a group of acutely mentally ill hospitalized Thai patients. This post-test design examined a random sample of 182 persons hospitalized between 1 March 2000 and 31 July 2000. Using a validated Perception of Care instrument, research assistants assessed patient satisfaction. Patients rated the care as average with none of the items achieving a very good or excellent score. The lowest scoring items were receiving information about their rights, consistency of information provided, and the ease of obtaining information. Women tended to be more satisfied with care as were patients over the age of 55 years (P = 0.02). Patients with a diagnosis of schizophrenia were more satisfied with the care than other patients (P = 0.05). It is unknown if satisfaction levels are similar in other institutions in Thailand. None of the areas received excellent or very good ratings. The findings of this study were shared with the staff at the study site. There appears to be a need to develop performance improvement activities designed to address the areas identified as needing improvement. Replication of this study in other Thailand sites would provide an opportunity for agencies to benchmark their findings. By consenting to be a part of this study the staff and patients have taken a positive step forward to improve patient satisfaction with care.

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“…Using Anderson et al . 's (1994) back‐translation technique, the instrument was translated into Thai and then back again into English.…”

Section: Methodsmentioning

confidence: 99%

Assessment of patient satisfaction of mentally ill patients hospitalized in Thailand

Thapinta

Anders

Wiwatkunupakan

et al. 2004

Nursing & Health Sciences

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“…The clinical data sheets were also adapted from a US version. Through close collaboration among the researchers in the participating sites, a common concept for each question in data sheets was established, emphasising similarities in the meanings of questions rather than exact linguistic equivalence 12. For most clinical diagnoses a definition was given in the data sheet.…”

Section: Methodsmentioning

confidence: 99%

Variation in indications for cataract surgery in the United States, Denmark, Canada, and Spain: results from the International Cataract Surgery Outcomes Study

Nørregaard

Bernth‐Petersen

Alonso

et al. 1998

British Journal of Ophthalmology

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“…A translation ⁄ back-translation method was used. This technique is generally considered to represent a gold standard in terms of avoiding such bias (Anderson et al 1994).…”

Section: Limitations and Potential Bias Of The Cohort Studymentioning

confidence: 99%

Results from the International Cataract Surgery Outcomes Study

Nørregaard

2007

Acta Ophthalmologica Scandinavica

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It is widely accepted that cataract extraction with intraocular lens implantation is a highly effective and successful procedure. However, quality assessments and studies of effectiveness should still be undertaken. As with any surgical treatment modality, complications may occur, leading to suboptimal outcomes, additional health costs and deterioration in patients' functional capacity. International variation in clinical practice patterns and outcomes can serve as important pointers in the attempt to identify areas amenable to improvements in quality and cost-effectiveness. Once demonstrated, similar clinical results obtained in different health care systems can improve the level of confidence in a clinical standard against which the quality of care can be evaluated.The International Cataract Surgery Outcomes Study was established in 1992. The objective of this international comparative research project was to compare cataract management, outcomes of surgery and quality of care in four international sites. The study was conducted in the 1990s, since when many developments and refinements have emerged within cataract surgery. The actual figures reported in this thesis may no longer be of specific relevance as a decade has passed since their collection. However, the research questions and methods used in the study are still highly important and justify the publication of this report. The report deals with problems related to quality assessment, benchmarking, and the establishment and design of nationwide clinical databases ) issues that are currently the focus of much attention. Moreover, the problems related to cross-national comparisons are increasingly relevant as more international databases are established. The study makes suggestions on how to report and compare objective as well as subjective criteria for surgery. The issue of how to report subjective criteria is a particular subject of current discussion.Four sites with high-quality health care systems were examined in this study: the USA, Denmark, the Province of Manitoba (Canada), and Barcelona (Spain). The design of the international research programme was based on methods developed by the US National Cataract Surgery Outcomes Study conducted by the US Cataract Patients Outcomes Research Team. The International Cataract Surgery Outcomes Study comprised three separate studies: a survey of ophthalmologists; a prospective cohort study, and a retrospective register-based cohort study.The survey study was based on data generated by a self-administered questionnaire completed by ophthalmologists in the four study areas. The questionnaire examined routine clinical practice involving patients considered for cataract surgery, and included questions on anaesthesia, monitoring and surgical techniques. Acta Ophthalmologica Scandinavica 2007 5The prospective cohort study was a large-scale, longitudinal observational study of patients undergoing first-eye cataract surgery in each study site. Patients were sampled consecutively from multiple clinics and follo...

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Analyzing Health Outcomes Through International Comparisons

Cited by 26 publications

References 23 publications

Assessment of patient satisfaction of mentally ill patients hospitalized in Thailand

Assessment of patient satisfaction of mentally ill patients hospitalized in Thailand

Variation in indications for cataract surgery in the United States, Denmark, Canada, and Spain: results from the International Cataract Surgery Outcomes Study

Results from the International Cataract Surgery Outcomes Study

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