Assessing the practising physician using patient surveys: a systematic review of instruments and feedback methods

Evans, Richard G.; Edwards, Adrian; Evans, Samuel Lewin; Elwyn, Benjamin; Elwyn, Glyn

doi:10.1093/fampra/cml072

Cited by 83 publications

(92 citation statements)

References 64 publications

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“…2 However, closer inspection suggests that a range of constructs -clinical skills such as empathy, 3 or patient satisfaction or patient ratings of the 'experience' from the consultation -are emphasised by the various available tools, 2 and it may not be clear which is being assessed. 4 This suggests that the purpose and utility of patient-experience surveys, or the use of the results as feedback to modify clinical practice, remains unclear.…”

Section: Introductionmentioning

confidence: 99%

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Experiencing patient-experience surveys: a qualitative study of the accounts of GPs

Edwards¹,

Evans²,

White³

et al. 2011

Br J Gen Pract

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Section: Introductionmentioning

confidence: 99%

“…2 The connection to a summative assessment such as required for revalidation makes confidence in the validity of the tools an essential pre-requisite. 10 Such confidence in the validity of tools, particularly for peer appraisal, cannot be taken for granted.…”

Section: Introductionmentioning

confidence: 99%

Experiencing patient-experience surveys: a qualitative study of the accounts of GPs

Edwards¹,

Evans²,

White³

et al. 2011

Br J Gen Pract

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“…Therefore, assessment of medical consultations is necessary to improve their quality. The quality of medical consultations has been evaluated by independent doctors, third parties, and patients (Evans et al 2007;Stomski et al 2010). In fact, the patient's view is essential, since achieving patient-centered medicine is one of the ultimate objectives of medical care.…”

mentioning

confidence: 99%

Two Principal Components, Coping and Independence, Comprise Patient Enablement in Japan: Cross Sectional Study in Tohoku Area

Kurosawa

Matsushima

Fujinuma

et al. 2012

Tohoku J. Exp. Med.

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The concept of "patient enablement" involves patients' perceptions of ability to understand and cope with illness. Improving enablement is an important goal of medical consultations for patients with chronic illness. To measure "enablement," a post-medical-consultation patient-reported questionnaire was developed and named "Patient Enablement Instrument (PEI)" in the United Kingdom. Unfortunately, there has been no tool to evaluate patient enablement in Japan. Therefore, this study aimed to develop PEI Japanese version, to examine its validity and reliability, and to clarify the constitution of concept about patient enablement among Japanese patients. The translation process included forward translation, expert panel back-translation, following the standard WHO process. Participants were 256 individuals (157 men and 99 women; mean age 62.9 ± 11.8 years) receiving a regular outpatient treatment due to chronic illness at the Department of Cardiology, Respiratory, or Endocrinology and Metabolism in a regional hospital. To assess validity, we compared PEI with Medical Interview Satisfaction Scale (MISS) by correlation coefficient, which was 0.55 (P < 0.01). Furthermore, factor analysis indicated that PEI had two principal factors labeled "coping with illness and health maintenance" and "confidence in oneself and independence". For an evaluation of reliability, internal consistency was calculated (Cronbach's alpha = 0.875). In conclusion, two principal factors comprise patient enablement measured by PEI with satisfactory validity and reliability. PEI Japanese version will be a useful tool to evaluate and improve medical consultations in Japan.

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“…Alternatively, the opinions of patients can be solicited. 50,51 Unfortunately, as noted previously, all assessments that involve raters may be subject to bias. This is especially problematic for communication and interpersonal skills where specific constructs or traits are difficult to define and, arguably, are somewhat subjective with respect to interpretation.…”

Section: Interpersonal and Communication Skillsmentioning

confidence: 98%

Review article: Assessment in anesthesiology education

Boulet

Murray

2011

Can J Anesth/J Can Anesth

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Purpose The purpose of this article is to provide a review of the competencies and associated assessment techniques relevant to the practice of anesthesiology. Although many of the competencies are difficult to define and measure specifically, advances in assessment techniques have provided more opportunities to gather meaningful performance data. Principal findings Establishing the competence of anesthesiologists demands a host of measures, including standardized tests and less-structured peer evaluations. Simulation-based assessment will play an increasingly important role both in certification and in maintenance of certification for anesthesiologists. Conclusions While there are many psychometric challenges associated with the assessments pertinent to the education of anesthesiologists, technological advances combined with an increased awareness of sound measurement principles will yield more meaningful competency measures that can be used to improve the practice of anesthesiology.

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Assessing the practising physician using patient surveys: a systematic review of instruments and feedback methods

Cited by 83 publications

References 64 publications

Experiencing patient-experience surveys: a qualitative study of the accounts of GPs

Experiencing patient-experience surveys: a qualitative study of the accounts of GPs

Two Principal Components, Coping and Independence, Comprise Patient Enablement in Japan: Cross Sectional Study in Tohoku Area

Review article: Assessment in anesthesiology education

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