Health Care Quality

Cleary, Paul D.

doi:10.1001/jama.1997.03550190072047

Cited by 231 publications

(30 citation statements)

References 51 publications

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“…4, 15 Traditionally, pediatric providers were considered specialists who are trained to treat medical problems specific to children; however, pediatric providers as a whole have embraced the role of primary care providers – tasked with prevention, health promotion, and providing coordination services to children and their families. 16 In fact, for a majority of children, pediatric providers take on the responsibility of delivering accessible, continuous, comprehensive, family centered, and coordinated care.…”

Section: Discussionmentioning

confidence: 99%

Differences in CAHPS Reports and Ratings of Health Care Provided to Adults and Children

Chen¹,

Elliott²,

Spritzer³

et al. 2012

Medical Care

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Background Consumer assessment of health care is an important metric for evaluating quality of care. These assessments can help purchasers, health plans and providers deliver care that fits patients’ needs. Objective To examine differences in reports and ratings of care delivered to adults and children and whether they vary by site. Research Design This observational study compares adult and child experiences with care at a large west coast medical center and affiliated clinics and a large mid-western health plan using Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician & Group 1.0 Survey data. Results Office staff helpfulness and courtesy was perceived more positively for adult than pediatric care in the west coast site. In contrast, more positive perceptions of pediatric care were observed in both sites for coordination of care, shared decision making, overall rating of the doctor, and willingness to recommend the doctor to family and friends. In addition, pediatric care was perceived more positively in the Midwest site for access to care, provider communication, and office staff helpfulness and courtesy. The differences between pediatric care and adult care were larger in the mid-western site than the west coast site. Conclusions There are significant differences in the perception of care for children and adults with care provided to children tending to be perceived more positively. Further research is needed to identify the reasons for these differences and provide more definitive information at sites throughout the U.S.

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Section: Discussionmentioning

confidence: 99%

Differences in CAHPS Reports and Ratings of Health Care Provided to Adults and Children

Chen¹,

Elliott²,

Spritzer³

et al. 2012

Medical Care

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show abstract

“…Five demographic characteristics (age, sex, education, race/ethnicity, and reason for hospitalization) were anticipated to be relevant to perceptions of quality care (Chang et al, 2003; Cleary & Edgman-Levitan, 1997; Hancock et al, 2003); variations in these characteristics were sought during recruitment. After Institutional Review Board approval was obtained, potential participants who met the criteria were identified by care managers in adult hematology-oncology, cardiac, intensive care, and medical-surgical units in the hospital.…”

Section: Methodsmentioning

confidence: 99%

Quality nursing care for hospitalized patients with advanced illness: Concept development

Izumi

Baggs

Knafl

2010

Research in Nursing & Health

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The quality of nursing care as perceived by hospitalized patients with advanced illness has not been examined. A concept of quality nursing care for this population was developed by integrating the literature on constructs defining quality nursing care with empirical findings from interviews of 16 patients with advanced illness. Quality nursing care was characterized as competence and personal caring supported by professionalism and delivered with an appropriate demeanor. Although the attributes of competence, caring, professionalism, and demeanor were identified as common components of quality care across various patient populations, the caring domain increased in importance when patients with advanced illness perceived themselves as vulnerable. Assessment of quality nursing care for patients with advanced illness needs to include measures of patient perceptions of vulnerability.

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“…The complex nature of patient experience of care implies that the dimensions to be investigated should be identified from the patient’s perspective. Studies have highlighted that definition of quality, measurement of quality, and routine quality assessment and improvement were important steps toward incorporating the patient’s perspective [18]. In addition to patient satisfaction scores, understanding the needs, preferences, and expectations of patients regarding health-care services are therefore important in developing a measuring tool.…”

Section: Introductionmentioning

confidence: 99%

Item generation in the development of an inpatient experience questionnaire: a qualitative study

Wong

Coulter

Cheung

et al. 2013

BMC Health Serv Res

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BackgroundPatient experience is a key feature of quality improvement in modern health-care delivery. Measuring patient experience is one of several tools used to assess and monitor the quality of health services. This study aims to develop a tool for assessing patient experience with inpatient care in public hospitals in Hong Kong.MethodsBased on the General Inpatient Questionnaire (GIQ) framework of the Care Quality Commission as a discussion guide, a qualitative study involving focus group discussions and in-depth individual interviews with patients was employed to develop a tool for measuring inpatient experience in Hong Kong.ResultsAll participants agreed that a patient satisfaction survey is an important platform for collecting patients’ views on improving the quality of health-care services. Findings of the focus group discussions and in-depth individual interviews identified nine key themes as important hospital quality indicators: prompt access, information provision, care and involvement in decision making, physical and emotional needs, coordination of care, respect and privacy, environment and facilities, handling of patient feedback, and overall care from health-care professionals and quality of care. Privacy, complaint mechanisms, patient involvement, and information provision were further highlighted as particularly important areas for item revision by the in-depth individual interviews. Thus, the initial version of the Hong Kong Inpatient Experience Questionnaire (HKIEQ), comprising 58 core items under nine themes, was developed.ConclusionsA set of dimensions and core items of the HKIEQ was developed and the instrument will undergo validity and reliability tests through a validation survey. A valid and reliable tool is important in accurately assessing patient experience with care delivery in hospitals to improve the quality of health-care services.

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Health Care Quality

Cited by 231 publications

References 51 publications

Differences in CAHPS Reports and Ratings of Health Care Provided to Adults and Children

Differences in CAHPS Reports and Ratings of Health Care Provided to Adults and Children

Quality nursing care for hospitalized patients with advanced illness: Concept development

Item generation in the development of an inpatient experience questionnaire: a qualitative study

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