Pain and Hospital Patients Perception of Quality

Patient Perceptions of Quality: The Influence of Value and Beneficence

“…This may be explained by the fact that the global score was obtained from a one-item question while the total score was determined by a 57 composite of eight questions. In Larrabee's study (1992) and in Beck's (1993), PQUALG was highly correlated with PQUALT (r= .60, p < .05, Larrabee, 1992) and they were felt to be measuring the same construct. However, the finding that PQUALG is not related to PGOAL2 may indicate that PQUALT is more precise in its measurement of some dimensions of patient-perceived quality.…”

“…Beck (1993) The correlation between patient-perceived quality (PQUALG & PQUALT) and patient goal 3 score suggests that the third most important goal for hospitalization, as identified by patients in Larrabee's (1992) study, may have been related to more long term goals i. e "go home" and "be able to resume normal activities". The exit interview took place 24-48 hours prior to discharge, indicating that the immediate problem had been alleviated or controlled.…”

“…Therefore, the benefits achieved through health care influence patients' perception of quality. Beck (1993) failed to support this theoretical relationship; however, measurement issues may have contributed to her findings. No other studies were located which have investigated the relationship 2 between patient perceptions of health care benefits and their perceptions of quality.…”

“…Many research studies focus on improving patient outcomes which are intended to be beneficial. Beck (1993) found a positive relationship between patient goal achievement and diminished pain which is how she operationalized beneficence. It was demonstrated that beneficence, measured as low pain score, was a predictor of patient-perceived quality (Beck, 1993 Therefore, beneficence has extensive support for being included within the construct of quality and is the most fundamental concept according to Larrabee (1992).…”

“…beneficence. Yet, too often, pain management is inadequate (Patterson, 1992;Shade, 1992;Beck, 1993). Pain is a unique, personal experience (Shade, 1992).…”