Please tick the appropriate box: Perspectives on patient reported experience

Sandager, Mette; Freil, Morten; Knudsen, Janne Lehmann

doi:10.35680/2372-0247.1097

Cited by 21 publications

(34 citation statements)

References 60 publications

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“…Several studies find that the overall rating of care tends to decrease with increased time between a given event and evaluation of this event. 20 Furthermore, the respondents' assessment may have been affected by the outcome of their diagnostic phase. 12 The reporting of care may thus not appropriately reflect the care delivered, introducing differential misclassification by overestimating the investigated association in the analyses of PDC.…”

Section: Limitations and Strengths Of The Studymentioning

confidence: 99%

“…2,3 Satisfied patients report higher quality of life and are more likely to comply with treatment and continue their use of medical services, which may lead to improved clinical outcome. [14][15][16][17][18] Other aspects that have been significantly associated with overall rating of care are the physical settings of the health care center, such as cleanliness and comfort, 8,17 as well as patient characteristics, such as age, 7,10,12,13,16,19,20 sex, 6,21,22 cancer diagnosis, 12,[22][23][24] education level, 10,12,20,22 self-perceived health status, 10,16,17 and metastasis. [6][7][8][9] Findings include aspects relating to the coordination of care, 10 information, 3,6,11,12 waiting times, 3,13 and interpersonal relationships between health care personnel and patients.…”

Section: Introductionmentioning

confidence: 99%

“…[6][7][8][9] Findings include aspects relating to the coordination of care, 10 information, 3,6,11,12 waiting times, 3,13 and interpersonal relationships between health care personnel and patients. [14][15][16][17][18] Other aspects that have been significantly associated with overall rating of care are the physical settings of the health care center, such as cleanliness and comfort, 8,17 as well as patient characteristics, such as age, 7,10,12,13,16,19,20 sex, 6,21,22 cancer diagnosis, 12,[22][23][24] education level, 10,12,20,22 self-perceived health status, 10,16,17 and metastasis. 17,22 No studies, to our knowledge, have performed multivariate analyses on the determinants of patient satisfaction that distinguish between determinants of prediagnosis care (PDC) and care provided during treatment (CDT), despite the 2 phases of cancer care being distinctly different and requiring different skills from the health care system.…”

Section: Introductionmentioning

confidence: 99%

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Determinants of patient satisfaction with cancer care delivered by the Danish healthcare system

Heerdegen

Petersen

Jervelund

2017

Cancer

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Learning how patient characteristics influence the overall rating of care can enable health care providers to accommodate vulnerable patient groups. Identification of health care aspects that are independently associated with the overall rating of care may enable targeted efforts when planning and prioritizing initiatives aimed at improving the patient-experienced quality of care. Cancer 2017;123:2918-26. © 2017 American Cancer Society.

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Section: Limitations and Strengths Of The Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Determinants of patient satisfaction with cancer care delivered by the Danish healthcare system

Heerdegen

Petersen

Jervelund

2017

Cancer

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“…Some studies, primarily from high-income countries, have examined the association between factors at different levels and patient experiences. At the individual level, age, education and health status are the most common characteristics associated with patient experiences, with older and healthier individuals, and those with less education, tending to report more positive experiences 11. Further, expectations for care play a clear role in overall satisfaction with care such that low expectations are associated with higher satisfaction 9.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with positive user experience with primary healthcare providers in Mexico: a multilevel modelling approach using national cross-sectional data

et al. 2020

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ObjectiveThis study aimed to investigate factors associated with patient experience with primary care in a large public health system in Mexico and determine the amount of variability in experience attributable to facility-level and state-level factors.MethodsWe analysed cross-sectional 2016 national satisfaction survey data from the Mexican Social Security Institute (IMSS). Patient-level data were merged with facility-level data and information on poverty by state. We assessed general contextual effects and examined the relationship of patient, facility and state factors with four patient experience measures using random effects logistic regression.Results25 745 patients’ responses from 319 facilities were analysed. The majority experienced good communication (78%), the opportunity to share health concerns (91%) and resolution of doubts (85%). 29% of visits were rated as excellent. Differences between facilities and states accounted for up to 12% and 6% of the variation in patient experience, respectively. Inclusion of facility-level contextual effects improved model predictions by 8%–12%; models with facility random effects and individual covariates correctly predicted 64%–71% of individual outcomes. In adjusted models, larger patient population was correlated with worse reported communication, less opportunity to share concerns and less resolution of doubts. Men reported more positive communication; older individuals reported more positive communication and experiences overall, but less opportunity to share concerns; and more educated individuals were less likely to report positive communication but more likely to report resolution of doubts and overall positive experiences. Preventive care visits were rated higher than curative visits for resolution of doubts, but lower for opportunity to share concerns, and specific conditions were associated with better or worse reported experiences in some cases.ConclusionQuality improvement efforts at IMSS facilities might bolster individual experiences with primary care, given that up to 12% of the variation in experience was attributable to facility-level differences. The relationship between individual characteristics and experience ratings reinforces the importance of patients’ expectations of care and the potential for differential treatment by providers to impact experience.

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“…However, there is little evidence that data on patient satisfaction lead to improvements in the quality of care . Many factors are modifying the association between the received care and patient‐reported satisfaction, for example, patient expectations, patient characteristics and loyalty to HCPs . In addition, patients tend to answer more positively to general questions about their overall experience despite having reported critical events, and patients tend to be more critical if they have the possibility to explain their criticism (ibid).…”

Section: Introductionmentioning

confidence: 99%

Surgical breast cancer patient pathway: Experiences of patients and relatives and their unmet needs

Zøylner

Lomborg

Christiansen

et al. 2019

Health Expectations

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Background and aim Breast cancer is the most common cancer disease in women worldwide. In Denmark, the law prescribes cancer patient pathways (CPPs) in general and thus also for breast cancer. Although results from patient satisfaction surveys show overall satisfaction with the pathway, a call for improvement has been voiced for some areas. The aim of this study was to explore patients’ and relatives’ experiences with the surgical breast CPP and to identify any unmet needs. Method This study was based on focus groups with patients who had surgery for breast cancer, and their relatives. The settings were two Danish surgical breast cancer clinics. Findings Overall, patients and relatives found the structure of the surgical breast CPP satisfactory. The time in the surgical department was short, and most patients found it difficult to cope with the situation. Empathy and a supportive relationship between patients, relatives and health‐care professionals were of great importance. Five key points were identified in which some of the participants had unmet needs. Suggestions for change were related to information, communication, choice of treatment, flexibility in the pathway and easy access to the clinic after surgery. Conclusion Although patients and relatives found the CPP for breast cancer satisfactory and well planned, suggestions for change were made relating to unmet needs with respect to five key points in the pathway. Implementing findings from this study in clinical practice requires co‐operation between health‐care professionals and support from the leaders of the organization.

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Please tick the appropriate box: Perspectives on patient reported experience

Cited by 21 publications

References 60 publications

Determinants of patient satisfaction with cancer care delivered by the Danish healthcare system

Determinants of patient satisfaction with cancer care delivered by the Danish healthcare system

Factors associated with positive user experience with primary healthcare providers in Mexico: a multilevel modelling approach using national cross-sectional data

Surgical breast cancer patient pathway: Experiences of patients and relatives and their unmet needs

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