Hearing the patient's voice? Factors affecting the use of patient survey data in quality improvement.
نویسندگان
چکیده
OBJECTIVE To develop a framework for understanding factors affecting the use of patient survey data in quality improvement. DESIGN Qualitative interviews with senior health professionals and managers and a review of the literature. SETTING A quality improvement collaborative in Minnesota, USA involving teams from eight medical groups, focusing on how to use patient survey data to improve patient centred care. PARTICIPANTS Eight team leaders (medical, clinical improvement or service quality directors) and six team members (clinical improvement coordinators and managers). RESULTS Respondents reported three types of barriers before the collaborative: organisational, professional and data related. Organisational barriers included lack of supporting values for patient centred care, competing priorities, and lack of an effective quality improvement infrastructure. Professional barriers included clinicians and staff not being used to focusing on patient interaction as a quality issue, individuals not necessarily having been selected, trained or supported to provide patient centred care, and scepticism, defensiveness or resistance to change following feedback. Data related barriers included lack of expertise with survey data, lack of timely and specific results, uncertainty over the effective interventions or time frames for improvement, and consequent risk of perceived low cost effectiveness of data collection. Factors that appeared to have promoted data use included board led strategies to change culture and create quality improvement forums, leadership from senior physicians and managers, and the persistence of quality improvement staff over several years in demonstrating change in other areas. CONCLUSION Using patient survey data may require a more concerted effort than for other clinical data. Organisations may need to develop cultures that support patient centred care, quality improvement capacity, and to align professional receptiveness and leadership with technical expertise with the data.
منابع مشابه
Assessing and Prioritizing the Factors Affecting the Patient's Trust in the Physician from the Point of View of Experts in Ilam University of Medical Sciences in 2018 with the Combined Approach of DEMATEL and ANP
Introduction and Aim: The doctor-patient relationship is built largely on trust. It is in the shadow of trust that the patient can safely transfer all necessary information to the physician, which makes it possible to diagnose and treat medical treatment. The aim of the present study is to identify, prioritize and determine the causal relationships of factors affecting the patient's confidence ...
متن کاملEvaluation of Factors Affecting Absorbed Dose, Optimization Methods and Patient Dose Reduction in Dental Cone Beam CT (CBCT)
Introduction: Nowadays the use of cone beam computed tomography in dental imaging is increasing, although this method has a much lower dose than conventional CT scans, it delivers a higher dose than the panoramic and periapical patients therefore, , the aim of this study was to investigate the factors affecting the patients' dose in dental CBCTs and methods of optimizing and reducing the patien...
متن کاملA Single Voice Prosthesis Utilized For 17 Years
Introduction: Surgical procedures, especially total laryngectomy, have a profound adverse effect on the patient's physical, functional, as well as emotional health, and strongly decrease quality of life. Tracheoesophageal puncture is one of the most significant method that is widely performed successfully by physicians. Current valve technology enables long expiring duration; however, gen...
متن کاملVocal Disorders and Risk Factors Affecting It: Voice Ergonomics in Teachers
Introduction: Nearly a third of people work in jobs that use voice to be part of their work. Teachers as the largest group of professional vocal users, are at risk of vocal disorders. The aim of this study was to investigate the effect of different risk factors on vocal disorders in teachers. Material and Methods: This is a cross-sectional and descriptive-analytic study that was conducted on...
متن کاملرابطه کیفیت زندگی با شاخص معلولیت صوتی در افراد بزرگسال با افت های مختلف شنوایی
Background and Objective: In health system using patient-based tools to measure life quality is a source of making clinical decision. The voice of individuals with hearing loss faces have some problems because of getting inappropriate feedback. According to multilateral impacts on life quality, it is necessary to study the relationship between public life quality (SF 36) and voice-related life ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Quality & safety in health care
دوره 14 6 شماره
صفحات -
تاریخ انتشار 2005