25 * MEASURING PATIENT EXPERIENCE: THE NATIONAL AUDIT OF INTERMEDIATE CARE PATIENT REPORTED EXPERIENCE MEASURE

ObjectivesMeasuring patient experience of gastrointestinal (GI) procedures is a key component of evaluation of quality of care. Current measures of patient experience within GI endoscopy are largely clinician derived and measured; however, these do not fully represent the experiences of patients themselves. It is important to measure the entirety of experience and not just experience directly during the procedure. We aimed to develop a patient-reported experience measure (PREM) for GI procedures.DesignPhase 1: semi-structured interviews were conducted in patients who had recently undergone GI endoscopy or CT colonography (CTC) (included as a comparator). Thematic analysis identified the aspects of experience important to patients. Phase 2: a question bank was developed from phase 1 findings, and iteratively refined through rounds of cognitive interviews with patients who had undergone GI procedures, resulting in a pilot PREM. Phase 3: patients who had attended for GI endoscopy or CTC were invited to complete the PREM. Psychometric properties were investigated. Phase 4 involved item reduction and refinement.ResultsPhase 1: interviews with 35 patients identified six overarching themes: anxiety, expectations, information & communication, embarrassment & dignity, choice & control and comfort. Phase 2: cognitive interviews refined questionnaire items and response options. Phase 3: the PREM was distributed to 1650 patients with 799 completing (48%). Psychometric properties were found to be robust. Phase 4: final questionnaire refined including 54 questions assessing patient experience across five temporal procedural stages.ConclusionThis manuscript gives an overview of the development and validation of the Newcastle ENDOPREM™, which assesses all aspects of the GI procedure experience from the patient perspective. It may be used to measure patient experience in clinical care and, in research, to compare patients’ experiences of different endoscopic interventions.

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Prospective cohort study protocol to evaluate the validity and reliability of the Quality of Trauma Care Patient-Reported Experience Measure (QTAC-PREM)

BMC Health Services Research ◽

10.1186/1472-6963-13-98 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 3

Author(s):

Niklas Bobrovitz ◽

Maria Santana ◽

Theresa Kline ◽

John Kortbeek ◽

Henry T Stelfox

Keyword(s):

Cohort Study ◽

Prospective Cohort Study ◽

Trauma Care ◽

Prospective Cohort ◽

Care Patient ◽

Validity And Reliability ◽

Quality Of Trauma Care ◽

Patient Reported ◽

Experience Measure

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Validation of The Patient-Reported Experience Measure for Care in Chinese Hospitals (PREM-CCH)

10.21203/rs.3.rs-72166/v1 ◽

2020 ◽

Author(s):

Xuanxuan Wang ◽

Jiaying Chen ◽

Yaling Yang ◽

Bo Burström ◽

Kristina Burström

Keyword(s):

Construct Validity ◽

Patient Experience ◽

Internal Consistency ◽

Professional Competence ◽

Psychometric Evaluation ◽

Medical Costs ◽

Public Hospitals ◽

Patient Reported ◽

Experience Measure ◽

Chinese Public

Abstract Background: A psychometrically validated instrument to measure patient experience in Chinese public hospitals would be useful and is currently lacking. Our research team developed the Patient-Reported Experience Measure for Care in Chinese Hospitals (PREM-CCH). We aimed to validate this PREM-CCH in the present study.Methods: Data were drawn from a cross-sectional patient survey in 2016. Complete responses from 2,293 outpatients and 1,510 inpatients were included. Separate psychometric evaluation was carried out on outpatient and inpatient PREM-CCHs in terms of exploratory factor analysis, internal consistency, construct validity and criterion validity.Results: The validated outpatient PREM-CCH contained 22 items and five Factors, i.e. Communication and information, Professional competence, Medical costs, Efficiency, and Hospital recommendation. The validated inpatient PREM-CCH contained 19 items and six Factors, i.e. Communication and information, Professional competence, Medical costs, Efficiency, Health outcomes, and Hospital recommendation. The PREM-CCH showed satisfactory internal consistency, construct validity and criterion validity.Conclusions: The PREM-CCH is one of the first validated instruments capturing patient experience of care in the context of Chinese public hospitals. It performed well in the psychometric evaluation. It consists of a basic set of items important to patients that could be applicable to public hospitals in China and actionable to inform quality improvement initiatives.

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OC.10.4 CREATION OF A PATIENT REPORTED EXPERIENCE MEASURE TOOL TO EVALUATE PATIENT EXPERIENCE DURING ENDOSCOPIC ULTRASONOGRAPHY (EUS): PREUS STUDY

Digestive and Liver Disease ◽

10.1016/s1590-8658(21)00557-0 ◽

2021 ◽

Vol 53 ◽

pp. S133

Author(s):

L. Apadula ◽

G. Capurso ◽

A. Ambrosi ◽

P.G. Arcidiacono

Keyword(s):

Patient Experience ◽

Endoscopic Ultrasonography ◽

Patient Reported ◽

Experience Measure

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Patient Reported Experience in a Pediatric Emergency Department

Journal of Patient Experience ◽

10.1177/2374373519826560 ◽

2019 ◽

Vol 7 (1) ◽

pp. 116-123

Author(s):

Chandan Bal ◽

Mohammad AlNajjar ◽

Jennifer Thull-Freedman ◽

Erin Pols ◽

Ashley McFetridge ◽

...

Keyword(s):

Emergency Department ◽

Patient Experience ◽

Pediatric Emergency ◽

Pediatric Emergency Department ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Parents And Children ◽

Children And Parents ◽

Patient Reported ◽

Experience Measure

Objectives: To describe patient-reported experience in a pediatric emergency department (ED) and determine: ( 1 ) whether there are differences between the experience children report in comparison to their parents; and ( 2 ) whether factors such as time of visit (day, evening, night) and ED census are associated with patient experience. Methods: We conducted a prospective cross-sectional survey of children ≥8 years of age and the parents/guardians of children 0 to 17 years who visited a pediatric ED using a validated patient experience measure. The proportion of respondents for each question indicating that an aspect of their care could have been improved was calculated as problem scores for each survey item. The primary outcome was the overall problem scores for all respondents combined and for children and parents separately. Results: A total of 237 parents and 109 children completed surveys. The areas with the highest problem scores identified by both parents and children were: having enough to do while waiting to be seen (53.5; 95% confidence interval [CI]: 48.1, 58.8) and when to restart usual activities (34.7; 95% CI: 29.7, 40.0). There were meaningful differences in problem scores between children and parents including: doctors and nurses explaining what they were doing (parents: 19; 95% CI: 14.3, 24.7, child 40.4; 95% CI: 31.2, 50.2) and privacy when examined and treated (parents: 17.3; 95% CI: 12.8, 22.9, child: 36.7; 95% CI: 27.8, 46.5). Conclusion: There are differences in reported experience between children and their parents. This highlights the importance of including children when assessing patient experience in a pediatric setting.

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New patient-reported experience measure for children with allergic disease: development, validation and results from integrated care

Archives of Disease in Childhood ◽

10.1136/archdischild-2015-309598 ◽

2016 ◽

Vol 101 (10) ◽

pp. 935-943 ◽

Cited By ~ 6

Author(s):

C Gore ◽

R Griffin ◽

T Rothenberg ◽

A Tallett ◽

B Hopwood ◽

...

Keyword(s):

Integrated Care ◽

Patient Experience ◽

Emergency Care ◽

Healthcare Providers ◽

Final Diagnosis ◽

Cognitive Testing ◽

Specific Patient ◽

Children And Parents ◽

Patient Reported ◽

Experience Measure

ObjectivesTo develop and validate a new allergy-specific patient-reported experience measure (PREM) for children and their parents, and to collect feedback in an integrated care setting.DesignTwo allergy-specific PREMs were produced using focus groups, cognitive testing, two prospective validation studies (collaboration: Royal College of Paediatrics and Child Health, Picker Institute Europe, Imperial College/London): ‘Your Allergy Care’, for children aged 8–16 years; ‘Your Child's Allergy Care’, for parents of children aged 0–7 years.SettingCommunity event, primary/secondary/tertiary allergy care settings.Main outcome measuresPerformance of PREMs in validation study; reported experience of allergy care.Participants687 children with allergic conditions and their parents/carers.ResultsIn total, 687 questionnaires were completed; 503/687 (253 child; 250 parent) for the final survey. In both surveys, demographic variations were not associated with differences in results. Although 71% of patients reported one or more allergic conditions (food allergy/eczema/hay fever/asthma), 62% required multiple visits before receiving final diagnosis. Overall, patient experience was good for communication with patient/parent, competence and confidence in ability, and 73% felt looked after ‘very well’ and 23% ‘quite well’. Areas for improvement included communication with nurseries/schools, more information on side effects, allergic conditions and allergen/irritant avoidance. Allergy care in primary/emergency care settings was associated with higher problem-scores (worse experience) than in specialist clinics.ConclusionsThese new PREMs will allow allergy-specific patient experience reporting for children and parents and help identification of priority areas for improvement and commissioning of care. Efforts towards better allergy care provision must be targeted at primary and emergency care settings and underpinned by improving communication between healthcare providers and the community.

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Validation of the patient-reported experience measure for care in Chinese hospitals (PREM-CCH)

International Journal for Equity in Health ◽

10.1186/s12939-020-01370-6 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Xuanxuan Wang ◽

Jiaying Chen ◽

Yaling Yang ◽

Bo Burström ◽

Kristina Burström

Keyword(s):

Construct Validity ◽

Patient Experience ◽

Internal Consistency ◽

Professional Competence ◽

Psychometric Evaluation ◽

Medical Costs ◽

Public Hospitals ◽

Patient Reported ◽

Experience Measure ◽

Chinese Public

Abstract Background A psychometrically validated instrument to measure patient experience in Chinese public hospitals would be useful and is currently lacking. Our research team developed the Patient-Reported Experience Measure for Care in Chinese Hospitals (PREM-CCH). We aimed to validate this PREM-CCH in the present study. Methods Data were drawn from a cross-sectional patient survey in 2016. Complete responses from 2293 outpatients and 1510 inpatients were included. Separate psychometric evaluation was carried out on outpatient and inpatient PREM-CCHs in terms of exploratory factor analysis, internal consistency, construct validity and criterion validity. Results The validated outpatient PREM-CCH contained 22 items and five Factors, i.e. Communication and information, Professional competence, Medical costs, Efficiency, and Hospital recommendation. The validated inpatient PREM-CCH contained 19 items and six Factors, i.e. Communication and information, Professional competence, Medical costs, Efficiency, Health outcomes, and Hospital recommendation. The PREM-CCH showed satisfactory internal consistency, construct validity and criterion validity. Conclusions The PREM-CCH is one of the first validated instruments capturing patient experience of care in the context of Chinese public hospitals. It performed well in the psychometric evaluation. It consists of a basic set of items important to patients that could be applicable to public hospitals in China and actionable to inform quality improvement initiatives.

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