Healthcare process and patient experience

Author(s):  
Diana Delnoij ◽  
Ruairidh Milne ◽  
Andrew Stevens

This chapter provides hands-on guidance with respect to the development and implementation of surveys measuring patient experiences. However, keep in mind that this is only a first step in the quality cycle. The results of such a survey give you a ‘diagnosis’ of the quality of care from the patients’ perspective. It does not really tell you what you should do to improve patient experiences, however. To find effective remedies for negative experiences, often you will have to do additional research. You will learn: how to measure quality of care from the patient’s perspective (i.e. how to construct patient questionnaires or where to find pre-existing ones); how to interpret the findings in the context of the objective of your measurement (e.g. quality improvement, patient choice, pay-for-performance); how to take action based on the results

Author(s):  
Diana Delnoij

This chapter will help you to analyse the health care process and, in particular, the quality of this process and its outcomes from the patient’s perspective. You will read how you can measure quality from the patient’s perspective, how to interpret the findings, and how to take action based on the results. This chapter provides hands-on guidance with respect to the development and implementation of surveys measuring patient experiences. However, keep in mind that this is only a first step in the quality cycle. The results of such a survey give you a ‘diagnosis’ of the quality of care from the patients’ perspective. It does not really tell you what you should do to improve patient experiences, however. To find effective remedies for negative experiences, often you will have to do additional research.


2020 ◽  
Vol 29 (3) ◽  
pp. 131-134 ◽  
Author(s):  
Amna A. Ajam ◽  
Sana Tahir ◽  
Mina S. Makary ◽  
Sandra Longworth ◽  
Elvira V. Lang ◽  
...  

2017 ◽  
Vol 48 (S 01) ◽  
pp. S1-S45
Author(s):  
A. Schroeder ◽  
S. Berweck ◽  
K. Vill ◽  
L. Gerstl ◽  
C. Jansen ◽  
...  
Keyword(s):  

2021 ◽  
pp. 0272989X2110171
Author(s):  
Edward C. Norton ◽  
Jun Li ◽  
Anup Das ◽  
Andrew M. Ryan ◽  
Lena M. Chen

Medicare’s Hospital Value-Based Purchasing Program (HVBP) is the first national pay-for-performance program to combine measures of quality of care with a measure of episode spending. We estimated the implicit tradeoffs between mortality reduction and spending reduction. To earn points in HVBP, a hospital can either lower mortality or reduce spending, creating a tradeoff between the 2 measures. We analyzed the quality performance and earned points of 2814 hospitals using publicly available data. We then quantified the tradeoffs between spending and mortality in terms of quality-adjusted life-years (QALYs). If incentives in the program were balanced, then the tradeoff between spending and QALYs should be comparable with those of high-value health interventions, roughly $50,000 to $200,000 per QALY. Instead, the tradeoff in HVBP was about $1.2 million per QALY. HVBP overvalues improvements in quality of care relative to spending reductions. We propose 2 possible policy adjustments that could improve incentives for hospitals to deliver high-value care.


2013 ◽  
Vol 2 (2) ◽  
pp. 54-62 ◽  
Author(s):  
Shima Tabatabai

The article summarizes evidence about the effectiveness of patient–physician electronic communication. The emphasis was on the importance of understanding the potential impact of e-communication on patient satisfaction, and on the quality of health care. A review of literature was performed in the area of patient–physician electronic communication, and references were appraised, and synthesized for an overview of benefits and challenges of this model of communication. Electronic communication is becoming popular, has the potential to transform the health care system, and support the patient–physician interaction. Patients are enthusiastic about this convenience model of communication, and feel strongly embraced in communicating via email & web messaging. Although, there is evidence that electronic communication could increase quality of care due to increased interaction and would extend health care efficiency, a variety of potential benefits and challenges is reported. Overall, electronic communication introduces a new model of patient-physician interaction that could supplement and reasonably replace a portion of traditional face-to-face encounters. However, further investigation is required to assess its impact on healthcare process efficiency.


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