Health care process and patient experience

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.

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):  
Hyacinthe Zamané ◽  
Sibraogo Kiemtoré ◽  
Paul Dantola Kain ◽  
Lydie Zounogo Ouédraogo ◽  
Blandine Bonané Thiéba

Background: The quality of care perceived by the users of health care services is an important indicator of the quality of care. The aim of this study was to assess the satisfaction of patients received in obstetric and gynecological emergencies department of Yalgado Ouedraogo Teaching Hospital before and after the introduction of free care.Methods: This was a cross-sectional investigation. Data collection was carried out from February to July 2016, covering the last three months before the start of free care and the first three months of implementation of this free policy in Burkina Faso.Results: A total of 620 patients formed the sample. The reception (p=0.0001), the waiting period (p=0.0001), respect for treatment schedules (p=0.0001), respect for intimacy (p=0.0001), communication between providers and patients (p=0.007), the comfort of the delivery room (p=0.003) and the comfort of the ward room (p=0.002) were more favorably appreciated by patients before the free treatment than during that period. Overall patient satisfaction was better before the effectiveness of free care (p=0.003).Conclusions: The realization of free care process was followed by a lower patient’s satisfaction reflecting an alteration in the quality of health care services. A situational analysis of this free health care process is necessary in order to make corrective measures. Also adequate preventive measures should be adopted before any implementation to a larger scale of this free policy.


2009 ◽  
Vol 22 (2) ◽  
pp. 312-320 ◽  
Author(s):  
Renée A. Zucchero ◽  
Edmond Hooker ◽  
Shelagh Larkin

ABSTRACTBackground: Interdisciplinary teams are sometimes used in the provision of health care to populations who present with complicated needs, such as older adults experiencing dementia. Moreover, there is an international consensus that health care students should receive training in interdisciplinary care.Methods: 157 health care students from Xavier University's College of Social Sciences, Health, and Education in Cincinnati, U.S.A. participated in a five-hour symposium on an interdisciplinary approach to treating older adults with dementia. The Attitudes Toward Health Care Teams Scale (ATHCTS; Heinemann et al., 1999) was used to assess student attitudes before and after the symposium.Results: A paired-sample t-test was conducted to compare pre and post-test ATHCTS overall and subscale scores. There was a statistically significant increase in the overall pre-post ATHCTS scores and Quality of Care/Process Subscale scores. There was a significant decrease in the Physician Centrality Subscale scores.Conclusions: The findings suggest that, after the symposium, participants reported more positive overall attitudes about health care teams, and about the quality of care provided by such teams and the teamwork to achieve good patient care. Participants also displayed a decrease in their beliefs about how essential physicians are as leaders of health care teams. These results affirm the use of a brief interdisciplinary educational approach in changing student attitudes about the use of health care teams. Students who develop more positive attitudes about working on an interdisciplinary health care team recognize the team's value and therefore may be more receptive to and effective in working as professional team members in the future.


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

Author(s):  
Jumnean Somanawat ◽  
Kritsanee Saramunee ◽  
Suratchada Chanasopon

Abstract This study aimed to describe the process of care, assess the quality of care based on defined indicators, and identify challenges associated with providing diabetes care via sub-district health promotion hospital (SHPH) facilities in Thailand. Primary care policy has directed that diabetes care be delivered via SHPH in order to reduce hospital congestion and minimize travel costs for patients. Limited data is available regarding the structure for providing care. Likewise, barriers to delivery of optimal care have not been well defined, especially from the perspective of health care providers. This study employed mixed-methods research, which included semi-structured interviews to gain insights into the current diabetes care process, a descriptive study to evaluate quality of care, and use of a focus group to identify challenges associated with delivery of diabetic care via SHPH. Diabetes care processes in primary care included multiple steps and involved collaboration between various health care providers at both the hospital and SHPH. Four process indicators and one outcome had been achieved but performance of other indicators was apparently low. Three factors were found to pose challenges to providing this service: the resources of the health service, the delivery of services, and patient factors. SHPH require additional support, particularly in the areas of primary care workforce, finance, medical device procurement, and patient information systems. While delivery of diabetes care via primary care centers has been well established in Thailand, regional differences in the quality of care persist. Additional support is required to strengthen the primary care system nationwide.


2018 ◽  
Vol 6 (1) ◽  
pp. 72-80 ◽  
Author(s):  
Adam T Perzynski ◽  
Aleece Caron ◽  
David Margolius ◽  
Joseph J Sudano

Patient experiences with the health-care system are increasingly seen as a vital measure of health-care quality. This study examined whether workplace social capital and employee outcomes are associated with patients’ perceptions of care quality across multiple clinic sites in a diverse, urban safety net care setting. Data from clinic staff were collected using paper and pencil surveys and data from patients were collected via a telephone survey. A total of 8392 adult primary care patients and 265 staff (physicians, nurses, allied health, and support staff) were surveyed at 10 community health clinics. The staff survey included brief measures of workplace social capital, burnout, and job satisfaction. The patient-level outcome was patients’ overall rating of the quality of care. Factor analysis and reliability analysis were conducted to examine measurement properties of the employee data. Data were aggregated and measures were examined at the clinic site level. Workplace social capital had moderate to strong associations with burnout ( r = −0.40, P < .01) and job satisfaction ( r = 0.59, P < .01). Mean patient quality of care rating was 8.90 (95% confidence interval: 8.86-8.94) ranging from 8.57 to 9.18 across clinic sites. Pearson correlations with patient-rated care quality were high for workplace social capital ( r = 0.88, P = .001), employee burnout ( r = −0.74, P < .05), and satisfaction ( r = 0.69, P < .05). Patient-perceived clinic quality differences were largely explained by differences in workplace social capital, staff burnout, and satisfaction. Investments in workplace social capital to improve employee satisfaction and reduce burnout may be key to better patient experiences in primary care.


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