Potilaskokemuskyselyn kehittäminen lastensairaalan potilaiden vanhemmille

Compared to patient satisfaction, less research has focused on patient experience, which is a complex phenomenon by nature, thereby challenging to define and measure. Today, healthcare organizations are short of appropriate instruments surveying patient experiences. Satisfaction questionnaires are used to evaluate the quality of hospital care from the viewpoint of adult patients. However, questions remain whether the hospitals should use these results to support their development activities. This article describes the development process of a patient experience survey instrument targeted for the parents of pediatric patients, introduces the first versions of the questionnaire, and the plan for further development. The development process included several phases: interviews with 17 families, identification of aspects which influence patient experiences (5 themes), description of related potential metrics (22 metrics), formulation of the first version of the questionnaire (67 statements) and pilot testing, data gathering at a pediatric outpatient clinic (106 respondents), and based on exploratory factor analysis development of the second version of the questionnaire (22 statements). The further development includes validation with a second round data gathering and statistical analysis. The aim is to condense the number of statements into about 10 and implement the survey in an electronic format. In the Lapsus project similar patient experience questionnaires will be developed for all relevant phases of patients paths. The development work will utilize the reported process and the first version of the questionnaire. The plan is take the instruments in use in the New Children’s hospital in Helsinki and in other similar hospitals.

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An evaluation of a near real-time survey for improving patients’ experiences of the relational aspects of care: a mixed-methods evaluation

Health Services and Delivery Research ◽

10.3310/hsdr06150 ◽

2018 ◽

Vol 6 (15) ◽

pp. 1-174 ◽

Cited By ~ 1

Author(s):

Chris Graham ◽

Susanne Käsbauer ◽

Robyn Cooper ◽

Jenny King ◽

Steve Sizmur ◽

...

Keyword(s):

Mixed Methods ◽

Real Time ◽

Patient Experience ◽

Elderly Care ◽

Patient Experiences ◽

Research Network ◽

Compassionate Care ◽

Experience Survey ◽

Study Sites

Background The Francis Report (of 2013) provided many recommendations to improve compassionate care in NHS organisations, including more widespread use of real-time feedback (RTF) to collect patient experience data. This research directly addressed these recommendations and aimed to provide an evidence-based toolkit to support NHS quality improvements. Objectives To develop and validate a survey of compassionate care for use in near real time on elderly care wards and accident and emergency (A&E) departments. This research also evaluated the effectiveness of the RTF approach for improving relational aspects of care and provides suggestions for how the approach can be used by other hospitals to strengthen compassionate care. Design The research utilised a mixed-methods design, using quantitative, qualitative and participatory research approaches to collect patients’ experiences of relational care and the views of NHS staff in an effort to evaluate the processes and impacts of near real-time feedback (NRTF) data collection. Data sources included a NRTF patient experience survey, weekly volunteer diaries, staff interviews and surveys, workshops and meetings with case study sites. Setting The research was carried out across six case study sites across England, in wards that predominantly serve elderly patients and in A&E departments. Participants The 3928 participants in the patient experience survey were inpatients on elderly care wards, or persons who had sought medical care in A&E. Frontline staff, service leads, senior management and volunteers also took part in surveys (n = 274) and interviews (n = 82) designed to understand the staff perspectives and opinions of collecting patient experience data. Interventions A patient experience survey was implemented using a tablet computer-based methodology, facilitated by trained volunteers. Responses were used alongside feedback from staff to evaluate the use of a NRTF approach as a method for improving patient experiences of relational aspects of care. Main outcome measures The patient experience survey measured relational aspects of care. Another outcome measure was improvements to care as planned, implemented and reported by staff. Results A small but statistically significant improvement (p = 0.044) in relational aspects of care over the course of the study was noted overall. Staff implemented a variety of improvements to enhance communication with patients. Limitations Maintaining volunteer and staff engagement throughout the study was difficult. Few surveys were completed per ward or department each week. This made examining trends in patient experiences over time challenging. Conclusions Near real-time feedback offers an effective approach for monitoring and improving relational aspects of care. Future work Staff frequently expressed a view that volunteers’ interactions with patients while administering the survey were themselves beneficial to patients. Future research should examine the impact of volunteer interactions with patients on their experiences of relational aspects of care. Study registration The project is registered on the Clinical Research Network portfolio under the primary trial identification number 18449. Funding The National Institute for Health Research Health Services and Delivery Research programme.

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Collaborative Development of an Older Adult Experience Survey for Specialized Geriatric Services

Canadian Geriatrics Journal ◽

10.5770/cgj.24.487 ◽

2021 ◽

Vol 24 (2) ◽

pp. 96-110

Author(s):

Ronaye Gilsenan ◽

Rhonda Schwartz ◽

Iris A. Gutmanis ◽

Adam M.B. Day ◽

David P. Ryan ◽

...

Keyword(s):

Older Adults ◽

Older Adult ◽

Patient Experience ◽

Item Analysis ◽

Cognitive Interviews ◽

Study Objective ◽

Specific Patient ◽

Experience Survey ◽

Survey Research Methods

Background While generic, site, and disease-specific patient experience surveys exist, such surveys have limited relevance to frail, medically complex older adults attending appointment-based specialized geriatric services (SGS). The study objective was to develop and evaluate a patient experience survey specific to this population. Methods Using established survey research methods, this study was conducted collaboratively with older adults (patients and family members/friends) at three Ontario sites offering SGS. The study was done in three phases: Phase One—literature review, evidence alignment, and operationalization of core survey items; Phase Two—cognitive interviews and refinement; and Phase Three—pilot testing, survey item analysis, and refinement. Results Based on an evidence-informed framework, the “Older Adult Experience Survey” includes 12 core items, two global rating items, two open-ended questions, and two demographic questions. The summed 12 core items demonstrated acceptable internal consistency (Cronbach’s alpha: 0.83), and the correlation between the summed score and a global question was 0.59, providing evidence of construct validity. The survey also demonstrated face and content validity. Conclusion This open access, collaboratively developed, psychometrically sound patient experience survey can be used to assess, then improve, the clinical experience and quality of care of older adults attending appointment-based SGS clinics/programs.

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Quality-Driven Software Development for Maintenance

Software Design and Development ◽

10.4018/978-1-4666-4301-7.ch078 ◽

2014 ◽

pp. 1608-1638

Author(s):

Iwona Dubielewicz ◽

Bogumila Hnatkowska ◽

Zbigniew Huzar ◽

Lech Tuzinkiewicz

Keyword(s):

Software Development ◽

Software Maintenance ◽

Development Process ◽

Special Kind ◽

Positive Influence ◽

Quality Characteristics ◽

Software Development Process ◽

Development Paradigm ◽

Further Development

Software maintenance is sometimes considered as a special kind of activity that is separated from a software development process. Meanwhile, the opposite is true; maintenance should be taken into account from the beginning of the software development process. Because a model-based software development is the prevailing software development paradigm, the maintainability should be considered within models that arise in software development process. We claim that the quality of the models arising in the software development process has a positive influence on their maintainability: the higher quality of the models, the more effective maintainability activity. The background for our consideration is MDA approach, and the scope of the consideration is limited to perfective maintenance only. The set of so called 6C quality characteristics is assumed to define a quality of MDA-models. Our selection of 6C quality characteristics is justified by the fact that they are related to activities performed on models within the maintenance. To assess MDA-models in the context of the maintainability, we define checklists for the 6C characteristics. These checklists are used for derivation of some measures which are useful in checking to what scope a given characteristics is satisfied. The main advantage of the approach is its independence of the knowledge of future changes of user requirements that trigger perfective maintenance. In the chapter, we demonstrate a simple example of how to assess the quality of PIM-models that are the realization of the CIM-model. Additionally, we discuss how to select, for further development, the best PIM-model from the set of possible solution.

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Impact of socioeconomic status on patient experience on quality of care for ambulatory healthcare services in Tertiary hospitals in Southeast Nigeria.

10.21203/rs.2.19043/v3 ◽

2020 ◽

Author(s):

Henry Egi Aloh ◽

Obinna E. Onwujekwe ◽

Obianuju G. Aloh ◽

Ijeoma L. Okoronkwo ◽

Chijioke Joel Nweke

Keyword(s):

Socioeconomic Status ◽

Quality Of Care ◽

Patient Experience ◽

Waiting Time ◽

Employment Status ◽

Healthcare Services ◽

Patient Experiences ◽

Care Quality ◽

Tertiary Hospitals

Abstract Background: To determine how socioeconomic factors, such as level of education and employment status, affect patient experiences on quality of care for ambulatory healthcare services in teaching hospitals in southeast Nigeria. Methods: The study is of a cross-sectional design and exit poll was used to collect its data. A pre-tested structured questionnaire was administered to clients accessing care in the outpatient departments of three tertiary hospitals in Nigeria. The assessment of patient experiences for quality of care was based on five (5) domains of care: waiting time; environment of the outpatient department; quality of doctor’s care; quality of care by nurses/other health workers; and responsiveness of care. In addition, the overall quality of care was assessed. Results: The mean rating of patient experience for quality of care for ambulatory healthcare services (outpatients’ care) was 74.31 ± 0.32%. Moderate differences were observed between the hospitals assessed for various levels of patients’ care, especially for waiting time, quality of doctors’ care and overall quality of care. Employment status was a statistically significant (p ≤ 0.05) determinant of overall patient experience rating for quality of care, while the level of patient’s education was an influence on the perception of waiting by the patients and their rating of care from nurses/other healthcare providers (apart from medical doctors). Conclusion: The study showed that educational and employment status (measures of socioeconomic status) of patients determined how patients receiving ambulatory (outpatient) healthcare services perceived the quality of care in the hospitals. Hence, in order to ensure equity, there is need to institutionalize patient-centered care, while full consideration is given to the patients’ socioeconomic status.

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Impact of socioeconomic status on patient experience on quality of care for ambulatory healthcare services in Tertiary hospitals in Southeast Nigeria.

10.21203/rs.2.19043/v2 ◽

2020 ◽

Author(s):

Henry Egi Aloh ◽

Obinna E. Onwujekwe ◽

Obianuju G. Aloh ◽

Ijeoma L. Okoronkwo ◽

Chijioke Joel Nweke

Keyword(s):

Socioeconomic Status ◽

Quality Of Care ◽

Patient Experience ◽

Waiting Time ◽

Employment Status ◽

Healthcare Services ◽

Patient Experiences ◽

Care Giving ◽

Tertiary Hospitals

Abstract Background: To determine how socioeconomic factors, such as level of education and employment status, affect patient experiences on quality of care for ambulatory healthcare services in teaching hospitals in southeast Nigeria. Methods: The study used a cross-sectional design to collect data using exit poll. A pre-tested structured questionnaire was administered on clients accessing care in the outpatient departments of three tertiary hospitals in Nigeria. The assessment of patient experiences for quality of care was based on five (5) domains of care: waiting time; environment of the outpatient department; quality of doctor’s care; quality of care by nurses/other health workers; and responsiveness of care. In addition, the overall quality of care was assessed. Results: The mean rating of patient experience of quality of care for the ambulatory care (outpatients’ visits) was 74.31 ± 0.32%. There were moderate differences among the hospitals for various levels of patients’ care, especially for waiting time, quality of doctors’ care and overall quality of care. Employment status was a statistically significant (p ≤ 0.05) determinant of overall patient experience rating for quality of care, while the level of patient’s education was an influence on the perception of waiting by the patients and their rating of care from nurses/other healthcare providers (apart from medical doctors). Conclusion: The study show that educational and employment status (measures of socioeconomic status) of patients determined how patients receiving ambulatory (outpatient) healthcare services perceived the quality of care in the hospitals. Hence, in order to ensure equity, there is need to institutionalize patient-centered care, giving full consideration to patients’ socioeconomic status. Keywords: Quality of care, Patient Experience, Socioeconomic Status, Hospitals, Nigeria.

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Limitations of patient experience reports to evaluate physician quality in spine surgery: analysis of 7485 surveys

Journal of Neurosurgery Spine ◽

10.3171/2018.8.spine18104 ◽

2019 ◽

Vol 30 (4) ◽

pp. 520-523 ◽

Cited By ~ 2

Author(s):

Nitin Agarwal ◽

Andrew Faramand ◽

Johanna Bellon ◽

Jeffrey Borrebach ◽

D. Kojo Hamilton ◽

...

Keyword(s):

Patient Experience ◽

Spine Surgery ◽

Healthcare Providers ◽

Systems Design ◽

Physician Communication ◽

Chi Square ◽

Physician Care ◽

Physician Rating ◽

Experience Survey

OBJECTIVEThe Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS) is a standardized patient experience survey that is used to evaluate the quality of care delivered by physicians. The authors sought to determine which factors influenced CG-CAHPS scores for spine surgery, and compare them to their cranial-focused cohorts.METHODSA retrospective study of prospectively obtained data was performed to evaluate CG-CAHPS scores. Between May 2013 and May 2017, all patients 18 years of age or older with an outpatient encounter with a neurosurgeon (5 spine-focused neurosurgeons and 20 cranial-focused neurosurgeons) received a CG-CAHPS survey. Three domains were assessed: overall physician rating, likelihood to recommend, and physician communication. Statistical analyses were performed using chi-square tests.RESULTSSeven thousand four hundred eighty-five patient surveys (2319 spine and 5166 cranial) were collected from patients presenting to the outpatient offices of an attending neurosurgeon. Analysis of the overall physician rating showed that 81.1% of spine neurosurgeons received a “top-box” score (answers of “yes, definitely”), whereas 86.2% of cranial neurosurgeons received a top-box response (p < 0.001). A similar difference was observed with the domains of “likelihood to recommend” and “physician communication.” Overall physician rating was also significantly influenced by the general and mental health of the patients surveyed (p < 0.001). For spine surgeons seeing patients at more than one facility, the scores with respect to location were also significantly different in all domains for each individual provider (p < 0.001).CONCLUSIONSOverall, spine-focused neurosurgeon ratings differed significantly from those of cranial-focused neurosurgical subspecialty providers. Office location also affected provider ratings for spine neurosurgeons. These results suggest that physician ratings obtained via patient experience surveys may be representative of factors aside from just the quality of physician care provided. This information should be considered as payers, government, and health systems design performance programs based on patient experience scores.

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A systematic approach to reduce hospital food waste based on patient experience

British Journal of Healthcare Management ◽

10.12968/bjhc.2019.0100 ◽

2020 ◽

Vol 26 (10) ◽

pp. 1-7

Author(s):

Dimuthu Rathnayake ◽

Shanti Dalpatadu

Keyword(s):

Patient Experience ◽

Food Waste ◽

Systematic Approach ◽

Food Service ◽

Post Intervention ◽

Large Teaching Hospital ◽

Hospital Stays ◽

Experience Survey ◽

Organisational Research

Background/Aims Organisational research has been shown to enhance the quality of hospital diet services. This study investigated methods to reduce food waste in the inpatient facilities of a large teaching hospital in Sri Lanka. Methods A patient experience survey was conducted to assess the quality of hospital diets. A new diet process was formulated and evaluated based on the results. Results Patients were satisfied with the food and food service quality, but preferred to eat homemade food during longer hospital stays. Before the intervention, 55% of breakfast meals, 62% of lunch meals and 57% of dinner meals were wasted. Post-intervention evaluation showed a significant reduction in food waste to less than 4% for all meal types. Conclusions Offering patients the opportunity to express meal preference through the diet ordering process reduced hospital food waste to less than 4% in total.

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Requirement Based Testability Estimation Model of Object Oriented Software

Oriental journal of computer science and technology ◽

10.13005/ojcst/10.04.14 ◽

2017 ◽

Vol 10 (04) ◽

pp. 793-801

Author(s):

Mohammad Khan ◽

M. A. Khanam ◽

M. H Khan

Keyword(s):

Crucial Role ◽

Development Process ◽

Object Oriented ◽

Quality Requirement ◽

Early Measurement ◽

Estimation Model ◽

High Quality ◽

Statistical Measures ◽

Further Development

To measure testability before the actual development starts will play a crucial role to the developer, designers and end users as well. Early measurement of testability, especially in early requirement stage to assist the developer for the further development process, and will also assures us to produce and deliver the high quality requirement that can surely reduce the overall cost and improves the quality of development process. Taking view of this fact, this paper identifies testability estimation factors namely understandability and modifiability and establishes the correlation among testability, understandability and modifiability. Further, a model is developed to quantify software testability in requirement phase and named as Requirement Testability Model of Object Oriented Software-RTMOOS. Furthermore, the correlation of Testability with these factors has been tested and justified with the help of statistical measures.

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Patient Experiences with Hidradenitis Suppurativa: The Hidradenitis Patient Experience Survey

Clinical and Experimental Dermatology ◽

10.1111/ced.14826 ◽

2021 ◽

Author(s):

N. Kashetsky ◽

I.M. Mukovozov ◽

J. Pereira ◽

R. Manion ◽

S. Carter ◽

...

Keyword(s):

Patient Experience ◽

Hidradenitis Suppurativa ◽

Patient Experiences ◽

Experience Survey

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Cognitive Health Counseling 40+

Zeitschrift für Gesundheitspsychologie ◽

10.1026/0943-8149/a000085 ◽

2013 ◽

Vol 21 (1) ◽

pp. 24-33 ◽

Cited By ~ 1

Author(s):

Anne Eschen ◽

Franzisca Zehnder ◽

Mike Martin

Keyword(s):

Outcome Variable ◽

Pilot Phase ◽

Subjective Memory ◽

Cognitive Health ◽

Health Counseling ◽

Agents Of Change ◽

Main Outcome Variable ◽

Further Development

This article introduces Cognitive Health Counseling 40+ (CH.CO40+), an individualized intervention that is conceptually based on the orchestration model of quality-of-life management ( Martin & Kliegel, 2010 ) and aims at improving satisfaction with cognitive health in adults aged 40 years and older. We describe the theoretically deduced characteristics of CH.CO40+, its target group, its multifactorial nature, its individualization, the application of subjective and objective measures, the role of participants as agents of change, and the rationale for choosing participants’ satisfaction with their cognitive health as main outcome variable. A pilot phase with 15 middle-aged and six older adults suggests that CH.CO40+ attracts, and may be particularly suitable for, subjective memory complainers. Implications of the pilot data for the further development of the intervention are discussed.

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