Feedback based on patient evaluations: a tool for quality improvement?
Feedback based on patient evaluations: a tool for quality improvement?
复制标题
DOI：
10.1016/s0738-3991(02)00199-4
复制
发表时间：
2003-10-01
影响因子：
3.5
通讯作者：
Grol, R
中科院分区：
文献类型：
--
作者：
Wensing, M;Vingerhoets, E;Grol, R
关于病人对保健的评价的反馈预计将成为提高质量的一个工具。本研究在一项随机试验中检验了全科医生对此类反馈的反应。干预组的从业人员阅读并讨论反馈报告，然后报告可采取的一系列行动，以提高护理质量。他们的交流行为并没有改变。在基线和干预期后，所有的从业人员都非常积极地从患者的观点中学习。与对照组相比，干预组的从业人员在收到患者反馈后，对其实践的相关性的看法不那么有利。此外，这些从业人员认为，对患者进行调查需要大量的时间和精力，并且没有理由进行改变。虽然病人的反馈可以帮助确定需要改进的地方，但在这种反馈得到更广泛的应用之前，必须解决具体的障碍。(C) 2002爱思唯尔科学爱尔兰有限公司版权所有。
Feedback regarding patient evaluations of health care is expected to be a tool for quality improvement. This study examined the response of general practitioners to such feedback in a randomised trial. Practitioners in the intervention group read and discussed the feedback report and then reported on a range of actions that can be undertaken to improve the quality of care. Their communication behaviour was not found to change. All of the practitioners were highly motivated to learn from patient views, both at baseline and after the intervention period. Compared to the control group, the practitioners in the intervention group had less favourable views of the relevance of patient feedback for their practice after the receipt of such feedback. Furthermore, these practitioners felt that a patient survey required considerable time and energy and saw little reason for change. Although patient feedback can help identify areas for improvement, specific barriers must be addressed before such feedback can be put to more widespread use. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.