Exploring the impact and use of patients' feedback about their care experiences in general practice settings-a realist synthesis.
Exploring the impact and use of patients' feedback about their care experiences in general practice settings-a realist synthesis.
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DOI：
10.1093/fampra/cmx067
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发表时间：
2018-01-16
期刊：
影响因子：
2.2
通讯作者：
Kroll T
中科院分区：
文献类型：
--
作者：
Baldie DJ;Guthrie B;Entwistle V;Kroll T
政策鼓励医疗保健提供者倾听并回应患者的反馈，期望这将改善护理体验。改善患者体验可能尚未成为现实，特别是在初级卫生保健机构中。确定在此背景下影响反馈的使用和影响的问题。对初级卫生保健机构中患者反馈的使用研究的现实综合。对 1971 年至 2015 年 1 月期间发表的研究进行结构化回顾。20 篇论文中报告了 18 项研究。十一项研究将患者调查得分作为主要结果。几乎没有证据表明正式的患者反馈可以改善体验。患者向医护人员提供反馈刺激未来患者体验改善的可能性似乎主要受到工作人员对此类反馈目的的看法的影响；所收集数据的有效性和类型；以及在何处、何时以及如何向初级卫生保健团队或从业人员和团队的变革能力提出该信息。关于如何将患者反馈用于初级卫生保健实践或其作为改善卫生保健体验的刺激剂的作用的研究有限。使用现实主义综合方法，我们确定了许多背景和干预相关因素，这些因素似乎会影响从业者倾听、采取行动并改善患者体验的可能性。对这些的考虑可能会支持该领域的研究和改进工作。
Policy encourages health care providers to listen and respond to feedback from patients, expecting that it will enhance care experiences. Enhancement of patients’ experiences may not yet be a reality, particularly in primary health care settings. To identify the issues that influence the use and impact of feedback in this context. A realist synthesis of studies of the use of patient feedback within primary health care settings. Structured review of published studies between 1971 and January 2015. Eighteen studies were reported in 20 papers. Eleven studies reported patient survey scores as a primary outcome. There is little evidence that formal patient feedback led to enhanced experiences. The likelihood of patient feedback to health care staff stimulating improvements in future patients’ experiences appears to be influenced predominantly by staff perceptions of the purpose of such feedback; the validity and type of data that is collected; and where, when and how it is presented to primary health care teams or practitioners and teams’ capacity to change. There is limited research into how patient feedback has been used in primary health care practices or its usefulness as a stimulant to improve health care experience. Using a realist synthesis approach, we have identified a number of contextual and intervention-related factors that appear to influence the likelihood that practitioners will listen to, act on and achieve improvements in patient experience. Consideration of these may support research and improvement work in this area.
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DOI：
10.2471/blt.07.050401
发表时间：
2009-04-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Bleich, Sara N;Özaltin, Emre;Murray, Christopher JL
通讯作者：
Murray, Christopher JL
影响因子：
3.4
作者：
Barr, Judith K.;Giannotti, Tierney E.;Petrillo, Marcia K.
通讯作者：
Petrillo, Marcia K.
影响因子：
2.2
作者：
Hearnshaw, H;Baker, R;Soper, J
通讯作者：
Soper, J
DOI：
10.1111/hex.12298
发表时间：
2015-12
期刊：
Health expectations : an international journal of public participation in health care and health policy
影响因子：
--
作者：
Boiko O;Campbell JL;Elmore N;Davey AF;Roland M;Burt J
通讯作者：
Burt J
影响因子：
5.7
作者：
Elliott, Marc N.;Kanouse, David E.;Burkhart, Q.;Abel, Gary A.;Lyratzopoulos, Georgios;Beckett, Megan K.;Schuster, Mark A.;Roland, Martin
通讯作者：
Roland, Martin