Improving the quality of health care: Methods for incorporating patients' views in health care

作者: M. Wensing

DOI: 10.1136/BMJ.326.7394.877

关键词:

摘要: This is the third of three articles on research into improving quality health care Efforts to improve will be wasted unless they reflect what patients want from service. But sure that surveys patients' views are valid and have an effect care, methods used must evaluated rigorously Society now acknowledges importance users in developing services, healthcare sector has a range identify public. Examples questionnaires assess needs before consultation with clinician, shared decision making, focus groups include their clinical guidelines, among provide feedback providers or Such need examined terms validity, effectiveness, implementation.1 We describe some important issues related measuring evaluating use care. #### Summary points Patients can contribute debates by giving preferences for evaluations occurred, factual reports care Measures should assessed preferably rigorous qualitative studies Methods shown affect processes outcomes care; possible negative consequences also considered The determine divided types: measures preferences, users, (box). The types measure depend aspect being assessed, but all limitations. One problem assessing decisions about often individual experience rather than general view. Interaction between …

参考文章(23)
Adrian Edwards, Glyn Elwyn, Christine Smith, Simon Williams, Hazel Thornton, Consumers’ views of quality in the consultation and their relevance to ‘shared decision-making’ approaches Health Expectations. ,vol. 4, pp. 151- 161 ,(2001) , 10.1046/J.1369-6513.2001.00116.X
S. Huijsmans, R.P.T.M. Grol, M.J.P. Wensing, M.W. van Tulder, H.J. Schers, Low back pain management in primary care. Spine. ,vol. 26, ,(2001)
Richard F. Uhlmann, Thomas S. Inui, William B. Carter, Patient requests and expectations. Definitions and clinical applications. Medical Care. ,vol. 22, pp. 681- 685 ,(1984) , 10.1097/00005650-198407000-00011
Julianne Souchek, James R. Stacks, Baruch Brody, Carol M. Ashton, R. Brian Giesler, Margaret M. Byrne, Karon Cook, Jane M. Geraci, Nelda P. Wray, A Trial for Comparing Methods for Eliciting Treatment Preferences From Men With Advanced Prostate Cancer Medical Care. ,vol. 38, pp. 1040- 1050 ,(2000) , 10.1097/00005650-200010000-00008
Michel Wensing, Richard Grol, Anton Smits, Quality judgements by patients on general practice care: a literature analysis. Social Science & Medicine. ,vol. 38, pp. 45- 53 ,(1994) , 10.1016/0277-9536(94)90298-4
Jean-François Etter, Thomas V. Perneger, Analysis of non-response bias in a mailed health survey Journal of Clinical Epidemiology. ,vol. 50, pp. 1123- 1128 ,(1997) , 10.1016/S0895-4356(97)00166-2
Brian Williams, Patient satisfaction: a valid concept? Social Science & Medicine. ,vol. 38, pp. 509- 516 ,(1994) , 10.1016/0277-9536(94)90247-X
M Wensing, Evidence-based patient empowerment Quality in Health Care. ,vol. 9, pp. 200- 201 ,(2000) , 10.1136/QHC.9.4.200
David A. Asch, M.Kathryn Jedrziewski, Nicholas A. Christakis, Response rates to mail surveys published in medical journals. Journal of Clinical Epidemiology. ,vol. 50, pp. 1129- 1136 ,(1997) , 10.1016/S0895-4356(97)00126-1