Article Text

PDF

Systematic review of approaches to using patient experience data for quality improvement in healthcare settings
  1. Helen Gleeson1,
  2. Ana Calderon1,
  3. Viren Swami2,
  4. Jessica Deighton1,
  5. Miranda Wolpert1,
  6. Julian Edbrooke-Childs1
  1. 1Evidence Based Practice Unit, University College London and the Anna Freud Centre, London, UK
  2. 2Anglia Ruskin University, Cambridge, UK
  1. Correspondence to Dr Miranda Wolpert; Miranda.Wolpert{at}annafreud.org

Abstract

Objectives Explore how patient-reported experience measures (PREMs) are collected, communicated and used to inform quality improvement (QI) across healthcare settings.

Design Systematic review.

Setting Various primary and secondary care settings, including general practice, and acute and chronic care hospitals.

Participants A full range of patient populations from (children through to the elderly) and staff (from healthcare practitioners to senior managers).

Methods Scientific databases were searched (CINAHL, PsycINFO, MEDLINE and Cochrane Libraries) as was grey literature. Qualitative and quantitative studies describing collection of PREM data and subsequent QI actions in any healthcare setting were included. Risk of bias was assessed using established criteria. Of 5312 initial hits, 32 full texts were screened, and 11 were included.

Results Patient experience data were most commonly collected through surveys and used to identify small areas of incremental change to services that do not require a change to clinician behaviour (eg, changes to admission processes and producing educational materials). While staff in most studies reported having made effective improvements, authors struggled to identify what those changes were or the impact they had.

Conclusions Findings suggest there is no single best way to collect or use PREM data for QI, but they do suggest some key points to consider when planning such an approach. For instance, formal training is recommended, as a lack of expertise in QI and confidence in interpreting patient experience data effectively may continue to be a barrier to a successful shift towards a more patient-centred healthcare service. In the context of QI, more attention is required on how patient experience data will be used to inform changes to practice and, in turn, measure any impact these changes may have on patient experience.

  • PRIMARY CARE

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.