关键词: general practice general practitioner health care surveys patient satisfaction physician–patient relations quality improvement

Mesh : Humans General Practitioners Feedback General Practice Family Practice Surveys and Questionnaires Patient Outcome Assessment

来  源:   DOI:10.1093/fampra/cmad019   PDF(Pubmed)

Abstract:
Patient experience feedback is key in patient centred health systems, but empirical evidence of general practitioner (GP) interest in it is sparse. We aimed to: (i) quantitatively estimate the level of GP interest for feedback reports on patient experience; (ii) explore determinants of such interest; and (iii) examine potential association between a priori interest and patient experience.
The patient experience survey included maximum 300 randomly selected patients for each of 50 randomly selected GPs (response rate 41.4%, n = 5,623). GPs were sent a postal letter offering feedback reports and were grouped according to their replies: (i) interested in the report; (ii) not interested. Associations between interest and GP variables were assessed with Chi-square tests and multivariate logistic regression, while associations between interest and scores for 5 patient experiences scales were assessed with multilevel regression models.
About half (n = 21; 45.7%) of the GPs showed interest in the report by asking to receive the report. The only GP variable associated with a priori interest was being a specialist in general practice (58.6% vs. 23.5% for those without) (P = 0.021). Interest was significantly associated with the practice patient experience scale (4.1 higher score compared with those not interested, P = 0.048). Interest in the report had small and nonsignificant associations with the remaining patient experience scales.
Almost half of the GPs, and almost 3 in 5 of specialists in general practice, were interested in receiving a GP-specific feedback report on patient experiences. Interest in the report was generally not related to patient experience scores.
摘要:
背景:患者体验反馈是以患者为中心的卫生系统的关键,但全科医生(GP)对此感兴趣的经验证据很少。我们旨在:(i)定量估计GP对患者体验反馈报告的兴趣水平;(ii)探索这种兴趣的决定因素;(iii)检查先验兴趣与患者体验之间的潜在关联。
方法:患者体验调查包括50名随机选择的全科医生中,最多300名随机选择的患者(反应率41.4%,n=5,623)。全科医生收到了一封邮件,提供反馈报告,并根据其答复进行分组:(i)对报告感兴趣;(ii)不感兴趣。用卡方检验和多变量逻辑回归评估了兴趣变量和GP变量之间的关联,而兴趣与5个患者体验量表评分之间的关联则采用多水平回归模型进行评估.
结果:大约一半(n=21;45.7%)的GP通过要求接收报告而对报告表现出兴趣。与先验兴趣相关的唯一GP变量是成为一般实践的专家(58.6%与没有的人为23.5%)(P=0.021)。兴趣与实践患者体验量表显着相关(与不感兴趣的人相比,得分高4.1分,P=0.048)。对该报告的兴趣与其余患者体验量表有小的和非显著的关联。
结论:几乎一半的全科医生,几乎五分之三的普通实践专家,有兴趣收到关于患者体验的GP特定反馈报告。对报告的兴趣通常与患者经验评分无关。
公众号