背景:来自患者护理经验调查的数据是公共报告和绩效付费计划的基石。最近,越来越多的人关注调查回应率以及如何通过确保回应代表所有患者的观点来促进公平。
目的:回顾调查管理策略的证据,以提高患者调查的应答率和代表性。
方法:系统评价遵循系统评价和荟萃分析指南的首选报告项目。
方法:40个同行评审的随机给药实验,用于患者体验调查。
结果:与仅邮件或仅电话相比,电话随访的邮件管理提供了13%的中位响应率收益。虽然仅通过网络进行的调查通常会导致比通过邮件或电话进行的调查更低的回复率(回复率的中位数差异:-21%,范围:-44%,0%),连续网络邮件电话模式的有限证据表明,与连续邮件电话相比,潜在的回复率优势(中位数:4%,范围:2%,5%)。仅电话模式和包括电话在内的序贯混合模式可能会在患者亚组之间产生更好的代表性,保险类型,和种族/民族。货币激励与回应率的大幅增加相关(中位数增加:12%,范围:7%,20%)。
结论:序贯混合模式给药产生比单一模式更高的患者调查反应率。在顺序混合模式管理中包括电话可以改善历史上响应率较低的人的响应;在混合模式管理中包括Web可以以较低的成本增加响应。其他有希望提高反应率的策略包括出院期间的亲自调查管理,激励机制,最大限度地减少调查语言的复杂性,并在调查管理之前预先通知。
Data from surveys of patient care experiences are a cornerstone of public reporting and pay-for-performance initiatives. Recently, increasing concerns have been raised about survey response rates and how to promote equity by ensuring that responses represent the perspectives of all patients.
Review evidence on survey administration strategies to improve response rates and representativeness of patient surveys.
Systematic
review adhering to the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines.
Forty peer-reviewed randomized experiments of administration protocols for patient experience surveys.
Mail administration with telephone follow-up provides a median response rate benefit of 13% compared with mail-only or telephone-only. While surveys administered only by web typically result in lower response rates than those administered by mail or telephone (median difference in response rate: -21%, range: -44%, 0%), the limited evidence for a sequential web-mail-telephone mode suggests a potential response rate benefit over sequential mail-telephone (median: 4%, range: 2%, 5%). Telephone-only and sequential mixed modes including telephone may yield better representation across patient subgroups by age, insurance type, and race/ethnicity. Monetary incentives are associated with large increases in response rates (median increase: 12%, range: 7%, 20%).
Sequential mixed-mode administration yields higher patient survey response rates than a single mode. Including telephone in sequential mixed-mode administration improves response among those with historically lower response rates; including web in mixed-mode administration may increase response at lower cost. Other promising strategies to improve response rates include in-person survey administration during hospital discharge, incentives, minimizing survey language complexity, and prenotification before survey administration.