Mapping the medical outcomes study HIV health survey (MOS-HIV) to the EuroQoL 5 Dimension (EQ-5D-3L) utility index

10.1186/s12955-019-1135-8Health and Quality of Life Outcomes1718

Development and validation of a patient experience of care survey for emergency departments.

ObjectivesTo (1) develop a survey to assess the patient experience of care in hospital-based emergency departments (ED) and (2) evaluate the reliability and validity of composite measures of patient experience using data collected through the experimental implementation of the newly developed Emergency Department Patient Experience of Care (EDPEC) Discharged to Community (DTC) Survey.Data source4893 adult patients were treated in the ED of 16 hospitals across the United States in 2018.Study designThe study utilized a cross-sectional survey.Data collectionSurvey development activities included a literature review, focus groups, and cognitive interviews with recently discharged ED patients, technical expert panels, and multiple field experiments. Survey development resulted in a 34-item instrument; the analysis reported here focuses on 18 items on patient experience of care. Using data from the EDPEC DTC Survey in the 2018 Feasibility Test, we performed confirmatory factor analysis to group 15 evaluative survey items into composite measures. We examined internal consistency reliability, interunit reliability, and associations between each composite measure and patients' overall rating and willingness to recommend the ED.Principal findingsAnalyses of 15 evaluative items identified four composite measures: Getting Timely Care, How Well Doctors and Nurses Communicate, Communication about Medications, and Communication about Follow-up. Patient-level internal consistency reliability exceeded 0.75 for two of four composites; ED-level internal consistency reliability exceeded 0.83 for all four composites. Interunit reliability estimates indicated that 450 survey completes per ED results in at least 0.70 reliability for all composites. Higher scores on each composite were associated with higher overall ratings and willingness to recommend the ED.ConclusionsThe composite measures derived from the EDPEC DTC Survey are statistically reliable and valid. These results provide guidance for EDPEC DTC Survey adopters on how to construct meaningful and psychometrically-sound composite measures for monitoring the quality of care they provide

Examining the role of patient experience surveys in measuring health care quality.

Patient care experience surveys evaluate the degree to which care is patient-centered. This article reviews the literature on the association between patient experiences and other measures of health care quality. Research indicates that better patient care experiences are associated with higher levels of adherence to recommended prevention and treatment processes, better clinical outcomes, better patient safety within hospitals, and less health care utilization. Patient experience measures that are collected using psychometrically sound instruments, employing recommended sample sizes and adjustment procedures, and implemented according to standard protocols are intrinsically meaningful and are appropriate complements for clinical process and outcome measures in public reporting and pay-for-performance programs

Examining the role of patient experience surveys in measuring health care quality.

Patient care experience surveys evaluate the degree to which care is patient-centered. This article reviews the literature on the association between patient experiences and other measures of health care quality. Research indicates that better patient care experiences are associated with higher levels of adherence to recommended prevention and treatment processes, better clinical outcomes, better patient safety within hospitals, and less health care utilization. Patient experience measures that are collected using psychometrically sound instruments, employing recommended sample sizes and adjustment procedures, and implemented according to standard protocols are intrinsically meaningful and are appropriate complements for clinical process and outcome measures in public reporting and pay-for-performance programs

sj-pdf-1-mcr-10.1177_10775587231223292 – Supplemental material for Interventions and Hospital Characteristics Associated With Patient Experience: An Update of the Evidence

Supplemental material, sj-pdf-1-mcr-10.1177_10775587231223292 for Interventions and Hospital Characteristics Associated With Patient Experience: An Update of the Evidence by Megan K. Beckett, Denise D. Quigley, William G. Lehrman, Laura A. Giordano, Christopher W. Cohea, Elizabeth H. Goldstein and Marc N. Elliott in Medical Care Research and Review</p

sj-docx-2-mcr-10.1177_10775587231223292 – Supplemental material for Interventions and Hospital Characteristics Associated With Patient Experience: An Update of the Evidence

Supplemental material, sj-docx-2-mcr-10.1177_10775587231223292 for Interventions and Hospital Characteristics Associated With Patient Experience: An Update of the Evidence by Megan K. Beckett, Denise D. Quigley, William G. Lehrman, Laura A. Giordano, Christopher W. Cohea, Elizabeth H. Goldstein and Marc N. Elliott in Medical Care Research and Review</p