Evidence map›Paper›PMID 21439173›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2011

Experiencing patient-experience surveys: a qualitative study of the accounts of GPs.

Adrian Edwards, Richard Evans, Paul White, Glyn Elwyn

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Patient and public involvement in medical performance processes: A systematic review.Health expectations : an international journal of public participation in health care and health policy · 2019
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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  8. Made to Measure: The Ethics of Routine Measurement for Healthcare Improvement.Health care analysis : HCA : journal of health philosophy and policy · 2021
    Article
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  10. Associations of Patient Experience in Primary Care With Hospitalizations and Emergency Department Visits on Isolated Islands: A Prospective Cohort Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2019
    Article
  11. Article
  12. Doctors' engagements with patient experience surveys in primary and secondary care: a qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2017
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  13. Review
  14. Article
  15. The role of patient experience surveys in quality assurance and improvement: a focus group study in English general practice.Health expectations : an international journal of public participation in health care and health policy · 2015
    Article
  16. Article
  17. Article
  18. Challenges to the credibility of patient feedback in primary healthcare settings: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013
    Article
  19. Ask the Parent: Developing a Pediatric Feedback Form for Medical Learners.Journal of medical education and curricular development
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Adrian EdwardsDepartment of Primary Care and Public Health, School of Medicine, Cardiff University, Wales, UK. edwardsag@cf.ac.uk
Richard Evans
Paul White
Glyn Elwyn

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite policy and financial support for patient-experience surveys as feedback to modify clinical practice, their benefits and other effects remain unclear.

aimThis study aimed to examine the perspective of GPs who have engaged with such tools.

methodQualitative semi-structured interviews with 30 GPs across south Wales, UK. The transcripts were analysed using a constant comparative method.

resultsThe participants regarded patient feedback as highly important but felt that patient-experience surveys, as currently implemented, were hard to interpret. Reflecting on the doctor-patient interaction, participants perceived ambiguity about whether results were evaluating the individual or the GP practice, and whether they were directed towards the 'practitioner-as-person' or towards specific behaviours. A potential threat was posed in both interpretations, with the risk of damaging consequences for the practitioner and the nature of general practice. The tension between satisfying patients and performing good health care was a clearly voiced dilemma. Doctors did not feel confident in their ability to change in response to feedback, particularly outside a formal training environment.

conclusionPatient evaluation is seen as a key part of multisource feedback for practising doctors. Clarity is needed about the purpose of evaluation - whether for organisational or personal 'feedback', and whether formative or summative - and there is a need for attention to the process, with trained facilitators, to ensure that doctors gain from structured reflection, and can minimise the potential negative effects of evaluation.

Indexed as

Attitude of Health PersonnelGeneral PracticePatient SatisfactionQuality of Health CareFemaleHealth Care SurveysHumansMale

Identifiers

PMID21439173
PMCPMC3063044

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.