Evidence map›Paper›PMID 24758750›Full record

ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2014

Involving patients in detecting quality gaps in a fragmented healthcare system: development of a questionnaire for Patients' Experiences Across Health Care Sectors (PEACS).

Stefan Noest, Sabine Ludt, Anja Klingenberg, Katharina Glassen, Friederike Heiss, Dominik Ose, Justine Rochon, Kayvan Bozorgmehr, Michel Wensing, Joachim Szecsenyi

Abstract read
In one paragraph

Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 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

23 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Involvement of people who use alcohol and other drug services in the development of patient-reported measures of experience: A scoping review.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
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  13. "It's Complicated": Using Education to Bridge Essential Care Between Hospital and Community for Complex Patients with HIV.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2023
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  14. [Patient-centeredness].Chirurgie (Heidelberg, Germany) · 2022
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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

10 authors.

Stefan NoestDepartment of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.
Sabine LudtDepartment of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.
Anja KlingenbergAQUA-Institute for Applied Quality Improvement and Research in Healthcare, Goettingen, Germany.
Katharina GlassenDepartment of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.
Friederike HeissDepartment of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.
Dominik OseDepartment of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.
Justine RochonInstitute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany.
Kayvan BozorgmehrDepartment of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.
Michel WensingScientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Joachim SzecsenyiDepartment of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany AQUA-Institute for Applied Quality Improvement and Research in Healthcare, Goettingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this study was to develop and validate a generic questionnaire to evaluate experiences and reported outcomes in patients who receive treatment across a range of healthcare sectors.

designMixed-methods design including focus groups, pretests and field test.

settingThe patient questionnaire was developed in the context of a nationwide program in Germany aimed at quality improvements across the healthcare sectors.

participantsFor the field test, 589 questionnaires were distributed to patients via 47 general practices. MAIN MEASUREMENTS: Descriptive item analyzes non-responder analysis and factor analysis (PCA). Retest coefficients (r) calculated by correlation of sum scores of PCA factors. Quality gaps were assessed by the proportion of responders choosing a response category defined as indicating shortcomings in quality of care.

resultsThe conceptual phase showed good content validity. Four hundred and seventy-four patients who received a range of treatment across a range of sectors were included (response rate: 80.5%). Data analysis confirmed the construct, oriented to the patient care journey with a focus on transitions between healthcare sectors. Quality gaps were assessed for the topics 'Indication', including shared-decision-making (6 items, 24.5-62.9%) and 'Discharge and Transition' (10 items; 20.7-48.2%). Retest coefficients ranged from r = 0.671 until r = 0.855 and indicated good reliability. Low ratios of item-non-response (0.8-9.3%) confirmed a high acceptance by patients.

conclusionsThe number of patients with complex healthcare needs is increasing. Initiatives to expand quality assurance across organizational borders and healthcare sectors are therefore urgently needed. A validated questionnaire (called PEACS 1.0) is available to measure patients' experiences across healthcare sectors with a focus on quality improvement.

Indexed as

Patient ParticipationPatient SatisfactionQuality of Health CareSurveys and QuestionnairesAdolescentAdultAgedAged, 80 and overFactor Analysis, StatisticalFemaleFocus GroupsGermanyHealth Care SectorHumansMaleMiddle Agedmeasurement of qualitypatient-centered carepatient satisfactionquality improvementquality managementquality measurement

Identifiers

PMID24758750
PMCPMC4041096

What OpenQuestion holds

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LicenceCC BY-NC
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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.