Evidence map›Paper›PMID 25366992›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2015

The role of patient experience surveys in quality assurance and improvement: a focus group study in English general practice.

Olga Boiko, John L Campbell, Natasha Elmore, Antoinette F Davey, Martin Roland, Jenni Burt

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Patients' use and views of real-time feedback technology in general practice.Health expectations : an international journal of public participation in health care and health policy · 2017
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  11. Made to Measure: The Ethics of Routine Measurement for Healthcare Improvement.Health care analysis : HCA : journal of health philosophy and policy · 2021
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  15. Reflection in practice: How can patient experience feedback trigger staff reflection in hospital acute care settings?Health expectations : an international journal of public participation in health care and health policy · 2020
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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

6 authors.

Olga BoikoPrimary Care, University of Exeter Medical School, Exeter, UK.
John L CampbellPrimary Care, University of Exeter Medical School, Exeter, UK.
Natasha ElmoreCambridge Centre for Health Services Research, University of Cambridge, Cambridge, UK.
Antoinette F DaveyPrimary Care, University of Exeter Medical School, Exeter, UK.
Martin RolandCambridge Centre for Health Services Research, University of Cambridge, Cambridge, UK.
Jenni BurtCambridge Centre for Health Services Research, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-0037-274X

Funding

Department of Health RP-PG-0608-10050
6 · The paper itself

Abstract

backgroundDespite widespread adoption of patient feedback surveys in international health-care systems, including the English NHS, evidence of a demonstrable impact of surveys on service improvement is sparse.

objectiveTo explore the views of primary care practice staff regarding the utility of patient experience surveys.

designQualitative focus groups. SETTING AND

participantsStaff from 14 English general practices.

resultsWhilst participants engaged with feedback from patient experience surveys, they routinely questioned its validity and reliability. Participants identified surveys as having a number of useful functions: for patients, as a potentially therapeutic way of getting their voice heard; for practice staff, as a way of identifying areas of improvement; and for GPs, as a source of evidence for professional development and appraisal. Areas of potential change stimulated by survey feedback included redesigning front-line services, managing patient expectations and managing the performance of GPs. Despite this, practice staff struggled to identify and action changes based on survey feedback alone. DISCUSSION: Whilst surveys may be used to endorse existing high-quality service delivery, their use in informing changes in service delivery is more challenging for practice staff. Drawing on the Utility Index framework, we identified concerns relating to reliability and validity, cost and feasibility acceptability and educational impact, which combine to limit the utility of patient survey feedback.

conclusionsFeedback from patient experience surveys has great potential. However, without a specific and renewed focus on how to translate feedback into action, this potential will remain incompletely realized.

Indexed as

Attitude of Health PersonnelPatient SatisfactionSurveys and QuestionnairesEnglandFeedbackFocus GroupsGeneral PracticeHumansPrimary Health CareProgram EvaluationQuality ImprovementReproducibility of ResultsState Medicinepatient experienceprimary carequalitative researchquality improvement

Identifiers

PMID25366992
PMCPMC5810660

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.