ArticleBMJ open2015
Quality improvement and person-centredness: a participatory mixed methods study to develop the 'always event' concept for primary care.
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- What patients want from access to UK general practice: systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Pooled it
- Using Natural Language Processing to Explore Patient Perspectives on AI Avatars in Support Materials for Patients With Breast Cancer: Survey Study.Journal of medical Internet research · 2025Article
- Patients and Healthcare Providers' Perspectives on Patient Experience Factors and a Model of Patient-Centered Care Communication: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Reframing Patient Experience Approaches and Methods to Achieve Patient-Centeredness in Healthcare: Scoping Review.International journal of environmental research and public health · 2022Article
- "What counts can't always be measured": a qualitative exploration of general practitioners' conceptualisation of quality for community pharmacy services.BMC family practice · 2020Article
- Patient Experience Monitor (PEM): The Development of New Short-Form Picker Experience Questionnaires for Hospital Patients with a Wide Range of Literacy Levels.Patient related outcome measures · 2020Article
- Nurse competence in the interface between primary and tertiary healthcare services.Nursing open · 2019Article
- Article
- Using Always Events to derive patient-centred quality improvement priorities in a specialist primary care service providing care to a homeless population.BMJ open quality · 2019Article
- 'The big buzz': a qualitative study of how safe care is perceived, understood and improved in general practice.BMC family practice · 2018Article
- Article
- Jugglers and tightrope walkers: The challenge of delivering quality community pharmacy services.PloS one · 2018Article
- Testing of the 'Always Events' approach to improve the patient experience in the emergency department.BMJ open quality · 2018Article
- Patient feedback for acupuncture practice improvement: A survey from Mayo Clinic.Chinese journal of integrative medicine · 2017Article
- Patient-centred improvement to repeat prescribing using the Always Event concept.BMJ open quality · 2017Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectives(1) To ascertain from patients what really matters to them on a personal level of such high importance that it should 'always happen' when they interact with healthcare professionals and staff groups. (2) To critically review existing criteria for selecting 'always events' (AEs) and generate a candidate list of AE examples based on the patient feedback data.
designMixed methods study informed by participatory design principles. SUBJECTS AND
settingConvenience samples of patients with a long-term clinical condition in Scottish general practices.
results195 patients from 13 general practices were interviewed (n=65) or completed questionnaires (n=130). 4 themes of high importance to patients were identified from which examples of potential 'AEs' (n=8) were generated: (1) emotional support, respect and kindness (eg, "I want all practice team members to show genuine concern for me at all times"); (2) clinical care management (eg, "I want the correct treatment for my problem"); (3) communication and information (eg, "I want the clinician who sees me to know my medical history") and (4) access to, and continuity of, healthcare (eg, "I want to arrange appointments around my family and work commitments"). Each 'AE' was linked to a system process or professional behaviour that could be measured to facilitate improvements in the quality of patient care.
conclusionsThis study is the first known attempt to develop the AE concept as a person-centred approach to quality improvement in primary care. Practice managers were able to collect data from patients on what they 'always want' in terms of expectations related to care quality from which a list of AE examples was generated that could potentially be used as patient-driven quality improvement (QI) measures. There is strong implementation potential in the Scottish health service. However, further evaluation of the utility of the method is also necessary.
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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.