Evidence map›Paper›PMID 27124589›Full record

Trial reportHealth expectations : an international journal of public participation in health care and health policy2017

Patients' use and views of real-time feedback technology in general practice.

Christine Wright, Antoinette Davey, Natasha Elmore, Mary Carter, Luke Mounce, Ed Wilson, Jenni Burt, Martin Roland, John Campbell

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Health expectations : an international journal of public participation in health care and health policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. The Friends and Family Test in general practice in England: a qualitative study of the views of staff and patients.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
    Article
  11. Article
  12. Capturing patient experience: a qualitative study of implementing real-time feedback in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016
    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

9 authors.

Christine WrightPrimary Care Research Group, University of Exeter Medical School, Exeter, Devon, UK.
Antoinette DaveyPrimary Care Research Group, University of Exeter Medical School, Exeter, Devon, UK.
Natasha ElmoreThe Primary Care Unit, Institute of Public Health, University of Cambridge, Cambridge, UK.
Mary CarterPrimary Care Research Group, University of Exeter Medical School, Exeter, Devon, UK.
Luke MouncePrimary Care Research Group, University of Exeter Medical School, Exeter, Devon, UK.
Ed WilsonThe Primary Care Unit, Institute of Public Health, University of Cambridge, Cambridge, UK.
Jenni BurtThe Primary Care Unit, Institute of Public Health, University of Cambridge, Cambridge, UK.ORCID 0000-0002-0037-274X
Martin RolandThe Primary Care Unit, Institute of Public Health, University of Cambridge, Cambridge, UK.
John CampbellPrimary Care Research Group, University of Exeter Medical School, Exeter, Devon, UK.

Funding

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

Abstract

backgroundThere is growing interest in real-time feedback (RTF), which involves collecting and summarizing information about patient experience at the point of care with the aim of informing service improvement.

objectiveTo investigate the feasibility and acceptability of RTF in UK general practice.

designExploratory randomized trial. SETTING/

participantsTen general practices in south-west England and Cambridgeshire. All patients attending surgeries were eligible to provide RTF.

interventionTouch screens were installed in waiting areas for 12 weeks with practice staff responsible for encouraging patients to provide RTF. All practices received fortnightly feedback summaries. Four teams attended a facilitated reflection session. OUTCOMES: RTF 'response rates' among consulting patients were estimated, and the representativeness of touch screen users were assessed. The frequency of staff-patient interactions about RTF (direct observation) and patient views of RTF (exit survey) were summarized. Associated costs were collated.

resultsAbout 2.5% consulting patients provided RTF (range 0.7-8.0% across practices), representing a mean of 194 responses per practice. Patients aged above 65 were under-represented among touch screen users. Receptionists rarely encouraged RTF but, when this did occur, 60% patients participated. Patients were largely positive about RTF but identified some barriers. Costs per practice for the twelve-week period ranged from £1125 (unfacilitated team-level feedback) to £1887 (facilitated team ± practitioner-level feedback). The main cost was the provision of touch screens.

conclusionsResponse rates for RTF were lower than those of other survey modes, although the numbers of patients providing feedback to each practice were comparable to those achieved in the English national GP patient survey. More patients might engage with RTF if the opportunity were consistently highlighted to them.

Indexed as

FeedbackGeneral PracticePatient SatisfactionAdultAgedComputers, HandheldEnglandFemaleHumansMaleMiddle AgedQualitative ResearchQuality of Health CareSurveys and Questionnairespatient feedbackprimary carereal time feedbacksurvey

Identifiers

PMID27124589
PMCPMC5433544

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.