Evidence map›Paper›PMID 28985368›Full record

SynthesisFamily practice2018

Exploring the impact and use of patients' feedback about their care experiences in general practice settings-a realist synthesis.

Deborah J Baldie, Bruce Guthrie, Vikki Entwistle, Thilo Kroll

Abstract readSystematic Review
In one paragraph

Synthesis in Family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
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  5. Article
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  7. Article
  8. Determinants of Patient-Perceived Primary Healthcare Quality in Lithuania.International journal of environmental research and public health · 2023
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  9. Article
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  12. Made to Measure: The Ethics of Routine Measurement for Healthcare Improvement.Health care analysis : HCA : journal of health philosophy and policy · 2021
    Article
  13. Article
  14. Article
  15. Article
  16. Article
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  18. 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.

Deborah J BaldieCentre for Person-centred Practice Research, Division of Nursing, Queen Margaret University, Edinburgh, UK.
Bruce GuthrieQuality, Safety and Informatics Research Group, School of Medicine, University of Dundee, Dundee, UK.
Vikki EntwistleHealth Services Research Unit, University of Aberdeen, Aberdeen, UK.
Thilo KrollSchool Of Nursing, Midwifery & Health Sys, Health Sciences Centre, University of Dublin, Dublin, Ireland.

Funding

Chief Scientist Office DTF/08/07Chief Scientist Office HSRU2
6 · The paper itself

Abstract

Background: Policy encourages health care providers to listen and respond to feedback from patients, expecting that it will enhance care experiences. Enhancement of patients' experiences may not yet be a reality, particularly in primary health care settings. Objective: To identify the issues that influence the use and impact of feedback in this context. Design and Setting: A realist synthesis of studies of the use of patient feedback within primary health care settings. Methods: Structured review of published studies between 1971 and January 2015. Results: Eighteen studies were reported in 20 papers. Eleven studies reported patient survey scores as a primary outcome. There is little evidence that formal patient feedback led to enhanced experiences. The likelihood of patient feedback to health care staff stimulating improvements in future patients' experiences appears to be influenced predominantly by staff perceptions of the purpose of such feedback; the validity and type of data that is collected; and where, when and how it is presented to primary health care teams or practitioners and teams' capacity to change. Conclusions: There is limited research into how patient feedback has been used in primary health care practices or its usefulness as a stimulant to improve health care experience. Using a realist synthesis approach, we have identified a number of contextual and intervention-related factors that appear to influence the likelihood that practitioners will listen to, act on and achieve improvements in patient experience. Consideration of these may support research and improvement work in this area.

Indexed as

FeedbackGeneral PracticePatient SatisfactionClinical CompetenceHumansQuality ImprovementTotal Quality ManagementAccess and evaluationhealth carehealth care qualitypatient advocacypatient satisfactionquality assurancequality of health caretotal quality management

Identifiers

PMID28985368
PMCPMC6191909

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.