Evidence map›Paper›PMID 30244499›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2019

What's the problem with patient experience feedback? A macro and micro understanding, based on findings from a three-site UK qualitative study.

Laura Sheard, Rosemary Peacock, Claire Marsh, Rebecca Lawton

Open access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
14.5field-weighted citation impact, top 1% of its field
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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.

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  13. The Perspectives of Healthcare Professionals and Managers on Patient Involvement in Care Pathway Development: A Discourse Analysis.Health expectations : an international journal of public participation in health care and health policy · 2024
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  19. Participatory codesign of patient involvement in a Learning Health System: How can data-driven care be patient-driven care?Health expectations : an international journal of public participation in health care and health policy · 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

4 authors at 2 institutions in 1 country.

Laura SheardBradford Institute for Health Research, Bradford Teaching Hospitals, Bradford, UK.ORCID 0000-0002-9241-8361
Rosemary PeacockBradford Institute for Health Research, Bradford Teaching Hospitals, Bradford, UK.ORCID 0000-0002-0407-5339
Claire MarshBradford Institute for Health Research, Bradford Teaching Hospitals, Bradford, UK.ORCID 0000-0002-4185-7153
Rebecca LawtonBradford Institute for Health Research, Bradford Teaching Hospitals and School of Psychology, University of Leeds, Leeds, UK.
Bradford Teaching Hospitals NHS Foundation Trust · GBUniversity of Leeds · GB

Funding

Department of Health 14/156/32Department of Health HS&DR/14/156/32National Institute for Health Research 14/156/32
6 · The paper itself

Abstract

contextCollecting feedback from patients about their experiences of health care is an important activity. However, improvement based on this feedback rarely materializes. In this study, we focus on answering the question-"what is impeding the use of patient experience feedback?"

methodsWe conducted a qualitative study in 2016 across three NHS hospital Trusts in the North of England. Focus groups were undertaken with ward-based staff, and hospital managers were interviewed in-depth (50 participants). We conducted a conceptual-level analysis.

findingsOn a macro level, we found that the intense focus on the collection of patient experience feedback has developed into its own self-perpetuating industry with a significant allocation of resource, effort and time being expended on this task. This is often at the expense of pan-organizational learning or improvements being made. On a micro level, ward staff struggled to interact with feedback due to its complexity with questions raised about the value, validity and timeliness of data sources.

conclusionsMacro and micro prohibiting factors come together in a perfect storm which provides a substantial impediment to improvements being made. Recommendations for policy change are put forward alongside recognition that high-level organizational culture/systems are currently too sluggish to allow fruitful learning and action to occur from the feedback that patients give.

Indexed as

Qualitative ResearchQuality ImprovementHospitalsHumansLearningPatient SatisfactionState MedicineSurveys and QuestionnairesUnited Kingdompatient experiencepatient feedbackqualitative researchquality improvementUnited Kingdom

Identifiers

PMID30244499
PMCPMC6351417
OpenAlexW2893879469

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.