ArticlePatient related outcome measures2020
Patient Experience Monitor (PEM): The Development of New Short-Form Picker Experience Questionnaires for Hospital Patients with a Wide Range of Literacy Levels.
Article in Patient related outcome measures, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Patient-reported outcome measures (PROMs) used among liver transplant recipients: a systematic review and methodological quality appraisal.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Pooled it
- A systematic literature review on initiatives to involve children and adolescents in evaluating their hospitalization experience.BMC health services research · 2025Pooled it
- Patient-Reported Experience Measures in Adult Inpatient Settings: A Systematic Review.Journal of nursing management · 2024Pooled it
- Validation of the PREM-MSZ resulting in the PREM-Q8: a generic patient-reported experience measure for outpatient care.BMJ open quality · 2026Article
- Towards Human-Centered Digital Health Interventions.The Psychiatric clinics of North America · 2026Review
- Overview of an ongoing clinical trial on hand prostheses: Toward use of synergy-based prosthetic hands for activities of daily living by transradial amputees.IEEE transactions on bio-medical engineering · 2026Article
- From patient voices to policy: Data analytics reveals patterns in Ontario's hospital feedback.PLOS digital health · 2026Article
- Evaluation of Patient Experience in a Private Hospital in Costa Rica-A Retrospective Study.Journal of patient experience · 2026Article
- 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
- Variation Between Hospitals in Outcomes and Costs of IBD Care: Results From the IBD Value Study.Inflammatory bowel diseases · 2025Article
- Experiences of COVID-19 Patients With Person-Centred Care During Cohort Isolation: A Mixed-Method Study.Cureus · 2025Article
- A decade of change towards Value-Based Health Care at a Dutch University Hospital: a complexity-informed process study.Health research policy and systems · 2024Article
- Outpatient Video Visits During the COVID-19 Pandemic: Cross-Sectional Survey Study of Patients' Experiences and Characteristics.Journal of medical Internet research · 2024Article
- The first steps in the development of a cancer-specific patient-reported experience measure item bank (PREM-item bank): towards dynamic evaluation of experiences.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Review
- Reliability and validity of the Patient Experiences Questionnaire for Interdisciplinary Treatment for Substance Dependence - Continuous Electronic Measurement (PEQ-ITSD - CEM).BMC health services research · 2024Article
- The added value of the artificial intelligence patient-reported experience measure (AI-PREM tool) in clinical practise: Deployment in a vestibular schwannoma care pathway.PEC innovation · 2023Article
- Analyzing patient experiences using natural language processing: development and validation of the artificial intelligence patient reported experience measure (AI-PREM).BMC medical informatics and decision making · 2022Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSeveral patient-reported experience measures (PREMs) were developed through the years. These questionnaires are frequently found to be inappropriate for people with lower literacy levels. This paper describes the development of patient experience questionnaires for hospital patients with a wide range of literacy levels, while enabling the potential for quality improvement.
methodsMixed methods were used to adapt Picker Institute patient experience questionnaires: selection of items and adaptation towards language level B1 (the language level of which patients can express their own opinion and describe experiences, events and expectations) by expert panels, usability tests with patients, analysis of psychometric properties and member checking. A theory-driven approach was followed for definitive enrolment of items, meaning that the items eligible for exclusion had been carefully reviewed by the expert team and representatives of a patient council before definitive exclusion.
resultsA pilot study was performed in an University Medical Centre in the Netherlands among in- and outpatients after discharge. Two provisional questionnaires of 22 items, designed by an expert panel, were reduced towards a final selection of 14-15 items. This led to two short-form questionnaires, called Patient Experience Monitor (PEM) Adult Inpatient and PEM Adult Outpatient. To illustrate, the results of the PEM Adult Outpatient questionnaire are presented.
conclusionPEMs are short and valid questionnaires specifically developed to measure patient experiences of hospital patients with a wide range of literacy levels. Acceptance of the questionnaires for both lower and higher educated patients are confirmed by usability tests. The respondents of the pilot study represent both groups. The developed questionnaires should be seen as a dynamic entity and part of a continuous effort to evaluate and improve patient experiences. Future studies are needed to examine the usability of these new questionnaires for quality improvement.
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