| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS | REGISTER |
|
|
|
|
|||||||||||||
|
|
|||||||||||||||
Paper |
E Vingerhoets, general practitioner, M Wensing, senior research fellow, R Grol, professor in general practice
Centre for Quality of Care Research (WOK), Universities of Nijmegen and Maastricht, The Netherlands
Dr M Wensing, Centre for Quality of Care Research (WOK), University Medical Centre Nijmegen, P O Box 9101, 6500 HB Nijmegen, The Netherlands M.Wensing{at}hsv.kun.nl Objective—To assess the effects of feedback of patients' evaluations of care to general practitioners.
Design—Randomised trial.
Setting—General practice in the Netherlands.
Subjects—55 GPs and samples of 3691 and 3595 adult patients before and after the intervention, respectively.
Interventions—GPs in the intervention group were given an individualised structured feedback report concerning evaluations of care provided by their own patients. Reference figures referring to other GPs were added as well as suggestions for interpretation of this feedback, an evidence-based overview of factors determining patients' evaluations of care, and methods to discuss and plan improvements.
Main outcome measures—Patients' evaluations of nine dimensions of general practice measured with the CEP, a previously validated questionnaire consisting of 64 questions, using a six point answering scale (1=poor, 6=very good).
Results—Mean scores per CEP dimension varied from 3.88 to 4.77. Multilevel regression analysis showed that, after correction for baseline scores, patients' evaluations of continuity and medical care were less positive after the intervention in the intervention group (4.60 v 4.77, p<0.05 and 4.68 v 4.71, p<0.05, respectively). No differences were found in the remaining seven CEP dimensions.
Conclusions—Providing feedback on patients' evaluations of care to GPs did not result in changes in their evaluation of the care received. This conclusion challenges the relevance of feedback on patients' evaluations of care for quality improvement.
Key Words: patient feedback; general practice; quality improvement
This article has been cited by other articles:
|
|
 |
|
  R. G Evans, A. Edwards, S. Evans, B. Elwyn, and G. Elwyn Assessing the practising physician using patient surveys: a systematic review of instruments and feedback methods Fam. Pract., April 1, 2007; 24(2): 117 - 127. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. Boyer, P. Francois, E. Doutre, G. Weil, and J. Labarere Perception and use of the results of patient satisfaction surveys by care providers in a French teaching hospital Int. J. Qual. Health Care, October 1, 2006; 18(5): 359 - 364. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Coulter Can patients assess the quality of health care? BMJ, July 1, 2006; 333(7557): 1 - 2. [Full Text] [PDF]
|
|
|
|
 |
|
 E Davies and P D Cleary Hearing the patient's voice? Factors affecting the use of patient survey data in quality improvement Qual. Saf. Health Care, December 1, 2005; 14(6): 428 - 432. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Barlesi, L. Boyer, C. Doddoli, S. Antoniotti, P. Thomas, and P. Auquier The Place of Patient Satisfaction in Quality Assessment of Lung Cancer Thoracic Surgery Chest, November 1, 2005; 128(5): 3475 - 3481. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J H Verbeek, A G de Boer, W E van der Weide, H Piirainen, J R Anema, R J van Amstel, and F Hartog Patient satisfaction with occupational health physicians, development of a questionnaire Occup. Environ. Med., February 1, 2005; 62(2): 119 - 123. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS | REGISTER |
