The Increasing Importance of Patient Surveys. Now That Sound Methods Exist, Patient Surveys Can Facilitate Improvement

BMJ Clinical Research (Impact Factor: 14.09). 10/1999; 319(7212):720-1. DOI: 10.1136/bmj.319.7212.720
Source: PubMed
Download full-text


Available from: Paul D Cleary
  • Source
    • "The concept of patients' needs is gaining recognition as a main guidance of how well health services are performing (Kramer, 1997). It provides an indicator for possible further service for patients (Cleary, 1999). The need for specific rehabilitation service is particularly relevant when trying to make rehabilitation services more responsive to patients' needs. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Patient' needs have been found to be crucial to the success of rehabilitation and recovery. To understand what patients want from their rehabilitation services should be addressed in the rehabilitation intervention. This study aims to examine patients' needs for rehabilitation services as well as to examine the validity of a self-report questionnaire that developed to measure what patient needs from rehabilitation services in Saudi Arabia. Tow hundreds-eighty patients, from inpa-tients and outpatients, with stroke, spinal cord and brain injury completed the Patient's Needs Questionnaire (PNQ). In general, the result showed that patients are in highly needs for Psychological Interventions, even before Rehabilitation and Treatment component. In detail, Psychological Intervention and Emotional Support were significantly greater in in-patients than in outpatients. Outpatients, in contrast, affirmed the Religious Support component significantly more than inpatients did. The statistical analysis of PNQ yielded four components: psychological interventions, rehabilitation and treatment, religious support, and explanation/reassurance. These components accounted for 48.71% of the total variances. Rehabilitation services is not only the component of rehabilitation intervention and medical treatments, indeed, it is a holistic intervention that understand the psychological, religious, and reassurance demands. The health provider in Saudi Arabia should develop a rehabilitation goal menu based on patient-centred care needs. The PNQ is a valuable and practical tool for the identification of patients' needs from rehabilitation services. ABSTRACT
    Full-text · Article · Jan 2015
  • Source
    • "Users can influence quality in healthcare by means of two important behaviours: " exit " and " voice " (Hirshman, in Cleary, 1999). " Voice " is put in place by complaining or making comments/suggestions whereas " exit " is exhibited when the user switches to another provider due to dissatisfaction. "

    Full-text · Conference Paper · Sep 2012
  • Source
    • "There now are valid and reliable instruments that ask cancer patients objective questions about aspects of care that both clinicians and patients think represent quality. Newer surveys and reports can provide results that are interpretable and suggest specific areas for quality improvement efforts.10 The choice of a questionnaire depends upon the type of cancer under investigation, the availability of resources including human resources and the motives behind the collection of the data. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Cancer is one of the leading causes of morbidity and mortality in the United States. It places considerable mental, physical, and emotional stress on patients and requires them to make major adjustments in many key areas of their lives. As a consequence, the demands on health care providers to satisfy the complex care needs of cancer patients increase manifold. Of late, patient satisfaction has been recognized as one of the key indicators of health care quality and is now being used by health care institutions for monitoring health care improvement programs, gaining accreditation, and marketing strategies. The patient satisfaction information is also being used to compare and benchmark hospitals, identify best-performance institutions, and discover areas in need of improvement. However, the existing literature on patient satisfaction with the quality of cancer care they receive is inconsistent and heterogeneous because of differences in study designs, questionnaires, study populations, and sample sizes. The aim of this review was therefore to systematically evaluate the available information on the distribution and determinants of patient satisfaction in oncology.
    Full-text · Article · Nov 2009 · Patient Preference and Adherence
Show more