Journal Article

When the patient is the expert: measuring patient experience and satisfaction with care

Bohren, Meghan A, Sharma, Jigyasa, Larson, Elysia, Tunçalp, Özge

2019

Overview

In 2018, three independent reports were published, emphasizing the need for attention to, and improvements in, quality of care to achieve effective universal health coverage. A key aspect of high quality health care and health systems is that they are person-centred, a characteristic that is at the same time intrinsically important (all individuals have the right to be treated with dignity and respect) and instrumentally important (person-centred care is associated with improved health-care utilization and health outcomes). Following calls to make 2019 a year of action, we provide guidance to policy-makers, researchers and implementers on how they can take on the task of measuring person-centred care. Theoretically, measures of person-centred care allow quality improvement efforts to be evaluated and ensure that health systems are accountable to those they aim to serve. However, in practice, the utility of these measures is limited by lack of clarity and precision in designing and by using measures for different aspects of person-centeredness. We discuss the distinction between two broad categories of measures of patient-centred care: patient experience and patient satisfaction. We frame our discussion of these measures around three key questions: (i) how will the results of this measure be used?; (ii) how will patient subjectivity be accounted for?; and (iii) is this measure validated or tested? By addressing these issues during the design phase, researchers will increase the usability of their measures.

• Publisher: World Health Organization
• Subject: Accountability / Attention / Childbirth & labor / Childrens health / Clinical outcomes / Emergency medical care / Experience / Global health / Health / Health care / Health care policy / Health services / Health services utilization / Health status / Human dignity / Humans / Maternal & child health / Maternal child nursing / Patient communication / Patient Satisfaction / Patient-centered care / Patient-Centered Care - organization & administration / Patient-Centered Care - standards / Patients / Policy & Practice / Policy and Practice / Policy making / Qualitative research / Quality / Quality control / Quality Improvement / Quality Indicators, Health Care - standards / Quality management / Quality of care / Quality of Health Care - organization & administration / Quality of Health Care - standards / Questions / Reproducibility of Results / Research Design / Respect / Satisfaction / Subjectivity / Womens health