Chris Graham and Penny Woods
- Published in print:
- 2013
- Published Online:
- May 2013
- ISBN:
- 9780199665372
- eISBN:
- 9780191748585
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199665372.003.0009
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
Surveys of patients’ experiences are increasingly commonplace in healthcare. They are used to address a range of purposes, from driving quality improvements and informing patients to providing data ...
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Surveys of patients’ experiences are increasingly commonplace in healthcare. They are used to address a range of purposes, from driving quality improvements and informing patients to providing data for performance assessment of organisations. Making best use of such surveys requires an understanding of their design, sampling, administration, and analysis. This chapter addresses these issues, beginning with a brief discussion of the history of patient experience research. Patient experience surveys emerged as a reaction to patient satisfaction surveys. They are principally quantitative methods for collecting highly structured data, typically from relatively large numbers of people in order to provide statistically reliable results. They have been used in a wide range of settings (primary to tertiary care, many conditions etc) and for different purposes (eg QI, payment, international use, performance assessment, etc.). Surveys are extremely scalable: once a questionnaire and methodology exists they can easily be deployed to small or large numbers of people with only marginal cost increases. Thus they are a popular means of collecting locally representative data on a national basis. In general, though, surveys only tell us about what we have asked, and hence it is important to ensure that they are designed and used appropriately. Good, well designed surveys can be of considerable value for measuring and improving healthcare services: in this chapter we set out the key considerations around ensuring survey quality.Less
Surveys of patients’ experiences are increasingly commonplace in healthcare. They are used to address a range of purposes, from driving quality improvements and informing patients to providing data for performance assessment of organisations. Making best use of such surveys requires an understanding of their design, sampling, administration, and analysis. This chapter addresses these issues, beginning with a brief discussion of the history of patient experience research. Patient experience surveys emerged as a reaction to patient satisfaction surveys. They are principally quantitative methods for collecting highly structured data, typically from relatively large numbers of people in order to provide statistically reliable results. They have been used in a wide range of settings (primary to tertiary care, many conditions etc) and for different purposes (eg QI, payment, international use, performance assessment, etc.). Surveys are extremely scalable: once a questionnaire and methodology exists they can easily be deployed to small or large numbers of people with only marginal cost increases. Thus they are a popular means of collecting locally representative data on a national basis. In general, though, surveys only tell us about what we have asked, and hence it is important to ensure that they are designed and used appropriately. Good, well designed surveys can be of considerable value for measuring and improving healthcare services: in this chapter we set out the key considerations around ensuring survey quality.
Muriel R. Gillick
- Published in print:
- 2017
- Published Online:
- May 2018
- ISBN:
- 9781469635248
- eISBN:
- 9781469635255
- Item type:
- book
- Publisher:
- University of North Carolina Press
- DOI:
- 10.5149/northcarolina/9781469635248.001.0001
- Subject:
- Palliative Care, Palliative Medicine and Older People
Since the introduction of Medicare and Medicaid in 1965, the American health care system has grown in size and complexity. Muriel R. Gillick takes readers on a narrative tour of American health care, ...
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Since the introduction of Medicare and Medicaid in 1965, the American health care system has grown in size and complexity. Muriel R. Gillick takes readers on a narrative tour of American health care, incorporating the stories of older patients as they travel from the doctor’s office to the skilled nursing facility, and examining the influence of forces as diverse as pharmaceutical corporations, device manufacturers, and health insurance companies on their experience. A scholar who has practiced medicine for over thirty years, Gillick offers readers an informed and straightforward view of health care from the ground up, revealing that many crucial medical decisions are based not on what is best for the patient but rather on outside forces, sometimes to the detriment of patient health and quality of life. Gillick suggests a broadly imagined patient-centered reform of the health care system with Medicare as the engine of change, a transformation that would be mediated through accountability, cost-effectiveness, and culture change.Less
Since the introduction of Medicare and Medicaid in 1965, the American health care system has grown in size and complexity. Muriel R. Gillick takes readers on a narrative tour of American health care, incorporating the stories of older patients as they travel from the doctor’s office to the skilled nursing facility, and examining the influence of forces as diverse as pharmaceutical corporations, device manufacturers, and health insurance companies on their experience. A scholar who has practiced medicine for over thirty years, Gillick offers readers an informed and straightforward view of health care from the ground up, revealing that many crucial medical decisions are based not on what is best for the patient but rather on outside forces, sometimes to the detriment of patient health and quality of life. Gillick suggests a broadly imagined patient-centered reform of the health care system with Medicare as the engine of change, a transformation that would be mediated through accountability, cost-effectiveness, and culture change.
Johanna Schoen
- Published in print:
- 2015
- Published Online:
- May 2016
- ISBN:
- 9781469621180
- eISBN:
- 9781469623344
- Item type:
- chapter
- Publisher:
- University of North Carolina Press
- DOI:
- 10.5149/northcarolina/9781469621180.003.0006
- Subject:
- History, Social History
The escalation of anti-abortion violence and killing of abortion providers and clinic staff in the early 1990s raised tensions within the abortion provider community. Frustrated with what they ...
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The escalation of anti-abortion violence and killing of abortion providers and clinic staff in the early 1990s raised tensions within the abortion provider community. Frustrated with what they perceived as inadequate support, NAF members began to leave the organization and established the November Gang and the National Coalition of Abortion Providers. Much smaller than NAF and made up of mostly independent clinics, both the November Gang and NCAP encouraged more open conversations about the difficult questions in abortion care such as the role of violence and fetal death. Members of the November Gang also introduced head and heart counselling to offer women greater support as they dealt with the increasing stigmatization of abortion. The development of intact D&E and debate of the so-called partial birth abortion ban further increased tensions in the abortion provider community as abortion providers and their supporters disagreed over whether and how to defend intact D&E procedures. When the US Supreme Court decision upheld the ban of intact D&E in its decision Gonzales v. Carhart, anti-abortion activists had, for the first time, successfully banned an abortion procedure. Despite these developments, patients continued to affirm their right to choose abortion.Less
The escalation of anti-abortion violence and killing of abortion providers and clinic staff in the early 1990s raised tensions within the abortion provider community. Frustrated with what they perceived as inadequate support, NAF members began to leave the organization and established the November Gang and the National Coalition of Abortion Providers. Much smaller than NAF and made up of mostly independent clinics, both the November Gang and NCAP encouraged more open conversations about the difficult questions in abortion care such as the role of violence and fetal death. Members of the November Gang also introduced head and heart counselling to offer women greater support as they dealt with the increasing stigmatization of abortion. The development of intact D&E and debate of the so-called partial birth abortion ban further increased tensions in the abortion provider community as abortion providers and their supporters disagreed over whether and how to defend intact D&E procedures. When the US Supreme Court decision upheld the ban of intact D&E in its decision Gonzales v. Carhart, anti-abortion activists had, for the first time, successfully banned an abortion procedure. Despite these developments, patients continued to affirm their right to choose abortion.
Johanna Schoen
- Published in print:
- 2015
- Published Online:
- May 2016
- ISBN:
- 9781469621180
- eISBN:
- 9781469623344
- Item type:
- chapter
- Publisher:
- University of North Carolina Press
- DOI:
- 10.5149/northcarolina/9781469621180.003.0007
- Subject:
- History, Social History
The epilogue offers a brief overview of the history of legal abortion from the early 1970s to the 2000s. If patients and abortion providers could discuss their experience with abortion in positive ...
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The epilogue offers a brief overview of the history of legal abortion from the early 1970s to the 2000s. If patients and abortion providers could discuss their experience with abortion in positive terms in the 1970s, by the 1980s anti-abortion activism had stigmatized abortion. The fetus had been redefined as a baby and abortion as murder. Patients and abortion providers lost the space to talk in positive terms about their abortion experience. Despite the stigma attached to abortion care, however, abortion providers continued to argue that providing abortion services was moral and patients asserted their right to choose abortion and articulated their sense of relief.Less
The epilogue offers a brief overview of the history of legal abortion from the early 1970s to the 2000s. If patients and abortion providers could discuss their experience with abortion in positive terms in the 1970s, by the 1980s anti-abortion activism had stigmatized abortion. The fetus had been redefined as a baby and abortion as murder. Patients and abortion providers lost the space to talk in positive terms about their abortion experience. Despite the stigma attached to abortion care, however, abortion providers continued to argue that providing abortion services was moral and patients asserted their right to choose abortion and articulated their sense of relief.
