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Topics
- Access to Care (1)
- Anxiety (1)
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- (-) Patient Experience (22)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 22 of 22 Research Studies DisplayedSchlesinger M, Grob R, Shaller D
Using patient-reported information to improve clinical practice.
The purposes of this study were to assess what is known about the relationship between patient experience measures and incentives designed to improve care, and to identify how public policy and medical practices can promote patient-valued outcomes in health systems with strong financial incentives. It concluded that unless public policies are attentive to patients' perspectives, stronger financial incentives for clinicians can threaten aspects of care that patients most value.
AHRQ-funded.
Citation: Schlesinger M, Grob R, Shaller D .
Using patient-reported information to improve clinical practice.
Health Serv Res 2015 Dec;50 Suppl 2:2116-54. doi: 10.1111/1475-6773.12420.
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Keywords: Quality Improvement, Quality of Care, Patient Experience, Provider Performance, Policy, Payment, Public Reporting
Eschler J, Liu LS, Vizer LM
Designing asynchronous communication tools for optimization of patient-clinician coordination.
The authors elicited narratives about patients' experiences and expectations for using asynchronous communication to address medical issues with their clinicians. They then presented opportunities for designing asynchronous communication tools to better facilitate understanding of and coordination around care activities between patients and clinicians.
AHRQ-funded; HS021590.
Citation: Eschler J, Liu LS, Vizer LM .
Designing asynchronous communication tools for optimization of patient-clinician coordination.
AMIA Annu Symp Proc 2015 Nov 5;2015:543-52.
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Keywords: Chronic Conditions, Health Information Technology (HIT), Patient Experience, Clinician-Patient Communication, Web-Based
Melnick ER
How to make less more: empathy can fill the gap left by reducing unnecessary care.
The author argues that regardless of how overuse of medical services is curtailed, it must be replaced with empathic care. Empathy in patient care is the “cognitive attribute that involves an understanding of patients’ experiences, concerns, and perspectives combined with a capacity to communicate this understanding. Empathic engagement with patients has many benefits. Patients who are engaged by their clinician feel more informed, and more accurately understand the potential benefits and harms of appropriate clinical options.
AHRQ-funded; HS021271.
Citation: Melnick ER .
How to make less more: empathy can fill the gap left by reducing unnecessary care.
BMJ 2015 Nov 4;351:h5831. doi: 10.1136/bmj.h5831..
Keywords: Clinician-Patient Communication, Patient Safety, Patient Experience
Sutkowi-Hemstreet A, Vu M, Harris R
Adult patients' perspectives on the benefits and harms of overused screening tests: a qualitative study.
This study determined how patients think about the harms and benefits of overused screening tests and how they consider these and other factors when making decisions. It found that many patients could not name a harm of screening. When they did name harms, patients often focused on only the harms of the screening test itself and rarely mentioned harms further along the screening cascade.
AHRQ-funded; HS021133.
Citation: Sutkowi-Hemstreet A, Vu M, Harris R .
Adult patients' perspectives on the benefits and harms of overused screening tests: a qualitative study.
J Gen Intern Med 2015 Nov;30(11):1618-26. doi: 10.1007/s11606-015-3283-9.
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Keywords: Prevention, Screening, Patient Experience, Elderly, Education: Patient and Caregiver
Waljee JF, Ghaferi A, Finks JF
Variation in patient-reported outcomes across hospitals following surgery.
The researchers examined variation in patient-reported outcomes (PROs), specifically health-related quality of life (HRQOL), across hospitals performing bariatric surgery. They found that patient factors explain a large proportion of hospital-level variation in PROs following bariatric surgery, underscoring the importance of risk adjustment.
AHRQ-funded; HS023313.
Citation: Waljee JF, Ghaferi A, Finks JF .
Variation in patient-reported outcomes across hospitals following surgery.
Med Care 2015 Nov;53(11):960-6. doi: 10.1097/mlr.0000000000000425..
Keywords: Quality of Life, Surgery, Obesity, Patient-Centered Outcomes Research, Patient Experience
Aysola J, Werner RM, Keddem S
Asking the patient about patient-centered medical homes: a qualitative analysis.
The researchers characterized patients' experiences with care after PCMH adoption and their understanding and perceptions of the PCMH model and its key components, and to compare responses by degree of practice-level PCMH adoption and patient race/ethnicity. They found that patients uniformly lacked awareness of the PCMH concept, and the vast majority perceived no PCMH-related structural changes, regardless of the degree of practice-reported PCMH adoption or the patient's race/ethnicity.
AHRQ-funded; HS021706.
Citation: Aysola J, Werner RM, Keddem S .
Asking the patient about patient-centered medical homes: a qualitative analysis.
J Gen Intern Med 2015 Oct;30(10):1461-7. doi: 10.1007/s11606-015-3312-8.
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Keywords: Healthcare Delivery, Quality of Care, Patient Experience, Patient Experience, Patient-Centered Healthcare
Nieman CL, Benke JR, Boss EF
Does race/ethnicity or socioeconomic status influence patient satisfaction in pediatric surgical care?
The researchers evaluated patient satisfaction in outpatient pediatric surgical care and assess differences in scores by race/ ethnicity and socioeconomic status. Their analysis found no disparities in the patient experience by individual- or community-level factors.
AHRQ-funded; HS022932.
Citation: Nieman CL, Benke JR, Boss EF .
Does race/ethnicity or socioeconomic status influence patient satisfaction in pediatric surgical care?
Otolaryngol Head Neck Surg 2015 Oct;153(4):620-8. doi: 10.1177/0194599815590592..
Keywords: Patient Experience, Social Determinants of Health, Surgery, Racial and Ethnic Minorities, Children/Adolescents
Blendon RJ, Benson JM, Gorski MT
The perspectives of six Latino heritage groups about their health care.
The authors examined the perspectives of six Latino heritage groups on the health care issues they face. They found that all six heritage groups agree that diabetes is the biggest health problem facing their families.
AHRQ-funded; HS000055.
Citation: Blendon RJ, Benson JM, Gorski MT .
The perspectives of six Latino heritage groups about their health care.
J Immigr Minor Health 2015 Oct;17(5):1347-54. doi: 10.1007/s10903-014-0078-8.
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Keywords: Quality of Care, Health Services Research (HSR), Racial and Ethnic Minorities, Patient Experience, Patient Experience
Sawicki GS, Garvey KC, Toomey SL
Development and validation of the adolescent assessment of preparation for transition: a novel patient experience measure.
The authors developed an adolescent-reported measure of the quality of health care transition (HCT) preparation received from pediatric health care providers. They found that the Adolescent Assessment of Preparation for Transition (ADAPT) is a reliable, validated instrument measuring the quality of HCT preparation experiences reported by adolescents with chronic disease.
AHRQ-funded; HS020513.
Citation: Sawicki GS, Garvey KC, Toomey SL .
Development and validation of the adolescent assessment of preparation for transition: a novel patient experience measure.
J Adolesc Health 2015 Sep;57(3):282-7. doi: 10.1016/j.jadohealth.2015.06.004.
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Keywords: Children/Adolescents, Chronic Conditions, Patient Experience, Quality of Care, Transitions of Care
Aboumatar HJ, Chang BH, Danaf J
Promising practices for achieving patient-centered hospital care: a national study of high-performing US hospitals.
The researchers conducted a national study of hospitals that achieved the highest performance on Hospital Consumer Assessment of Healthcare Providers and Systems HCAHPS to identify promising practices for improving patient-centeredness, common challenges met, and how those were addressed. They found that high-performing hospitals used a set of patient-centered care processes that involved both leaders and clinicians in ensuring that patient needs and preferences are addressed.
AHRQ-funded; HS021921.
Citation: Aboumatar HJ, Chang BH, Danaf J .
Promising practices for achieving patient-centered hospital care: a national study of high-performing US hospitals.
Med Care 2015 Sep;53(9):758-67. doi: 10.1097/mlr.0000000000000396..
Keywords: Consumer Assessment of Healthcare Providers and Systems (CAHPS), Hospitals, Patient Experience, Quality of Care, Patient-Centered Outcomes Research
Suri P, Pashova H, Heagerty PJ
Short-term improvements in disability mediate patient satisfaction after epidural corticosteroid injections for symptomatic lumbar spinal stenosis.
The researchers sought to identify mediators of the effect of lumbar epidural injections of corticosteroid plus lidocaine on patient satisfaction at 6 weeks postinjection in patients with lumbar spinal stenosis. Three-week change in disability was a significant mediator of the effects of lumbar epidural corticosteroid injections on patient satisfaction at 6 weeks, explaining 48 percent to 60 percent of the treatment effect on satisfaction.
AHRQ-funded; HS019222; HS022972.
Citation: Suri P, Pashova H, Heagerty PJ .
Short-term improvements in disability mediate patient satisfaction after epidural corticosteroid injections for symptomatic lumbar spinal stenosis.
Spine 2015 Sep 01;40(17):1363-70. doi: 10.1097/brs.0000000000001000.
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Keywords: Medication, Patient-Centered Outcomes Research, Back Health and Pain, Patient Experience
Xu X, Buta E, Anhang Price R
Methodological considerations when studying the association between patient-reported care experiences and mortality.
This study illustrated methodological considerations when assessing the relationship between patient care experiences and mortality. It found that the association between overall care experiences and mortality was significant for deaths not amenable to medical care and all-cause mortality, but not for amenable deaths.
AHRQ-funded; HS016980; HS016978.
Citation: Xu X, Buta E, Anhang Price R .
Methodological considerations when studying the association between patient-reported care experiences and mortality.
Health Serv Res 2015 Aug;50(4):1146-61. doi: 10.1111/1475-6773.12264..
Keywords: Medical Expenditure Panel Survey (MEPS), Patient Experience, Mortality, Quality of Care, Research Methodologies
Toomey SL, Zaslavsky AM, Elliott MN
The development of a pediatric inpatient experience of care measure: Child HCAHPS.
This article describes the development of Child Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), which included a national field test with 69 hospitals in 34 States, psychometric analysis, and end-user testing of the final survey. The final Child HCAHPS instrument has 62 items, including 39 patient experience items, 10 screeners, 12 demographic/descriptive items and 1 open-ended item.
AHRQ-funded; HS020513.
Citation: Toomey SL, Zaslavsky AM, Elliott MN .
The development of a pediatric inpatient experience of care measure: Child HCAHPS.
Pediatrics 2015 Aug;136(2):360-9. doi: 10.1542/peds.2015-0966..
Keywords: Children/Adolescents, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Hospitals, Inpatient Care, Patient Experience, Quality of Care
Connolly Gibbons MB, Kurtz JE, Thompson DL
The effectiveness of clinician feedback in the treatment of depression in the community mental health system.
This article described the development and evaluation of a clinician feedback intervention for use in community mental health settings. The Community Clinician Feedback System (CCFS) was developed in collaboration with a community partner to meet the needs of providers working in such community settings. Satisfaction ratings of the CCFS indicated that the system was widely accepted by clinicians and patients.
AHRQ-funded; HS022124.
Citation: Connolly Gibbons MB, Kurtz JE, Thompson DL .
The effectiveness of clinician feedback in the treatment of depression in the community mental health system.
J Consult Clin Psychol 2015 Aug;83(4):748-59. doi: 10.1037/a0039302..
Keywords: Community-Based Practice, Community Partnerships, Depression, Behavioral Health, Patient Experience
Gallagher TH, Mazor KM
Taking complaints seriously: using the patient safety lens.
This editorial defined a patient safety lens that favors learning over protection. It listed five critical components of the patient safety lens and concluded that the first and most important step entails expanding our perspective beyond the technical execution of care to encompass and appreciate patients’ reports of their care experiences.
AHRQ-funded; HS022757.
Citation: Gallagher TH, Mazor KM .
Taking complaints seriously: using the patient safety lens.
BMJ Qual Saf 2015 Jun;24(6):352-5. doi: 10.1136/bmjqs-2015-004337.
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Keywords: Healthcare Delivery, Medical Errors, Patient Safety, Patient Experience, Clinician-Patient Communication
Memtsoudis SG, Yoo D, Stundner O
Subsartorial adductor canal vs femoral nerve block for analgesia after total knee replacement.
This study compares both single-shot femoral nerve block (FNB) and adductor canal block (ACB), side to side, in the same patients undergoing bilateral TKA. It found that the use of ACBs vs FNBs in knee arthroplasty patients yielded similar results in absolute pain scores, motor strength and patient satisfaction.
AHRQ-funded; HS021734.
Citation: Memtsoudis SG, Yoo D, Stundner O .
Subsartorial adductor canal vs femoral nerve block for analgesia after total knee replacement.
Int Orthop 2015 Apr;39(4):673-80. doi: 10.1007/s00264-014-2527-3..
Keywords: Comparative Effectiveness, Treatments, Outcomes, Patient Experience, Pain
Nembhard IM, Yuan CT, Shabanova V
The relationship between voice climate and patients' experience of timely care in primary care clinics.
The aims of this study were to assess the relationship between organizational climate and patients’ reports of timely care in primary care clinics and to broadly examine the link between staff’s work environment and patient care experiences. It found that clinical and administrative staff (e.g., nurses and office assistants) reported clinics’ climates to be significantly less supportive of voice than did clinical leaders (e.g., physicians).
AHRQ-funded; HS018987; HS016978.
Citation: Nembhard IM, Yuan CT, Shabanova V .
The relationship between voice climate and patients' experience of timely care in primary care clinics.
Health Care Manage Rev 2015 Apr-Jun;40(2):104-15. doi: 10.1097/hmr.0000000000000017..
Keywords: Consumer Assessment of Healthcare Providers and Systems (CAHPS), Patient Experience, Primary Care, Quality of Care, Organizational Change, Provider
Panattoni L, Stone A, Chung S
Patients report better satisfaction with part-time primary care physicians, despite less continuity of care and access.
The researchers examined the relationships between a physicians’ clinical full-time equivalent (FTE), continuity of care, access to care, and patient satisfaction with the physician. Their results suggest that PCPs who choose to work fewer clinical hours may have worse continuity and access, but they may provide a better patient experience.
AHRQ-funded; HS019815; HS019167.
Citation: Panattoni L, Stone A, Chung S .
Patients report better satisfaction with part-time primary care physicians, despite less continuity of care and access.
J Gen Intern Med 2015 Mar;30(3):327-33. doi: 10.1007/s11606-014-3104-6..
Keywords: Patient Experience, Primary Care, Access to Care
Lyons EJ
Cultivating engagement and enjoyment in exergames using feedback, challenge, and rewards.
The author reviewed theoretical and empirical evidence related to three mechanisms for encouraging enjoyment during exergame play. Lyons found that feedback, challenge, and rewards are promising mechanisms by which exergames could become more enjoyable and concluded that how these concepts are operationalized can affect physical and psychological reactions to exergames.
AHRQ-funded; HS022134.
Citation: Lyons EJ .
Cultivating engagement and enjoyment in exergames using feedback, challenge, and rewards.
Games Health J 2015 Feb;4(1):12-8. doi: 10.1089/g4h.2014.0072.
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Keywords: Health Promotion, Health Status, Lifestyle Changes, Patient Experience, Patient Experience
Anhang Price R, Elliott MN, Cleary PD
Should health care providers be accountable for patients' care experiences?
Using evidence from the Consumer Assessment of Healthcare Providers and Systems surveys, the authors address seven common critiques of patient experience measures. These include: lack of consumer expertise, the subjectivity of patient satisfaction, and the trade-off between providing good patient experiences and providing high-quality clinical care.
AHRQ-funded; HS016980; HS016978
Citation: Anhang Price R, Elliott MN, Cleary PD .
Should health care providers be accountable for patients' care experiences?
J Gen Intern Med. 2015 Feb;30(2):253-6. doi: 10.1007/s11606-014-3111-7..
Keywords: Consumer Assessment of Healthcare Providers and Systems (CAHPS), Quality of Care, Patient Experience, Patient-Centered Healthcare
Ryan AM, Burgess JF, Pesko MF
The early effects of Medicare's mandatory hospital pay-for-performance program.
This study evaluated the impact of hospital value-based purchasing (HVBP) on clinical quality and patient experience during its initial implementation period. It found that hospitals that were exposed to HVBP did not show greater improvement for either the clinical process or patient experience measures during the program’s initial implementation period.
AHRQ-funded; HS018546
Citation: Ryan AM, Burgess JF, Pesko MF .
The early effects of Medicare's mandatory hospital pay-for-performance program.
Health Serv Res. 2015 Feb;50(1):81-97. doi: 10.1111/1475-6773.12206..
Keywords: Medicare, Provider Performance, Payment, Hospitals, Quality Improvement, Quality of Care, Patient Experience
Salloum A, Crawford EA, Lewin AB
Consumers' and providers' perceptions of utilizing a computer-assisted cognitive behavioral therapy for childhood anxiety.
The purpose of this study was to explore consumers’ and providers’ perceptions of utilizing a Computer-Assisted Cognitive Behavioral Therapy (CCBT) for childhood anxiety in community mental health centers (CMHC) in an effort to identify factors that may impact implementation of CCBT in CMHC. Results suggest that both consumers and providers were highly receptive to participation in and implementation of CCBT in CMHC.
AHRQ-funded; HS018665.
Citation: Salloum A, Crawford EA, Lewin AB .
Consumers' and providers' perceptions of utilizing a computer-assisted cognitive behavioral therapy for childhood anxiety.
Behav Cogn Psychother 2015 Jan;43(1):31-41. doi: 10.1017/s1352465813000647..
Keywords: Anxiety, Children/Adolescents, Community-Based Practice, Health Information Technology (HIT), Patient Experience