Navigation Links
Massachusetts physician groups improving patient experience, study finds
Date:12/20/2010

Most Massachusetts physician groups are using results from a statewide patient survey to help improve patient experiences, but a significant number are not making use of the information or are making relatively limited efforts, according to a new RAND Corporation study.

Although physician communication skills are thought to be crucial to patient-centered care, the physician groups studied rarely pursued strategies that focused on improving physicians' ability to communicate with patients, according to the study published online by the Journal of General Internal Medicine.

Instead, physician groups most commonly focused on other improvements, such as staff courteousness, scheduling practices and investments in electronic health records.

"It's encouraging that most Massachusetts physician groups are using patient feedback to make improvements. However, we were surprised to find only a small number of groups focusing on the physician's role in improving patient care," said Dr. Mark W. Friedberg, the study's lead author and a natural scientist at RAND, a nonprofit research organization.

An increasing number of government agencies and other groups are compiling public reports of patient-reported experiences with health care providers, both as a tool to help patients choose doctors and other health care providers, and as a way to motivate performance improvement.

Since 2002, the Massachusetts Health Quality Partners has conducted a statewide patient experience survey of more than 200,000 patients enrolled in the state's five largest health plans. The survey assesses the care delivered by more than 4,000 primary care physicians in nearly 500 medical offices operated by 120 medical groups. The results have been available to the public since 2006.

Previous studies have assessed how patients use the publicly available information about physicians, but the RAND study is the first to examine in detail how physician groups make use of such information. Researchers say the findings are particularly important given national calls for physicians to offer more patient-centered health care.

During 2008, researchers conducted interviews with leaders from 72 of the participating Massachusetts medical groups to assess whether they were making use of the patient feedback and the types of improvement steps that had been taken.

About 61 percent of the medical groups reported attempting group-wide improvement efforts based on the patient assessments, 22 percent reported efforts to improve only the performance of low-scoring physicians, and 17 percent reported no improvement efforts.

Physician groups most likely to make wide use of the patient feedback had an integrated medical group model in which physicians are employed by a central entity, while independent practice associations in which physicians affiliate for business purposes were less likely to use the patient assessments. In addition, physician groups were more likely to be engaged in improvement efforts if they received some payments based upon patient experience ratings.

The areas most commonly targeted for improvement involved access issues such as the time it took to get an appointment, front-office staff communications with patients, including how incoming calls were handled, and customer service habits such as courteousness.

The study found physician groups were less likely to focus on the performance of physicians and other clinicians or to focus on educational activities that might enable patients to self-manage their medical conditions.

The researchers hypothesize that physician group leaders were reluctant to focus quality-improvement efforts on medical staff members because of physicians' skepticism about patient experience results, as well as a sensitivity to low morale among primary care physicians.

"If improving physicians' interactions with patients is a high priority, policymakers may need to consider creating incentives to encourage medical groups to engage directly with their providers, rather than focusing on other aspects of the patient experience," Friedberg said.


'/>"/>

Contact: Warren Robak
media@rand.org
310-374-5455
RAND Corporation
Source:Eurekalert

Related medicine news :

1. Massachusetts Institute of Technology IDs new cancer drug target
2. Doctors hard to find for patients in Massachusetts first for-profit health plan
3. Blue Cross Blue Shield of Massachusetts and Northeast Health Systems Physician Hospital Organization Sign Alternative Quality Contract
4. Blue Cross Blue Shield of Massachusetts Demonstrates Community Commitment with Fifth William C. Van Faasen Community Service Sabbatical
5. Firefighters Walk Over 60,000 Miles in Blue Cross Blue Shield of Massachusetts' Fitness Challenge
6. Massachusetts health care reform reviewed as a model for national plan
7. Miles for Hope’s Moving Towards A Cure(SM) Brain Tumor Walk in Boston Raising Funds for Brain Tumor Vaccine and Massachusetts General Hospital
8. Elements Therapeutic Massage Announces Franchise Expansion Plan for Massachusetts
9. Diabetics Twice as Likely to Have Hearing Loss; Massachusetts HearUSA Centers to Offer Free Hearing Screening and Diabetes Video in March
10. Massachusetts Hospital Agrees to Pay U.S. $2.79 Million to Resolve False Claims Act Allegations
11. Preventing physician medication mix-ups by reporting them
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/24/2016)... California (PRWEB) , ... May ... ... a nationwide provider of communication enabled solutions and managed services today announced ... software for the enterprise contact center market. , Altura, one of Avaya’s ...
(Date:5/24/2016)... ... May 24, 2016 , ... ... Center at Sentara Northern Virginia Medical Center located in Woodbridge, VA. The ... surgical services into a single site. , The new 2 story building houses ...
(Date:5/24/2016)... ... May 24, 2016 , ... New Brunswick, New Jersey: This ... healthcare needs reach their fullest potential. To commemorate the anniversary, the hospital has themed ... Walk n’ Roll for Children’s Specialized Hospital Foundation on Saturday, May 21, at Johnson ...
(Date:5/24/2016)... , ... May 24, 2016 , ... Regenerative Medicine is ... in adult stem cell therapy technology, protocols and patient results as have been achieved ... to become a more accessible standard of care for patients worldwide. , As the ...
(Date:5/24/2016)... CA (PRWEB) , ... May 24, 2016 , ... Loma ... house the new adult hospital and expanded Children’s Hospital. Over 3,000 people looked on ... , Check out the event photo slidehsow. , During the program, Richard ...
Breaking Medicine News(10 mins):
(Date:5/23/2016)... LONDON , May 23, 2016 ... Surgical Devices, Diagnostics and Monitoring, and Vision Care ... Market? Which areas are going to grow at the ... potential revenues to 2026, assessing data, trends, opportunities and ... tables, charts, and graphs. Discover the most lucrative areas ...
(Date:5/23/2016)... -- Non-invasive diagnostic test realizes the potential ... to be presented at Yissum’s booth, at IATI-BIOMED 2016 ... of the Hebrew University of Jerusalem announced today ... Ventures MKI, the technology investment arm of Morris Kahn ... for early detection of multiple diseases by analyzing circulating ...
(Date:5/23/2016)... -- Gamida Cell, a leader in cellular ... orphan genetic diseases, announced today it has been awarded ... Israel Innovation Authority (formerly the Office of the Chief ... The mission of the Israel Innovation Authority is to ... and technology, while stimulating economic growth. The ...
Breaking Medicine Technology: