Navigation Links
Some NHS trusts consistently outperform others on patient experience
Date:3/14/2012

Some NHS trusts consistently outperform others on a range of measures of patient experience, finds research published online in BMJ Quality & Safety.

Furthermore, the top performers tend to be Foundation Trusts and teaching hospitals, the study shows.

Patient experience is one of the five domains for assessing NHS performance (NHS Outcomes Framework) and is recognised internationally as a key dimension of healthcare quality.

But it is one of the more difficult areas to measure because of the many contributory factors involved, say the authors.

The authors, from health think-tank The King's Fund, and the Picker Institute Europe, used data from inpatient, outpatient and emergency care surveys from 145 hospital trusts in England for 2008 and 2009.

They looked at six areas (domains), which were common to the various surveys, to reflect patient experience. These were: cleanliness; dignity and respect; consistency of communication; patient involvement in decisions; information provision; and confidence in staff.

They then applied a series of statistical techniques to examine whether or not trust performance was consistent across the different surveys, and to identify factors associated with performance, such as foundation trust status and deprivation levels among the trust's patients.

Their analysis showed that, overall, trusts scored an average of 70 or higher out of 100 across all the surveys for patient experience, with the exception of information provision on issues such as drug side effects and danger signals to look out for after discharge.

Domains with the largest number of above average scoring trusts were dignity and respect (85 trusts) and consistency of communication (80 trusts). Domains with the smallest number of above average performers were confidence in staff (43 trusts) and patient involvement in decisions (50).

Domains with highest number of below average performers were information provision (52 trusts) and confidence in staff (40 trusts); those with the smallest number of below average performers were cleanliness (17 trusts) and involvement in decisions (8 trusts).

But the analysis identified certain trusts which performed consistently above or below average on all six domains in all three surveys.

One in five (21%) trusts performed above average in all the surveys. Most had Foundation Trust status, but not one was in London.

At the other end of the scale, six trusts (4%) performed below average in all the surveys. All these trusts were in London, and none had Foundation Trust or teaching hospital status.

Below average performers also had the highest average deprivation scores and the lowest proportion of patients from white backgrounds.

Feedback from patients from black and minority ethnic backgrounds shows that they are often less satisfied with the healthcare they receive than their white peers, which may have to do with language and cultural factors, say the authors.

But they say: "Population differences should never be seen as an 'excuse' or 'justification' for poor patient experience."

They suggest that the consistency of their findings indicate system wide successes or failures, and that some trusts are more successful than others at fostering a culture or mechanisms for delivering a good experience for their patients.

While the performance of trusts, overall, was skewed towards higher scores, the authors point out: "However, the survey results overall show considerable room for improvement."


'/>"/>

Contact: Stephanie Burns
sburns@bmjgroup.com
44-207-383-6920
BMJ-British Medical Journal
Source:Eurekalert

Related medicine news :

1. Three NHS Trusts Choose BigHand Voice Technology Under YHCPC Framework Agreement
2. Black Box Drug Warning Labels Applied Inconsistently: Study
3. Male batterers consistently overestimate rates of violence toward partners
4. New Blood Thinner May Outperform Warfarin for Irregular Heartbeat
5. Research finds surgery outperforms drug therapy in treatment of benign prostatic hyperplasia
6. Compression Device May Outperform Meds After Hip Surgery
7. Hormone Outperforms Insulin in Diabetic Mice
8. From Refrigerator Mothers to untangling the genetic roots of autism
9. Its not solitaire: Brain activity differs when one plays against others
10. Women born to older mothers have a higher risk of developing breast cancer
11. Nurturing mothers rear physically healthier adults
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... NY (PRWEB) , ... October 13, 2017 , ... Ellevate ... people in business to advocate for action towards gender equality at their inaugural Summit ... from around the globe, and reached a social audience of over 3 million. To ...
(Date:10/13/2017)... ... ... “The Journey: From the Mountains to the Mission Field”: the story of a missionary ... Journey: From the Mountains to the Mission Field” is the creation of published author, ... ages and currently teaches a class of ladies at her church, which she has ...
(Date:10/12/2017)... ... 2017 , ... The company has developed a suite of ... authorities worldwide. From Children’s to Adults 50+, every formula has been developed by ... , These products are also: Gluten Free, Non-GMO, Vegan, Soy Free, Non-Dairy*, Preservative ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... Restoration, has recently contributed a medical article to the newly revamped Cosmetic ... Mohebi’s article spotlights the hair transplant procedure known as Follicular Unit Extraction ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... ... (HLA), the nation's first interactive health literacy software tool, and the Cancer Patient ... aspects of cancer patient education, today announce a new strategic alliance. , ...
Breaking Medicine News(10 mins):
(Date:9/28/2017)... Cohen Veterans Bioscience and Early Signal Foundation ... and home sensors for real-time monitoring of patients with ... nonprofit organization focused on disruptive health solutions for rare ... system to record and integrate behavioral, cognitive, physiological and ... ...
(Date:9/23/2017)... 22, 2017 Janssen Biotech, Inc. (Janssen) announced ... from the U.S. Food and Drug Administration (FDA) for ... for the treatment of moderately to severely active rheumatoid ... data are needed to further evaluate the safety of ... RA. "We ...
(Date:9/18/2017)... KALAMAZOO, Mich. , Sept. 18, 2017 ... , and OptiMed Specialty Pharmacy of Kalamazoo, ... offer a strategic hub service that expedites and streamlines ... personal spirometer, Spiro PD 2.0, and wellness management services.  ... is a medical device used to measure lung function ...
Breaking Medicine Technology: