Navigation Links
Uncovering the blind spot of patient satisfaction and patient expectations: An international survey
Date:10/25/2011

Boston, MA -- Patient satisfaction is increasingly recognized as an important component of quality of care. To achieve a high level of patient satisfaction, providers need to identify and address patients' expectations. However, a new international survey conducted by researchers from Brigham and Women's Hospital (BWH) and Harvard Medical School reveals that while clinicians think it is important to ask patients about their expectations, they often fail to do so and consequently may not respond adequately. This research is published in the November issue of the British Medical Journal: Quality and Safety and was selected as the Editor's choice, making it available online in full text at no cost.

"Although nearly all clinicians we surveyed indicated that it was important to ask patients about their expectations, only a few reported actually asking. This discrepancy appears to uncover a blind spot in clinicians' approach when attempting to address patient expectations and improve patient satisfaction," said Ronen Rozenblum, PhD, MPH, lead author of the paper and a researcher in the Department of Medicine at BWH. "Despite emphasis on Patient-Centered Care by many groups these findings raise concerns regarding the responsiveness of clinicians towards the subjective needs and expressed preferences of individual patients," Rozenblum said.

Researchers surveyed 1004 clinicians, both physicians and nurses, from four academic medical centers in Denmark, the United States, Israel and the UK. The survey included questions that focused on clinicians' awareness, attitudes, competence and performance with respect to patient expectations. Researchers report that almost nine in ten clinicians felt their awareness of patient expectations was inadequate. They also discovered that while 89.4 percent of clinicians believed it was important to ask patients about expectations, only 16.1 percent reported actually asking. This result varies by country with Denmark having the highest percentage of clinicians routinely asking, followed by the United States, then the United Kingdom and Israel. Additionally, only 19.6 percent of clinicians felt they had adequate training to handle patients' expectations and only 6.9 percent stated that their department had a structured plan for addressing patient expectations.

According to Rozenblum, the study findings not only highlight the problem but also identify the main causes of clinician's blind spot. The researchers discovered that the level of awareness and adequate training were the major determinants of clinicians' approach to addressing patient expectations. These findings reveal that clinicians with greater awareness and/or adequate training were more likely to ask patients about their expectations.

"These data suggest that healthcare organizations should take a more active role in increasing clinicians 'awareness. Conducting training to cope with patient expectations and initiating structured programs for addressing patient expectations might in turn improve outcomes," concluded David Bates, MD, Senior Vice President for Quality and Safety at BWH and senior author on the paper.

Based on the study findings, Dr. Rozenblum and Dr. Bates have developed a conceptual model of patient satisfaction (PatientSatisfactive Model) as a dynamic entity that incorporates providers' efforts to address patients' expectations of care. The PatientSatisfactive Model includes elements designed to empower patients to express their expectations and to engage clinicians in dialogue about those expectations throughout the hospitalization. The model has already been tested in a pilot study and the researchers are now taking the next steps to test the model in a multi-center study.


'/>"/>
Contact: Lori J. Shanks
ljshanks@partners.org
617-534-1604
Brigham and Women's Hospital
Source:Eurekalert

Related medicine news :

1. CT best at uncovering drug mule payload
2. Valentines Party Planned for the Blind and Disabled
3. First blinded study of venous insufficiency prevalence in MS shows promising results
4. Go Wild with Blinds Retailer Tuiss.co.uk and Environmental Charity Landlife
5. Second Dose of Gene Therapy for Inherited Blindness Proves Safe in Animal Studies
6. Prodigy Re-Launches Syringe-Filling System for Blind and Low-Vision Diabetics
7. Breakthrough design opens door to full screen Braille displays for the blind
8. Being Blinded By Jealousy Can Be Real
9. Do the blind have a more acute sense of smell?
10. Preventing blindness focus of ORNL technology, AMDx
11. Baden Elementary School holds VisionWalk to Fight Blindness
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/24/2017)... ... 2017 , ... SignatureCare Emergency Center is looking to award their ... to a deserving student. Get your applications in now as the deadline is ... Castillo who is a nursing student at Prairie View A&M University with a 3.45 ...
(Date:7/24/2017)... , ... July 24, 2017 , ... ... Oakland, California effectively destroyed the construction site and threatened numerous homes and businesses ... 7th article on NBCLosAngeles.com. Los Angeles Area consulting firm Fire Protection ...
(Date:7/24/2017)... CLARA, CA (PRWEB) , ... July 24, 2017 , ... ... and financial organizations, today announced it has partnered with WALLIX to expand ... Special Publication 800-171 . , There are a number of ways to address the ...
(Date:7/24/2017)... California (PRWEB) , ... July 24, 2017 , ... ... of autologous fat (adipose) transfer systems announces the issuance of United States Patent ... patent) for its adipose filtration technology. The '398 and '324 patents cover ...
(Date:7/24/2017)... , ... July 24, 2017 , ... ... sleep management solution focused on delivering end-to-end sleep health care at scale, ... Recent literature shows that adherence rates for positive airway pressure (PAP) therapy, the ...
Breaking Medicine News(10 mins):
(Date:7/21/2017)... and EDMONTON, Alberta , July ... and the University of Alberta in ... in Nature,s partner journal, Schizophrenia 1 , demonstrating ... instances of schizophrenia with 74% accuracy. This retrospective ... of specific symptoms in schizophrenia patients with significant ...
(Date:7/21/2017)... , July 21, 2017  Endo International plc (NASDAQ: ... a comprehensive review of its manufacturing network, the Company ... distribution facilities in Huntsville, Alabama . ... place over the next 12 to 18 months. The ... by declining volumes of commoditized products and these restructuring ...
(Date:7/20/2017)... , July 20, 2017  Prime Therapeutics LLC (Prime) ... Gavras , M.D., following today,s Institute for Clinical and Economic ... on the effectiveness and value of abuse-deterrent formulations (ADF) ... the policy roundtable at the meeting. ... a material cost benefit to the use of abuse-deterrent formulations ...
Breaking Medicine Technology: