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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
REVIEW

Usability of patient experience surveys in Australian primary health care: a scoping review*

Karen Gardner A , Anne Parkinson A D , Michelle Banfield C , Ginny M. Sargent B , Jane Desborough A and Kanupriya Kalia Hehir A
+ Author Affiliations
- Author Affiliations

A Australian Primary Health Care Research Institute, 63 Eggleston Road, The Australian National University, Acton, ACT 2601, Australia.

B National Centre for Epidemiology and Population Health, Research School of Population Health, 62 Eggleston Road, The Australian National University, Acton, ACT 2601, Australia.

C National Institute for Mental Health Research, 63 Eggleston Road, The Australian National University, Acton, ACT 2601, Australia.

D Corresponding author. Email: Anne.Parkinson@anu.edu.au

Australian Journal of Primary Health 22(2) 93-99 https://doi.org/10.1071/PY14179
Submitted: 18 December 2014  Accepted: 20 June 2015   Published: 2 September 2015

Abstract

Monitoring patient experience is essential for stimulating innovation in health care and improving quality and accountability. Internationally, standardised approaches are used to collect patient experience information, but in Australian primary health care (PHC), little is known about which patient experience surveys are used and which aspects of experience they measure. This prevents routine inclusion of patient experience data in quality improvement or system performance measurement. A scoping review was undertaken to identify relevant surveys. Data on survey availability, psychometric properties, target population, method and frequency of administration were extracted. Survey items were mapped against six dimensions of patient experience described internationally. Ninety-five surveys were identified; 34 were developed for use in Australia. Surveys vary in content, size, aspects of experience measured and methods of administration. The quality of data collected and the extent to which it is used in quality improvement is unclear. Collection of patient experience data in Australian PHC is not well developed or standardised and there are few publicly available instruments. There is a need to clearly identify the purposes for which data are to be used and to develop an integrated approach that articulates these collections with other quality and performance data. Some options are discussed.

Additional keywords: accreditation, health services performance measurement, quality improvement.


References

Agency for Healthcare Research and Quality (AHRQ) (2013) CAHPS: surveys and tools to advance patient-centered care. Available at https://cahps.ahrq.gov/index.html [verified 29 July 2015]

Arksey H, O’Malley L (2005) Scoping studies: towards a methodological framework. International Journal of Social Research Methodology 8, 19–32.
Scoping studies: towards a methodological framework.Crossref | GoogleScholarGoogle Scholar |

Australian Bureau of Statistics (ABS) (2014) Patient experiences in Australia. Available at http://www.abs.gov.au/AUSSTATS/abs@.nsf/second+level+view?ReadForm&prodno=4839.0&viewtitle=Patient%20Experiences%20in%20Australia:%20Summary%20of%20Findings~2013-14~Latest~28/11/2014&&tabname=Past%20Future%20Issues&prodno=4839.0&issue=2013-14&num=&view=& [verified 29 July 2015]

Delnoij DMJ, Rademakers JJDJM, Groenewegen PP (2010) The Dutch Consumer Quality Index: an example of stakeholder involvement in indicator development. BMC Health Services Research 10, 88
The Dutch Consumer Quality Index: an example of stakeholder involvement in indicator development.Crossref | GoogleScholarGoogle Scholar |

Desborough J, Banfield M, Parker R (2013) A tool to evaluate patients’ experience of nursing care in Australian general practice: Development of the Patient Enablement and Satisfaction Survey (PESS). Australian Journal of Primary Health 20, 209–215.

de Silva D (2013) ‘Evidence scan: measuring patient experience.’ (The Health Foundation: London)

Greco M, Sweeney K, Brownlea A, McGovern J (2001) The practice accreditation and improvement survey (PAIS). What patients think. Australian Family Physician 30, 1096–1100.

Hibbard JH, Stockard J, Mahoney ER, Tusler M (2004) Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients and consumers. Health Services Research 39, 1005–1026.
Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients and consumers.Crossref | GoogleScholarGoogle Scholar | 15230939PubMed |

Kalucy EC, Katterl R, Jackson Bowers E (2009) Patient experience of health care performance. PHC RIS Policy Issue Review. Primary Health Care Research & Information Service, Adelaide.

Powell R, Powell H, Baker L, Greco M (2009) Patient partnership in care: a new instrument for measuring patient–professional partnership in the treatment of long-term conditions. Journal of Management & Marketing in Healthcare 2, 325–342.
Patient partnership in care: a new instrument for measuring patient–professional partnership in the treatment of long-term conditions.Crossref | GoogleScholarGoogle Scholar |

Roland M, Roberts M, Rhenius V, Campbell J (2013) GPAQ-R: development and psychometric properties of a version of the General Practice Assessment Questionnaire for use for revalidation by general practitioners in the UK. BMC Family Practice 14, 160
GPAQ-R: development and psychometric properties of a version of the General Practice Assessment Questionnaire for use for revalidation by general practitioners in the UK.Crossref | GoogleScholarGoogle Scholar | 24138508PubMed |

Salisbury C, Wallace M, Montgomery AA (2010) Patients’ experience and satisfaction in primary care: secondary analysis using multilevel modelling. BMJ (Clinical Research Ed.) 341, c5004
Patients’ experience and satisfaction in primary care: secondary analysis using multilevel modelling.Crossref | GoogleScholarGoogle Scholar |

Sibthorpe B, Gardner K (2007) A conceptual framework for performance assessment in primary health care. Australian Journal of Primary Health 13, 96–103.
A conceptual framework for performance assessment in primary health care.Crossref | GoogleScholarGoogle Scholar |

Staniszewska S, Boardman F, Gunn L, Roberts J, Clay D, Seers K, Brett J, Avital L, Bullock I, O’Flynn N (2014) The Warwick Patient Experiences Framework: patient-based evidence in clinical guidelines. International Journal for Quality in Health Care 26, 151–157.
The Warwick Patient Experiences Framework: patient-based evidence in clinical guidelines.Crossref | GoogleScholarGoogle Scholar | 24556816PubMed |

University of Western Australia (UWA) (2014) Patient satisfaction dental survey, Australia. Available at http://www.uwa.edu.au/__data/assets/pdf_file/0010/872146/PatientSatisfactionSurveyForm.pdf [verified 29 July 2015].

Watson DE, Broemeling AM, Wong ST (2009) A results-based logic model for primary healthcare: a conceptual foundation for population-based information systems. Healthcare Policy 5, 33–46.

Wong ST, Haggerty J (2013) Measuring patient experiences in health care: a review and classification of items and scales used in publicly-available questionnaires. (Centre for Health Services and Policy Research, University of British Columbia: Vancouver) Available at http://www.chspr.ubc.ca/sites/default/files/publication_files/Patient%20experiences%20in%20PHC%202013_0.pdf [verified 30 October 2014]