Directing Improvements in Primary Care Patient Experience through Analysis of Service Quality.

Abstract:

OBJECTIVE:To examine the influence of dimensions of service quality on patient experience of primary care. DATA SOURCES/STUDY SETTING:Data from the national GP Patient Survey in England 2014/15, with responses from 858,351 patients registered at 7,918 practices. STUDY DESIGN:Expert panel and principal component analysis helped identify relevant dimensions of service quality. Regression was then used to examine the relationships between these dimensions and reported patient experience. DATA COLLECTION/EXTRACTION METHODS:Aggregated scores for each practice were used, comprising the proportion of positive responses to each element of the study. PRINCIPAL FINDINGS:Of eight service quality dimensions identified, six have statistically significant impacts on patient experience but only two have large effects. Patient experience is highly influenced by practice responsiveness and the interactions with the physician. Other dimensions have small or even slightly negative influence. Service quality provided by nurses has negligible effect on patient experience. CONCLUSIONS:To improve patient experience in primary health care, efforts should focus on practice responsiveness and interactions with the physician. Other areas have little influence over patient experience. This suggests a gap in patients' perspectives on health care, which has policy implications for patient education.

journal_name

Health Serv Res

journal_title

Health services research

authors

Hudson Smith M,Smith D

doi

10.1111/1475-6773.12985

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

4647-4666

issue

6

eissn

0017-9124

issn

1475-6773

journal_volume

53

pub_type

杂志文章
  • Community and individual race/ethnicity and home health care use among elderly persons in the United States.

    abstract:OBJECTIVE:To investigate whether the interaction between individual race/ethnicity and community racial/ethnic composition is associated with health-related home care use among elderly persons in the United States. DATA SOURCES:A nationally representative sample of community-dwelling elders aged 65+ from the 2000 to 2...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2010.01135.x

    authors: Kirby JB,Lau DT

    更新日期:2010-10-01 00:00:00

  • Does what nurses do affect clinical outcomes for hospitalized patients? A review of the literature.

    abstract:OBJECTIVE:Through a review of the literature, to identify and describe (1) empirical studies of inpatient nursing care quality that evaluate links between nursing care processes and health-related patient outcomes, (2) nursing care processes for which process-outcome links have been established, and (3) important nursi...

    journal_title:Health services research

    pub_type: 杂志文章,评审

    doi:

    authors: Lee JL,Chang BL,Pearson ML,Kahn KL,Rubenstein LV

    更新日期:1999-12-01 00:00:00

  • Are health systems redesigning how health care is delivered?

    abstract:OBJECTIVE:To explore why and how health systems are engaging in care delivery redesign (CDR)-defined as the variety of tools and organizational change processes health systems use to pursue the Triple Aim. STUDY SETTING:A purposive sample of 24 health systems across 4 states as part of the Agency for Healthcare Resear...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.13585

    authors: Scanlon DP,Harvey JB,Wolf LJ,Vanderbrink JM,Shaw B,Shi Y,Mahmud Y,Ridgely MS,Damberg CL

    更新日期:2020-12-01 00:00:00

  • Job satisfaction among hospital nurses: a longitudinal study.

    abstract::Data from a two-wave panel study of staff nurses in two hospitals are used to assess the relative importance of several types of independent variables as determinants of job satisfaction. Both organizational and nonorganizational determinants are examined, with the formed including both perceptual and structural measu...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Weisman CS,Alexander CS,Chase GA

    更新日期:1980-01-01 00:00:00

  • The great recession and health spending among uninsured U.S. immigrants: implications for the Affordable Care Act implementation.

    abstract:OBJECTIVE:We study the association between the timing of the Great Recession (GR) and health spending among uninsured adults distinguishing by citizenship/nativity status and time of U.S. residence. DATA SOURCE:Uninsured U.S. citizens and noncitizens from the 2005-2006 and 2008-2009 Medical Expenditure Panel Survey. ...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12193

    authors: Vargas Bustamante A,Chen J

    更新日期:2014-12-01 00:00:00

  • Post-acute care and ACOs - who will be accountable?

    abstract:OBJECTIVE:To determine how the inclusion of post-acute evaluation and management (E&M) services as primary care affects assignment of Medicare beneficiaries to accountable care organizations (ACOs). DATA SOURCES:Medicare claims for a random 5 percent sample of 2009 Medicare beneficiaries linked to American Medical Ass...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12032

    authors: McWilliams JM,Chernew ME,Zaslavsky AM,Landon BE

    更新日期:2013-08-01 00:00:00

  • Medication Nonadherence: The Role of Cost, Community, and Individual Factors.

    abstract:OBJECTIVE:To explain the association of out-of-pocket (OOP) cost, community-level factors, and individual characteristics on statin therapy nonadherence. DATA SOURCES:BlueCross BlueShield of Texas claims data for the period of 2008-2011. STUDY DESIGN:A retrospective cohort of 49,176 insured patients, aged 18-64 years...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12547

    authors: Abbass I,Revere L,Mitchell J,Appari A

    更新日期:2017-08-01 00:00:00

  • Comparing self-reported health status and diagnosis-based risk adjustment to predict 1- and 2 to 5-year mortality.

    abstract:OBJECTIVES:To compare the ability of two diagnosis-based risk adjustment systems and health self-report to predict short- and long-term mortality. DATA SOURCES/STUDY SETTING:Data were obtained from the Department of Veterans Affairs (VA) administrative databases. The study population was 78,164 VA beneficiaries at eig...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2006.00622.x

    authors: Pietz K,Petersen LA

    更新日期:2007-04-01 00:00:00

  • How do the experiences of Medicare beneficiary subgroups differ between managed care and original Medicare?

    abstract:OBJECTIVE:To examine whether disparities in health care experiences of Medicare beneficiaries differ between managed care (Medicare Advantage [MA]) and traditional fee-for-service (FFS) Medicare. DATA SOURCES:132,937 MA and 201,444 FFS respondents to the 2007 Medicare Consumer Assessment of Health Care Providers and S...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2011.01245.x

    authors: Elliott MN,Haviland AM,Orr N,Hambarsoomian K,Cleary PD

    更新日期:2011-08-01 00:00:00

  • The effect of rural hospital closures on community economic health.

    abstract:OBJECTIVE:To examine the effect of rural hospital closures on the local economy. DATA SOURCES:U.S. Census Bureau, OSCAR, Medicare Cost Reports, and surveys of individuals knowledgeable about local hospital closures. STUDY DESIGN:Economic data at the county level for 1990-2000 were combined with information on hospita...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2005.00497.x

    authors: Holmes GM,Slifkin RT,Randolph RK,Poley S

    更新日期:2006-04-01 00:00:00

  • Microsimulation of financial impact of demand surge on hospitals: the H1N1 influenza pandemic of fall 2009.

    abstract:OBJECTIVE:Microsimulation was used to assess the financial impact on hospitals of a surge in influenza admissions in advance of the H1N1 pandemic in the fall of 2009. The goal was to estimate net income and losses (nationally, and by hospital type) of a response of filling unused hospital bed capacity proportionately a...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12041

    authors: Braithwaite S,Friedman B,Mutter R,Handrigan M

    更新日期:2013-04-01 00:00:00

  • Forecasting demand for long-term care services.

    abstract::This article analyzes three methods used to forecast the transition of long-term care clients through a variety of possible home and facility placements and levels of care. The test population (N = 1,653) is derived from the larger population of clients admitted in 1978 to British Columbia's newly established Long-Ter...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Lane D,Uyeno D,Stark A,Kliewer E,Gutman G

    更新日期:1985-10-01 00:00:00

  • Narrow- and Broad-Spectrum Antibiotic Use among U.S. Children.

    abstract:OBJECTIVES:To provide updated estimates of narrow- and broad-spectrum antibiotic use among U.S. children. DATA SOURCES:Linked nationally representative data from the 2004-2010 Medical Expenditure Panel Survey Household Component and the 2000 Decennial Census. STUDY DESIGN:Relationships between individual-, family-, a...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12260

    authors: Sarpong EM,Miller GE

    更新日期:2015-06-01 00:00:00

  • Ruptured appendicitis among children as an indicator of access to care.

    abstract:OBJECTIVE:To determine factors associated with ruptured appendicitis among children, using administrative databases. Insurance-related differences in the risk of ruptured appendix among adults in California have previously been described (Braveman, Schaaf, Egerter, et al. 1994). DATA SOURCES/STUDY SETTING:State of Mar...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Gadomski A,Jenkins P

    更新日期:2001-04-01 00:00:00

  • The effect of the WIC program on the health of newborns.

    abstract:OBJECTIVE:To determine the effect of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) on birth outcomes. DATA SOURCE:The Child Development Supplement (CDS) of the Panel Study of Income Dynamics (PSID). The PSID provides extensive data on the income and well-being of a representative sa...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2010.01115.x

    authors: Foster EM,Jiang M,Gibson-Davis CM

    更新日期:2010-08-01 00:00:00

  • Psychometric properties of the patient activation measure among multimorbid older adults.

    abstract:OBJECTIVES:The Patient Activation Measure (PAM) quantifies the extent to which people are informed about and involved in their health care. Objectives were to determine the psychometric properties of PAM among multimorbid older adults and evaluate a theoretical, four-stage model of patient activation. Methods. A cross-...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2010.01210.x

    authors: Skolasky RL,Green AF,Scharfstein D,Boult C,Reider L,Wegener ST

    更新日期:2011-04-01 00:00:00

  • Declines in employer-sponsored insurance between 2000 and 2008: examining the components of coverage by firm size.

    abstract:OBJECTIVE:To examine trends in employer-sponsored health insurance coverage rates and its associated components between 2000 and 2008, to provide a baseline for later evaluations of the Affordable Care Act, and to provide information to policy makers as they design the implementation details of the law. DATA SOURCES:P...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2011.01368.x

    authors: Vistnes J,Zawacki A,Simon K,Taylor A

    更新日期:2012-06-01 00:00:00

  • Utilization of health services as events: an exploratory study.

    abstract::The concept of propensity to use ambulatory care is defined as the probability that a utilization occurs in a very small interval of time, given that no utilization has been observed before. With this definition of utilization, survival analysis can be used to assess the effect of a set of predictors on utilization. T...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Béland F

    更新日期:1988-06-01 00:00:00

  • Methodological reporting in qualitative, quantitative, and mixed methods health services research articles.

    abstract:OBJECTIVES:Methodologically sound mixed methods research can improve our understanding of health services by providing a more comprehensive picture of health services than either method can alone. This study describes the frequency of mixed methods in published health services research and compares the presence of meth...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2011.01344.x

    authors: Wisdom JP,Cavaleri MA,Onwuegbuzie AJ,Green CA

    更新日期:2012-04-01 00:00:00

  • Reconsidering the effect of Medicaid on health care services use.

    abstract:OBJECTIVE:Our research compares health care use by Medicaid beneficiaries with that of the uninsured and the privately insured to measure the program's effect on access to care. DATA SOURCES/STUDY SETTING:Data include the 1987 National Medical Expenditure Survey and the Survey of Income and Program Participation for 1...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Marquis MS,Long SH

    更新日期:1996-02-01 00:00:00

  • Increased children's access to fluoride varnish treatment by involving medical care providers: effect of a Medicaid policy change.

    abstract:BACKGROUND:In 2004, the State of Wisconsin introduced a change to their Medicaid Policy allowing medical care providers to be reimbursed for fluoride varnish treatment provided to Medicaid enrolled children. OBJECTIVE:To determine the extent by which a state-level policy change impacted access to fluoride varnish trea...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2009.00975.x

    authors: Okunseri C,Szabo A,Jackson S,Pajewski NM,Garcia RI

    更新日期:2009-08-01 00:00:00

  • The accuracy of Pap smear utilization self-report: a methodological consideration in cervical screening research.

    abstract::One method used to determine utilization rates of cervical screening is women's self-report. Few studies have assessed the accuracy of this measure--none has been conducted in Australia--although there are a number of reasons for suspecting its validity. This study examined and quantified the accuracy of self-report o...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Bowman JA,Redman S,Dickinson JA,Gibberd R,Sanson-Fisher RW

    更新日期:1991-04-01 00:00:00

  • Intelligent information: a national system for monitoring clinical performance.

    abstract:OBJECTIVE:To use statistical process control charts to monitor in-hospital outcomes at the hospital level for a wide range of procedures and diagnoses. DATA SOURCES:Routine English hospital admissions data. STUDY DESIGN:Retrospective analysis using risk-adjusted log-likelihood cumulative sum (CUSUM) charts, comparing...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2007.00742.x

    authors: Bottle A,Aylin P

    更新日期:2008-02-01 00:00:00

  • Specificity and sensitivity of claims-based algorithms for identifying members of Medicare+Choice health plans that have chronic medical conditions.

    abstract:OBJECTIVE:To examine the effects of varying diagnostic and pharmaceutical criteria on the performance of claims-based algorithms for identifying beneficiaries with hypertension, heart failure, chronic lung disease, arthritis, glaucoma, and diabetes. STUDY SETTING:Secondary 1999-2000 data from two Medicare+Choice healt...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2004.00321.x

    authors: Rector TS,Wickstrom SL,Shah M,Thomas Greeenlee N,Rheault P,Rogowski J,Freedman V,Adams J,Escarce JJ

    更新日期:2004-12-01 00:00:00

  • Birth order in small multihospital systems.

    abstract::The strategic behaviors of small multihospital systems have received little attention in the literature despite the fact that small systems are the predominant scale among multihospital systems. This study examines one important aspect of small-system strategic behaviors: the birth-order or evolutionary patterns of ho...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Luke RD,Ozcan YA,Begun JW

    更新日期:1990-06-01 00:00:00

  • Geography, Not Health System Affiliations, Determines Patients' Revisits to the Emergency Department.

    abstract:OBJECTIVES:To determine how frequently patients revisit the emergency department after an initial encounter, and to describe revisit capture rates for the same hospital, health system, and geographic region. DATA SOURCES/STUDY SETTING:Florida state data from January 1, 2010, to June 30, 2011, from the Healthcare Cost ...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12658

    authors: Rising KL,Karp DN,Powell RE,Victor TW,Carr BG

    更新日期:2018-04-01 00:00:00

  • The effects of predetermined payment rates for Medicare home healthcare.

    abstract:OBJECTIVE:To assess the effects of an alternative method of paying home health agencies for services to Medicare beneficiaries, based on a demonstration program. DATA SOURCES/STUDY SETTING:Primary and secondary data collected on participating home health agencies in five states and their patients during the three-year...

    journal_title:Health services research

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Brown R,Phillips B,Bishop C,Thornton C,Ritter G,Klein A,Schochet P,Skwara K

    更新日期:1997-10-01 00:00:00

  • Advance care planning in nursing homes: pre- and post-Patient Self-Determination Act.

    abstract:OBJECTIVES:(1) To identify resident and organizational factors associated with the use of advance care plans pre- and post-implementation of the Patient Self-Determination Act (PSDA), and (2) to identify changes (pre- and post-implementation of the PSDA) in the relationship between these factors and the use of advance ...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Castle NG,Mor V

    更新日期:1998-04-01 00:00:00

  • Persistence of HMO performance measures.

    abstract:OBJECTIVE:To simplify the decision-making process, we propose and implement an approach to assess the stability of health plan performance over time when multiple indicators of performance exist. DATA SOURCE:National Committee for Quality Assurance Health Care Effectiveness Data and Information Set data for childhood ...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2008.00890.x

    authors: Swaminathan S,Chernew M,Scanlon DP

    更新日期:2008-12-01 00:00:00

  • Employing computational linguistics techniques to identify limited patient health literacy: Findings from the ECLIPPSE study.

    abstract:OBJECTIVE:To develop novel, scalable, and valid literacy profiles for identifying limited health literacy patients by harnessing natural language processing. DATA SOURCE:With respect to the linguistic content, we analyzed 283 216 secure messages sent by 6941 diabetes patients to physicians within an integrated system'...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.13560

    authors: Schillinger D,Balyan R,Crossley SA,McNamara DS,Liu JY,Karter AJ

    更新日期:2020-09-23 00:00:00