Abstract:
BACKGROUND:When it was initiated in 2001, England's national patient survey programme was one of the first in the world and has now been widely emulated in other healthcare systems. The aim of the survey programme was to make the National Health Service (NHS) more "patient centred" and more responsive to patient feedback. The national inpatient survey has now been running in England annually since 2002 gathering data from over 600,000 patients. The aim of this study is to investigate how the data have been used and to summarise what has been learned about patients' evaluation of care as a result. METHODS:Two independent researchers systematically gathered all research that included analyses of the English national adult inpatient survey data. Journals, databases and relevant websites were searched. Publications prior to 2002 were excluded. Articles were also identified following consultation with experts. All documents were then critically appraised by two co-authors both of whom have a background in statistical analysis. RESULTS:We found that the majority of the studies identified were reports produced by organisations contracted to gather the data or co-ordinate the data collection and used mainly descriptive statistics. A few articles used the survey data for evidence based reporting or linked the survey to other healthcare data. The patient's socio-demographic characteristics appeared to influence their evaluation of their care but characteristics of the workforce and the. At a national level, the results of the survey have been remarkably stable over time. Only in those areas where there have been co-ordinated government-led campaigns, targets and incentives, have improvements been shown. The main findings of the review are that while the survey data have been used for different purposes they seem to have incited little academic interest. CONCLUSIONS:The national inpatient survey has been a useful resource for many authors and organisations but the full potential inherent in this large, longitudinal publicly available dataset about patients' experiences has not as yet been fully exploited.This review suggests that the presence of survey results alone is not enough to improve patients' experiences and further research is required to understand whether and how the survey can be best used to improve standards of care in the NHS.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
DeCourcy A,West E,Barron Ddoi
10.1186/1472-6963-12-71subject
Has Abstractpub_date
2012-03-21 00:00:00pages
71issn
1472-6963pii
1472-6963-12-71journal_volume
12pub_type
杂志文章abstract:BACKGROUND:Moderate and deep sedation are well-established techniques in many developed countries, and several guidelines have been published. However, they have received attention in China only in recent years. The aim of this study is to investigate current paediatric sedation practices in tertiary children's hospita...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4885-4
更新日期:2020-01-08 00:00:00
abstract:BACKGROUND:Patients across North America are using complementary and alternative medicine (CAM) with increasing frequency as part of their management of many different health conditions. The objective of this study was to develop a guide for academic health sciences centers that may wish to consider starting an integra...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-5-78
更新日期:2005-12-20 00:00:00
abstract:BACKGROUND:To investigate the effects after twelve months related to patient activation and a range of secondary outcomes on persons with chronic pain of a chronic pain self-management course compared to a low-impact outdoor physical activity, delivered in an easily accessible healthcare service in public primary care....
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-018-3843-x
更新日期:2018-12-29 00:00:00
abstract:BACKGROUND:Patient-centered diabetes care requires shared decision making (SDM). Decision aids promote SDM, but their efficacy in nonacademic and rural primary care clinics is unclear. METHODS:We cluster-randomized 10 practices in a concealed fashion to implement either a decision aid (DA) about starting statins or on...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1472-6963-13-301
更新日期:2013-08-08 00:00:00
abstract:BACKGROUND:The 'Surviving Crying' study was designed to develop and provisionally evaluate a support service for parents of excessively crying babies, including its suitability for use in the United Kingdom (UK) National Health Service (NHS). The resulting service includes three materials: a website, a printed booklet,...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4430-5
更新日期:2019-08-22 00:00:00
abstract:BACKGROUND:Malnutrition is a comprehensive challenge for the nursing home, home care- and home nursing sector. Nutritional care and the subsequent documentation are a common and multifaceted healthcare practice that requires that the healthcare professionals possess complex combinations of competencies in order to deli...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-019-4450-1
更新日期:2019-09-06 00:00:00
abstract:BACKGROUND:Central venous catheter-associated bloodstream infections in children are an increasingly recognized serious safety problem worldwide, but are often preventable. Central venous catheter bundles have proved effective to prevent such infections. Successful implementation requires changes in the hospital system...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-417
更新日期:2013-10-14 00:00:00
abstract:BACKGROUND:Ensuring access to timely and appropriate primary healthcare for people living in poverty is an issue facing all countries, even those with universal healthcare systems. The transformation of healthcare practices and organization could be improved by involving key stakeholders from the community and the heal...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-92
更新日期:2013-03-11 00:00:00
abstract:BACKGROUND:Health services research is a well-articulated research methodology and can be a powerful vehicle to implement sustainable health service reform. This paper presents a summary of a five-year collaborative program between stakeholders and researchers that led to sustainable improvements in the maternity servi...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-241
更新日期:2014-06-02 00:00:00
abstract:BACKGROUND:Studies comparing the access to health care of rural and urban populations have been contradictory and inconclusive. These studies are complicated by the influence of other factor which have been shown to be related to access and utilization. This study assesses the equity of access to health care services a...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-20
更新日期:2011-01-31 00:00:00
abstract:BACKGROUND:Team-based approaches to research capacity building (RCB) may be an efficient means to promote allied health research participation and activity. In order to tailor such interventions, a clearer understanding of current patterns of research participation within allied health teams is needed. Different self-r...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-1996-7
更新日期:2017-02-06 00:00:00
abstract:BACKGROUND:Adverse drug events (ADEs) are frequent in hospitals, occurring either in patients before admission or as a nosocomial event, and either as a drug reaction or as a consequence of a medication error. Routine data primarily recorded for reimbursement purposes are increasingly being used on a national level bot...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-125
更新日期:2014-03-13 00:00:00
abstract:BACKGROUND:In Vietnam, the health-sector reforms since 1989 have lead to a rapid increase in out-of-pocket expenses. This paper examines the choice of medical provider and household healthcare expenditure for different providers in a rural district of Vietnam following healthcare reform. METHODS:The study consisted of...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-8-162
更新日期:2008-07-30 00:00:00
abstract:BACKGROUND:Demand side financing (DSF) is a widely employed strategy to enhance utilization of healthcare. The impact of DSF on health care seeking in general and that of maternal care in particular is already known. Yet, its effect on financial access to care, out-of-pocket spending (OOPS) and provider motivations is ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-319
更新日期:2012-09-15 00:00:00
abstract:BACKGROUND:A novel point-of-care ultrasound (PoCUS) training program was developed to train rural healthcare providers in Kenya on the Focused Assessment with Sonography for Trauma (FAST), thoracic ultrasound, basic echocardiography, and focused obstetric ultrasonography. The program includes a multimedia manual, pre-c...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3196-5
更新日期:2018-08-06 00:00:00
abstract:BACKGROUND:World Health Organization (WHO) predicted that there will be a shortfall of skilled healthcare by 2035 with the greatest shortfall in Africa and Southeast Asia due to satisfaction with payment and incentives. Low job satisfaction of health workers can result in increased staff turnover and absenteeism, which...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4317-5
更新日期:2019-07-16 00:00:00
abstract:BACKGROUND:Poorer cancer outcomes of Indigenous Australians in Australia's Northern Territory (NT) compared with their non-Indigenous counterparts are partially due to diminished access to cancer treatment services (CTS). Accessibility of health care is a multidimensional construct, including physical, logistical, psyc...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-021-06066-3
更新日期:2021-01-28 00:00:00
abstract:BACKGROUND:Almost all studies of pathologic fractures have been conducted based on patients with tumours and hospital-based data; however, in the present study, a nationwide epidemiological survey of pathologic fractures in Taiwan was performed and the medical utilization was calculated. METHODS:All claimants of Taiwa...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-230
更新日期:2011-09-22 00:00:00
abstract:BACKGROUND:Barely a decade after introduction of Ghana's National Health Insurance Scheme (NHIS), significant successes have been recorded in universal access to basic healthcare services. However, sustainability of the scheme is increasingly threatened by concerns on quality of health service delivery in NHIS-accredit...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12913-016-1438-y
更新日期:2016-05-28 00:00:00
abstract:BACKGROUND:Japan has a high prevalence of adult T-cell leukaemia (ATL), especially in the Kyushu/Okinawa region. Regional differences in prevalence might cause regional differences in physicians' experiences and the efficiency of care-resource use. This study investigated regional differences in the performance of bone...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-337
更新日期:2014-08-08 00:00:00
abstract:BACKGROUND:Mental health presentations are considered to be a difficult aspect of emergency care. Although emergency department (ED) staff is qualified to provide emergency mental health care, for some, such presentations pose a challenge to their training, confidence, and time. Providing access to relevant and respons...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0839-7
更新日期:2015-04-14 00:00:00
abstract:BACKGROUND:Health systems research is increasingly being conducted in low and middle-income countries (LMICs). Such research should aim to reduce health disparities between and within countries as a matter of global justice. For such research to do so, ethical guidance that is consistent with egalitarian theories of so...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-016-1868-6
更新日期:2016-11-15 00:00:00
abstract:BACKGROUND:To establish which major disorders are susceptible to increased mortality following acute admissions on weekends, compared with week days, and how this may be explained. METHODS:Cohorts based on national administrative inpatient and mortality data for 14,168,443 hospitalised patients in England and 913,068 ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4286-8
更新日期:2019-09-02 00:00:00
abstract:BACKGROUND:Willis-Knighton Health System's special supplement in BMC Health Services Research, "Marketing communications in health and medicine: perspectives from Willis-Knighton Health System," focuses on advertising, public relations, sales promotion, and related communicative avenues, associated theory, and more. Ac...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05607-6
更新日期:2020-09-15 00:00:00
abstract:BACKGROUND:Men who have sex with men (MSM) are at high risk of human immunodeficiency virus (HIV) infection and sexually transmitted infection (STI) in China. Inadequate clinical services and poor clinical competency among physicians are major barriers to improving the sexual health of MSM. This study aims to understan...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3781-7
更新日期:2018-12-13 00:00:00
abstract:BACKGROUND:While governments are urging adult mental health services to support consumers in the context of their family, there is little information about what family focused practice is, nor how it might be enacted. METHODS:Informed by the principles of Community Based Participatory Research, workshops were held in ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-2844-0
更新日期:2018-01-30 00:00:00
abstract:BACKGROUND:Lack of adherence to international normalised ratio (INR) monitoring in rheumatic heart disease (RHD) patients is a contributor to cardio-embolic complications. This population-based observational study investigated whether the distance between home and an INR clinic affects the maintenance of therapeutic IN...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0890-4
更新日期:2015-06-05 00:00:00
abstract:BACKGROUND:Recently, there has been growing interest in providing more tailored, patient-centered care for the treatment of type 2 diabetes mellitus (T2DM). Yet it remains unclear which patient characteristics should be determined to guide such an approach. Therefore, the opinions of healthcare providers (HCP) and peop...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4371-z
更新日期:2019-08-16 00:00:00
abstract:BACKGROUND:Continuity of care (COC) has become a primary point of concern for care providers in both developed and developing countries, which is regarded as the "cornerstone of care" and an "essential element" of good health care. A robust and proper instrument is of necessity to identify problems and evaluate interve...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-3915-6
更新日期:2019-01-29 00:00:00
abstract:BACKGROUND:The aim of this study was to assess the relation between perceived social support and personal autonomy of individuals with intellectual disabilities and Health-Related Quality of Life. METHODS:A cross-sectional study with a multicentre sample was carried out including 162 institutionalized individuals with...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-018-3856-5
更新日期:2019-01-23 00:00:00