Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Center for Quality of Healthcare, Nijmegen, The Netherlands.
Department of Otolaryngology, Head and Neck surgery, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands.
Health Expect. 2017 Dec;20(6):1275-1288. doi: 10.1111/hex.12567. Epub 2017 Jun 15.
Audit and feedback on professional practice and health care outcomes are the most often used interventions to change behaviour of professionals and improve quality of health care. However, limited information is available regarding preferred feedback for patients, professionals and health insurers.
Investigate the (differences in) preferences of receiving feedback between stakeholders, using the Dutch Head and Neck Audit as an example.
A total of 37 patients, medical specialists, allied health professionals and health insurers were interviewed using semi-structured interviews. Questions focussed on: "Why," "On what aspects" and "How" do you prefer to receive feedback on professional practice and health care outcomes?
All stakeholders mentioned that feedback can improve health care by creating awareness, enabling self-reflection and reflection on peers or colleagues, and by benchmarking to others. Patients prefer feedback on the actual professional practice that matches the health care received, whereas medical specialists and health insurers are interested mainly in health care outcomes. All stakeholders largely prefer a bar graph. Patients prefer a pie chart for patient-reported outcomes and experiences, while Kaplan-Meier survival curves are preferred by medical specialists. Feedback should be simple with firstly an overview, and 1-4 times a year sent by e-mail. Finally, patients and health professionals are cautious with regard to transparency of audit data.
This exploratory study shows how feedback preferences differ between stakeholders. Therefore, tailored reports are recommended. Using this information, effects of audit and feedback can be improved by adapting the feedback format and contents to the preferences of stakeholders.
对专业实践和医疗保健结果进行审核和反馈是最常用于改变专业人员行为和提高医疗保健质量的干预措施。然而，关于患者、专业人员和健康保险公司对反馈的偏好，信息有限。
以荷兰头颈部审计为例，调查利益相关者之间（在接受反馈方面的）偏好差异。
采用半结构化访谈，对 37 名患者、医学专家、辅助医疗专业人员和健康保险公司进行了访谈。问题集中在：“为什么”、“在哪些方面”和“如何”更喜欢收到关于专业实践和医疗保健结果的反馈。
所有利益相关者都提到，反馈可以通过提高认识、促进自我反思和对同事的反思以及与他人的基准比较来改善医疗保健。患者希望收到与所接受医疗保健相匹配的实际专业实践的反馈，而医学专家和健康保险公司主要关注医疗保健结果。所有利益相关者都更喜欢柱状图。患者更喜欢饼图来报告患者的结果和体验，而医学专家则更喜欢 Kaplan-Meier 生存曲线。反馈应该简单，首先是概述，每年通过电子邮件发送 1-4 次。最后，患者和卫生专业人员对审计数据的透明度持谨慎态度。
这项探索性研究表明，利益相关者之间的反馈偏好存在差异。因此，建议使用定制报告。利用这些信息，可以通过调整反馈格式和内容来适应利益相关者的偏好，从而提高审计和反馈的效果。
