Jamieson Gilmore Kendall, Corazza Ilaria, Coletta Lucrezia, Allin Sara
Management and Health Laboratory, Sant'Anna School of Advanced Studies, Via San Zeno 2, Pisa, Italy.
Management and Health Laboratory, Sant'Anna School of Advanced Studies, Via San Zeno 2, Pisa, Italy.
Health Policy. 2023 Feb;128:1-10. doi: 10.1016/j.healthpol.2022.07.008. Epub 2022 Jul 20.
Many governments have programmes collecting and reporting patient experience data, captured through Patient Reported Experience Measures (PREMs). Our study aims to capture and describe all the ways in which PREM data are used within healthcare systems, and explore the impacts of using PREMs at one level (e.g. national health system strategy) on other levels (e.g. providers).
We conducted a narrative review, underpinned by a systematic search of the literature.
1,711 unique entries were identified through the search process. After abstract screening, 142 articles were reviewed in full, resulting in 28 for final inclusion. A majority of papers describe uses of PREMs at the micro level, focussed on improving quality of front-line care. Meso-level uses were in quality-based financing or for performance improvement. Few macro-level uses were identified. We found limited evidence of the impact of meso‑ and macro- efforts to stimulate action to improve patient experience at the micro-level.
PREM data are used as performance information at all levels in health systems. The use of PREM data at macro- and meso‑ levels may have an effect in stimulating action at the micro-level, but there is a lack of systematic evidence, or evaluation of these micro-level actions. Longitudinal studies would help better understand how to improve patient experience, and interfaces between PREM scores and the wider associated positive outcomes.
许多政府都设有收集和报告患者体验数据的项目，这些数据通过患者报告体验指标（PREMs）来获取。我们的研究旨在捕捉和描述医疗系统中使用PREM数据的所有方式，并探讨在一个层面（如国家卫生系统战略）使用PREMs对其他层面（如提供者）的影响。
我们在对文献进行系统检索的基础上进行了叙述性综述。
通过检索过程共识别出1711条独特记录。经过摘要筛选，对142篇文章进行了全文审查，最终纳入28篇。大多数论文描述了PREMs在微观层面的用途，重点是改善一线护理质量。中观层面的用途在于基于质量的融资或绩效改进。宏观层面的用途很少被识别出来。我们发现，关于中观和宏观层面为刺激微观层面改善患者体验而采取行动的影响的证据有限。
PREM数据在卫生系统的各个层面都被用作绩效信息。在宏观和中观层面使用PREM数据可能会对刺激微观层面的行动产生影响，但缺乏系统的证据，也缺乏对这些微观层面行动的评估。纵向研究将有助于更好地理解如何改善患者体验，以及PREM分数与更广泛的相关积极结果之间的联系。
