Department of Health Services Research, Division for Health Services, Norwegian Institute of Public Health, Oslo 0473, Norway.
Department of General Practice, University of Oslo, Oslo, Norway.
Fam Pract. 2023 Dec 22;40(5-6):682-688. doi: 10.1093/fampra/cmad019.
Patient experience feedback is key in patient centred health systems, but empirical evidence of general practitioner (GP) interest in it is sparse. We aimed to: (i) quantitatively estimate the level of GP interest for feedback reports on patient experience; (ii) explore determinants of such interest; and (iii) examine potential association between a priori interest and patient experience.
The patient experience survey included maximum 300 randomly selected patients for each of 50 randomly selected GPs (response rate 41.4%, n = 5,623). GPs were sent a postal letter offering feedback reports and were grouped according to their replies: (i) interested in the report; (ii) not interested. Associations between interest and GP variables were assessed with Chi-square tests and multivariate logistic regression, while associations between interest and scores for 5 patient experiences scales were assessed with multilevel regression models.
About half (n = 21; 45.7%) of the GPs showed interest in the report by asking to receive the report. The only GP variable associated with a priori interest was being a specialist in general practice (58.6% vs. 23.5% for those without) (P = 0.021). Interest was significantly associated with the practice patient experience scale (4.1 higher score compared with those not interested, P = 0.048). Interest in the report had small and nonsignificant associations with the remaining patient experience scales.
Almost half of the GPs, and almost 3 in 5 of specialists in general practice, were interested in receiving a GP-specific feedback report on patient experiences. Interest in the report was generally not related to patient experience scores.
患者体验反馈是以患者为中心的医疗体系的关键,但关于全科医生(GP)对此兴趣的实证证据很少。我们旨在:(i)定量估计 GP 对患者体验反馈报告的兴趣水平;(ii)探讨这种兴趣的决定因素;(iii)检验事先兴趣与患者体验之间的潜在关联。
患者体验调查包括为 50 名随机选择的 GP 中的每一位随机选择最多 300 名患者(响应率为 41.4%,n=5623)。向 GP 发送了一封邮寄信,提供反馈报告,并根据他们的回复进行分组:(i)对报告感兴趣;(ii)不感兴趣。采用卡方检验和多变量逻辑回归评估兴趣与 GP 变量之间的关联,采用多层回归模型评估兴趣与 5 个患者体验量表得分之间的关联。
约一半(n=21;45.7%)的 GP 对报告表示感兴趣,要求收到报告。唯一与事先兴趣相关的 GP 变量是是否是全科医学专家(58.6%比没有的人高 23.5%)(P=0.021)。兴趣与实践患者体验量表显著相关(与不感兴趣的人相比,得分高 4.1 分,P=0.048)。对报告的兴趣与其余患者体验量表的关联较小且无统计学意义。
近一半的 GP,以及近五分之三的全科医学专家,对收到特定于 GP 的患者体验反馈报告感兴趣。对报告的兴趣通常与患者体验评分无关。