Healy David, Gilmore John, King Jenny, McSharry Jenny, Meade Oonagh, Ní Shé Éidín, Sweeney Lorna, Foley Conor, Noone Chris
School of Psychology, University of Galway, University Road, Galway, H91 TK33, Ireland.
School of Nursing Midwifery and Health Systems, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, D04 V1W8, Ireland.
HRB Open Res. 2024 Nov 26;7:74. doi: 10.12688/hrbopenres.13998.1. eCollection 2024.
The objective of this scoping review is to map measured and overlooked health inequalities in patient experience surveys in acute care and to explore the potential consequences of different conceptualisations of these health inequalities.
Measuring patient experience has become standard practice in many countries. However, despite the widespread awareness of the impact of health inequalities on various aspects of health, including patient experience, a comprehensive examination of whether and how health inequalities are measured in patient experience surveys has yet to be completed. The various ways in which these surveys conceptualise health inequalities may have important implications for how information about inequalities in patient experience is reported and used to allocate resources and plan quality improvement in health services. We will analyse the papers included in this scoping review to identify ways in which health inequalities have been conceptualised and measured in patient experience surveys in acute care and the potential consequences of framing health inequalities in different ways.
Papers that contain materials relating to patient experience measurement in any acute care context will be included. No limits will be placed on patient characteristics.
A search strategy was developed with an information specialist. The database search will be limited to after September 2021. No limit will be placed on data sources. Grey literature searches will be completed and relevant experts will also be contacted to identify any patient experience surveys not captured through database or grey literature searches. Non-English papers will be included only if resources allow. Two independent reviewers will complete title and abstract, and full-text screening. Additional reviewers will resolve any conflicts. A data extraction form was developed. The extracted data will be analysed using Critical Discourse Analysis, a qualitative method used to examine how power, dominance and inequality are enacted in text.
本范围综述的目的是梳理急性护理患者体验调查中已测量和被忽视的健康不平等情况，并探讨这些健康不平等的不同概念化方式可能产生的后果。
在许多国家，测量患者体验已成为标准做法。然而，尽管人们普遍意识到健康不平等对包括患者体验在内的健康各个方面的影响，但尚未完成对患者体验调查中是否以及如何测量健康不平等的全面审查。这些调查将健康不平等概念化的各种方式，可能对如何报告患者体验不平等信息以及如何利用这些信息分配资源和规划卫生服务质量改进具有重要意义。我们将分析本范围综述中纳入的论文，以确定在急性护理患者体验调查中健康不平等是如何被概念化和测量的，以及以不同方式构建健康不平等的潜在后果。
将纳入包含任何急性护理环境中与患者体验测量相关材料的论文。对患者特征不设限制。
与一名信息专家共同制定了检索策略。数据库检索将限于2021年9月之后。对数据源不设限制。将完成灰色文献检索，并联系相关专家以识别通过数据库或灰色文献检索未获取的任何患者体验调查。仅在资源允许的情况下纳入非英语论文。两名独立评审员将完成标题和摘要筛选以及全文筛选。如有冲突，将由其他评审员解决。开发了一份数据提取表。将使用批判性话语分析对提取的数据进行分析，批判性话语分析是一种用于研究权力、主导地位和不平等在文本中如何体现定性方法。
