Vilendrer Stacie, Bragdon Cassandra, Miller-Kuhlmann Rebecca K, Vora Nirali, Gold Carl A, Winget Marcy
Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, CA, USA.
Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, USA.
J Patient Exp. 2025 May 8;12:23743735251341724. doi: 10.1177/23743735251341724. eCollection 2025.
We aim to incorporate physician insights into the development of a performance dashboard based on a novel patient experience survey system at a large academic health system. A multidisciplinary team of physicians, researchers, and designers met regularly to develop the dashboard informed by Clinical Performance Feedback Intervention Theory. Semistructured qualitative interviews with frontline physicians underwent combined inductive-deductive thematic analysis to inform dashboard improvements. A total of 20 interviews were conducted April-July 2023 with 9 neurologists and 6 primary care physicians in 2 phases. Physician preferences converged along design, content, and administration features, which were incorporated into the dashboard and accepted by physicians during phase 2. Important themes included establishment of survey credibility, preference for qualitative over quantitative data, and associated incentive structure. Dashboard design required an intuitive data overview with features such as hover-over insights that allowed deeper exploration. Physicians valued patient comments over quantitative data, prompting further redesign of the dashboard to prioritize qualitative insights, contrasting with the national emphasis on quantitative benchmarks.
我们旨在将医生的见解纳入一个基于大型学术健康系统中新型患者体验调查系统的绩效仪表盘的开发过程。由医生、研究人员和设计师组成的多学科团队定期会面,根据临床绩效反馈干预理论来开发该仪表盘。对一线医生进行的半结构化定性访谈采用归纳 - 演绎主题分析相结合的方法,为仪表盘的改进提供依据。2023年4月至7月分两个阶段共进行了20次访谈,涉及9名神经科医生和6名初级保健医生。医生们在设计、内容和管理功能方面的偏好趋于一致,这些偏好被纳入仪表盘,并在第二阶段得到了医生们的认可。重要主题包括建立调查可信度、对定性数据优于定量数据的偏好以及相关激励结构。仪表盘设计需要直观的数据概述,具备诸如悬停洞察等功能,以便进行更深入的探索。与全国对定量基准的重视形成对比的是,医生们更看重患者评论而非定量数据,这促使对仪表盘进行进一步重新设计,以突出定性见解。