Kuhn Diane, Pang Peter S, Musey Paul I, Harle Chris A
Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, USA.
Department of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, USA.
Cureus. 2025 May 3;17(5):e83429. doi: 10.7759/cureus.83429. eCollection 2025 May.
Introduction Although emergency medicine specialty societies have published policy statements on the use of patient experience data, we know little about how these data are currently used within physician groups. We also have little information about individual emergency physicians' perspectives on the use of these data. Methods A total of 1049 questionnaires were distributed via email to residency program alumni of a large Midwestern residency program in June-July 2024. Participants were asked questions regarding their time in practice since residency, practice setting, and their current group or employer's use of emergency department (ED) patient experience feedback. Descriptive statistics were calculated for all variables, and a logistic regression was performed to determine associations between respondent sex and years in practice with the odds of perceiving the use of experience ratings as fair. Finally, open-ended responses were reviewed thematically to identify common patterns. Results From a distribution to 1049 individuals, there were 99 (9.4%) responses. A total of 33 (33.3%) respondents made free-response comments. The most common uses of data were the publication of group performance and individual emails to physicians regarding patient feedback. Financial incentives were more common at the group level than at the individual level. Female physicians had lower odds of perceiving use of the ratings as fair. In addition, physicians raised concerns in free response comments about gender and racial bias, sample size and distribution of surveys, and the relevance of factors outside of physician control. Conclusion Emergency physicians held relatively neutral positions on whether the current use of experience data was reasonable. However, they had numerous concerns regarding the data quality.
引言 尽管急诊医学专业协会已发布关于使用患者体验数据的政策声明,但我们对这些数据目前在医师群体中的使用情况知之甚少。我们也几乎不了解急诊医师个人对这些数据使用的看法。方法 2024年6月至7月,通过电子邮件向中西部一个大型住院医师培训项目的住院医师培训项目校友总共发放了1049份问卷。参与者被问及自住院医师培训结束后的执业时间、执业环境,以及他们当前所在的团队或雇主对急诊科患者体验反馈的使用情况。对所有变量进行描述性统计,并进行逻辑回归以确定受访者性别和执业年限与认为体验评分使用公平的几率之间的关联。最后,对开放式回答进行主题审查以识别常见模式。结果 在向1049人发放问卷后,共收到99份(9.4%)回复。共有33名(33.3%)受访者给出了自由回答评论。数据最常见的用途是公布团队表现以及向医师发送关于患者反馈的个人电子邮件。经济激励在团队层面比在个人层面更常见。女性医师认为评分使用公平的几率较低。此外,医师们在自由回答评论中对性别和种族偏见、调查的样本量和分布,以及医师无法控制的因素的相关性表示担忧。结论 急诊医师对当前体验数据的使用是否合理持相对中立的立场。然而,他们对数据质量有诸多担忧。