An evolutionary view of patient experience in primary care: A concept analysis

Abstract

Aim This concept analysis explores “patient experience” in the context of primary care. Background In the 21st century, person‐centered care became the manner to address the healthcare quality needs of the United States. This study led to using measures of patient experience as an evaluation of patient‐centered care. Design Concept analysis. Data sources CINAHL, Cochrane Review, PUBMED Central, PsycINFO, Web of Science, and Scopus were queried using “patient experience” and “primary care.” All peer‐reviewed US‐based articles were included from January 2000 to October 2017 (n = 59). Review methods Rodgers’ evolutionary view of concept analysis guided this inquiry. Results Patient experience is any process discernible by patients, including subjective experiences, objective experiences, and observations of provider or staff behavior. Patient experience reports are mediated and moderated by many variables and reflect care experiences that directly measure patient‐centeredness from the patient’s viewpoint. Consequences of patient experience may lead to adherence to shared plans of care, patient engagement, and appropriate use of healthcare services. Conclusion Conceptual clarity of patient experience adds to the understanding of how patients experience healthcare quality. If healthcare aspires to deliver patient‐centered care, understanding quality from the viewpoint of the patient is essential.

Patients With Health-Related Social Needs More Likely to Report Poor Clinic Experiences

“…The largest differences were found in informational outcomes, such as staff answering questions and receiving the information needed to manage care. Previous research has shown that low SES patients are more likely to report poor care experiences (16). Though we see a similar pattern descriptively in this study, this difference was explained statistically by the HRS need of the patient.…”

“…Experiences and perceptions of care are moderated by individual-level characteristics including age (11)(12)(13)(14), gender (14), and race (14,15). The reported direction and magnitude of the relationship between individual characteristics and patient experiences has not been consistent (16). A more consistent relationship has been established between care experiences and patient socioeconomic status (SES).…”

Adults’ Self-Management of Chronic Cancer and Noncancer Pain in People with and Without Cognitive Impairment: A Concept Analysis

“…Rodgers and Knafl's (2000) evolutionary method of concept analysis is applied in this study to explore and clarify the concept of adult self-management of chronic pain. This method is a cyclical process of concept development explored through time and within context (Holt, 2018). Consistent with this methodology, the following steps were taken: (1) identify the concept of interest and its associated expressions, known as surrogate terms; (2) select an appropriate sample for data collection; (3) collect data relevant to identifying conceptual attributes in order to form contextual basis of the concept, including interdisciplinary, sociocultural, and temporal (antecedent and consequential occurrences) aspects; (4) analyze the data to clarify the conceptual antecedents, attributes, consequences, and both related and surrogate terms; and (5) identify implications, hypotheses, and implications for further development of concept of interest (Holt, 2018).…”

Rethinking health services operations to embrace patient experience of healthcare journey

“…The evaluation of care by patients would encompass perception of this journey that can be represented as an experience. 19,20 The tracer methodology, a practical mechanism employed by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), places its focus on the patient journey in the evaluation of the services rendered to patients. 21 Patient experience provides more appropriate constructs to assess the perceptions of an operational journey.…”