Communication, continuity and coordination of care are the most important patients' values for family medicine in a fee-for-services health system

Droz, Marie; Senn, Nicolas; Cohidon, Christine

doi:10.1186/s12875-018-0895-2

Cited by 21 publications

(41 citation statements)

References 13 publications

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“…In our study, the clear majority of items reaching the 90% limit in all countries were in the communication-domain (six of 15 items in this domain reached the limit). This corresponds with a study of Swiss QUALICOPC data, where the authors concluded that items related to communication/patient-centeredness and coordination/continuity of care were rated as more important than items related to access (17). In the Europep study from 1999 performed in eight countries including Norway, Sweden and Denmark, only two items regarding accessibility reached the top-ten list regarding importance (quick access in case of emergencies (ranked second) and it should be possible to make an appointment at short notice (ranked sixth)) (6).…”

Section: Discussionsupporting

confidence: 85%

Patients´ Values in Nordic General Practice; A Report From the QUALICOPC Study.

Eide

Straand

Brænd

2020

Preprint

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Background. Patients’ expectations and preferences are important for improving the quality of care. We have explored Nordic patients´ views of the importance of different aspects of quality in general practice. Methods. In the Nordic countries, patients were recruited in general practitioners’ (GPs´) waiting rooms and asked to fill in a questionnaire ranking the importance of 47 statements reflecting five domains concerning quality of care in general practice: communication, involvement, accessibility, continuity, and comprehensiveness. Questionnaire items rated as important or very important by ≥ 90% of participants in all countries were considered to be universally of high importance. Logistic regression was used to identify associations between assessments and patient characteristics.Results. 707 patients responded, ranging from 82 (Iceland) to 209 (Denmark) per country. 90 % or more of patients in each country rated ten statements as important or very important: six pertained to communication with the GP, three to patient involvement and one to comprehensiveness of care. No items regarding accessibility or continuity of care exceeded the 90% limit in all countries. The item most frequently rated as very important was “I understand what the GP explains”. Female patients were more likely than males (OR=2.9; 95%CI 1.5-5.5) to value that a GP treats them as a person rather than just a medical problem, and also that they receive instructions regarding what to do if things went wrong (1.7; 1.2-2.2). Older patients >65 years put less emphasis than those aged <35 on whether the GP takes them seriously (0.4; 0.3-0.5), and also on the importance of receiving instructions for what to do if something went wrong (0.5; 0.4-0.7). Patients with chronic disease were less concerned (0.6; 0.4-0.8), with receiving instructions, but valued strongly that a GP knows when to refer them (2.2; 1.5-3.3). Conclusion. Patients in all countries assigned high value to the communication with their GP. Availability was also deemed important by patients, but came secondary to good communication quality. The organisational framework for general practice organisation must allow for acceptable quality of communication as well as availability.

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Section: Discussionsupporting

confidence: 85%

Patients´ Values in Nordic General Practice; A Report From the QUALICOPC Study.

Eide

Straand

Brænd

2020

Preprint

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“…Polish patients ranked elements of their commitment to the consultation as less essential. In Switzerland, items related to patients' activation were generally declared as "very important" by less than 50% of patients [26]. Patient-involvement in decision-making with regards to their treatment plans was scored moderately in Greek data [25].…”

Section: Findings In Light Of Other Studiesmentioning

confidence: 99%

“…Patients want professionals who are both interested and sympathetic and provide them with sufficient time and attention [24]. Other QUALI-COPC participative countries like Greece and Switzerland also reported the importance of the patientphysician relationship during consultations [25,26]. The less important patient expectations also showed similarities internationally.…”

Section: Findings In Light Of Other Studiesmentioning

confidence: 99%

Do Polish primary care physicians meet the expectations of their patients? An analysis of Polish QUALICOPC data

2020

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Background: Meeting the expectations of patients is one of the most crucial criteria when assessing the quality of a healthcare system. This study aimed to compare the expectations and experiences of patients of primary care in Poland and to identify key patient characteristics affecting these outlooks. Methods: The study was performed within the framework of the international Quality and Costs of Primary Care in Europe (QUALICOPC) cross-sectional, questionnaire-based study. In Poland, a nationally representative sample of 2218 patients were recruited to take part in the study. As a study tool, we used data from two of four QUALICOPC questionnaires: "Patient Experience" and "Patient Values". Results: Patients' expectations were fulfilled in all study areas: accessibility, continuity, quality of care, and equity. We observed that the highest-met expectations indexes were in the area of quality of care, while the lowest, but still with a positive value, were in the area of accessibility. Patient-doctor communication was the aspect most valued by study participants. Elements of the patient's own level of engagement during the consultation were ranked as less essential. Conclusions: Comparing patient experiences to their values allows us to identify areas for improvement that are prioritized by patients. Accessibility is recognized as the most important area by Polish patients, simultaneously showing the highest level of patient-perceived improvement potential. Interpersonal care is another domain, in which the needs of patients are satisfied but are also relatively high. Strong clinician-patient relationships seem to be a priority in patients' expectations. The continuous efforts in interpersonal communication skills training for primary care physicians should be upgraded.

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“…Older age was found to diminish risk of negative experiences in all the dimensions, similar to a good doctor-patient relationship [40]. Similarly, Droz et al [41] obtained results among Norwegian patients, and the highest assessment was given to coordination, continuity, and communication. The last two have a close relationship with presence of chronic diseases.…”

Section: Discussionmentioning

confidence: 82%

Health Evaluation in the Context of Satisfaction with Medical Services among Patients with Osteoarthritis: Descriptive Cross-Section Survey

Firlej

Janiszewska

Sidor

et al. 2019

IJERPH

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Osteoarthritis (OA) is one of the most common causes of rehabilitation benefits and senior disability. It generates high costs of treatment and increasing demand for medical staff and care of geriatric profile. The aim of the study was to determine the relationship between health evaluation and satisfaction with medical services among individuals with OA in rehabilitation outpatient clinics. The survey was carried out from June 2017 to May 2018, among patients being provided with services of five outpatient rehabilitation clinics in Lublin. The surveyed group comprised 328 respondents. The following tools were utilized: the List of Health Criteria (LHC), the Multidimensional Health Locus of Control Scale (version B) (MHLC), the authors’ own questionnaire compiled for the study, and the Servperf Method. According to the respondents, the most important health criterion is “not to experience any ailments” (M = 1.56). In an assessment of a clinic, the respondents rated neatness (cleanliness) of the staff highest (M = 4.38) and the appearance of a building where a clinic is located lowest (M = 3.42). The better the evaluation of medical services in an outpatient rehabilitation clinic in comparison to other settings, the better the evaluation of the quality of service (rho S = 0.593; p < 0.000). The study conducted in outpatient rehabilitation clinics showed great demand for outpatient specialist care of geriatric profile. Undoubtedly, there is need for continuation and expansion of studies on patients with OA in other rehabilitation settings.

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Communication, continuity and coordination of care are the most important patients' values for family medicine in a fee-for-services health system

Cited by 21 publications

References 13 publications

Patients´ Values in Nordic General Practice; A Report From the QUALICOPC Study.

Patients´ Values in Nordic General Practice; A Report From the QUALICOPC Study.

Do Polish primary care physicians meet the expectations of their patients? An analysis of Polish QUALICOPC data

Health Evaluation in the Context of Satisfaction with Medical Services among Patients with Osteoarthritis: Descriptive Cross-Section Survey

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