Consumer assessment of healthcare providers and systems survey: Implications for the primary care physician

Fowler, Lindsay; Saucier, Ashley; Coffin, Janis

doi:10.1016/j.osfp.2013.03.001

Osteopathic Family Physician

2013

DOI: 10.1016/j.osfp.2013.03.001

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Consumer assessment of healthcare providers and systems survey: Implications for the primary care physician

Lindsay Fowler¹,

Ashley Saucier²,

Janis Coffin³

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Cited by 4 publications

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“…Female medical students are documented to have lower self-confidence than their male peers (Blanch, Hall, Roter, & Frankel, 2008), which could make them especially vulnerable to the expectations of peers and clinical instructors. Finally, female physicians whose skills are not recognized in patient satisfaction ratings could suffer economic discrimination, as patient evaluations are increasingly used for performance improvements and incentives (Fowler, Saucier, & Coffin, 2013).…”

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confidence: 99%

How Patient-Centered Do Female Physicians Need to Be? Analogue Patients’ Satisfaction With Male and Female Physicians’ Identical Behaviors

Hall

Roter

Blanch‐Hartigan

et al. 2014

Health Communication

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Previous research suggests that female physicians may not receive appropriate credit in patients' eyes for their patient-centered skills compared to their male counterparts. An experiment was conducted to determine whether a performance of higher (versus lower) verbal patient-centeredness would result in a greater difference in analogue patient satisfaction for male than female physicians. Two male and two female actors portrayed physicians speaking to a patient using high or low patient-centered scripts while not varying their nonverbal cues. One hundred ninety-two students served as analogue patients by assuming the patient role while watching one of the videos and rating their satisfaction and other evaluative responses to the physician. Greater verbal patient-centeredness had a stronger positive effect on satisfaction and evaluations for male than for female physicians. This pattern is consistent with the hypothesis that the different associations between patient-centeredness and patients' satisfaction for male versus female physicians occur because of the overlap between stereotypical female behavior and behaviors that comprise patient-centered medical care. If this is the case, high verbal patient-centered behavior by female physicians is not recognized as a marker of clinical competence, as it is for male physicians, but is rather seen as expected female behavior.

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confidence: 99%

How Patient-Centered Do Female Physicians Need to Be? Analogue Patients’ Satisfaction With Male and Female Physicians’ Identical Behaviors

Hall

Roter

Blanch‐Hartigan

et al. 2014

Health Communication

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Associations Between Physician Empathy, Physician Characteristics, and Standardized Measures of Patient Experience

et al. 2017

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The impact of patient feedback on the medical performance of qualified doctors: a systematic review

et al. 2018

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BackgroundPatient feedback is considered integral to quality improvement and professional development. However, while popular across the educational continuum, evidence to support its efficacy in facilitating positive behaviour change in a postgraduate setting remains unclear. This review therefore aims to explore the evidence that supports, or refutes, the impact of patient feedback on the medical performance of qualified doctors.MethodsElectronic databases PubMed, EMBASE, Medline and PsycINFO were systematically searched for studies assessing the impact of patient feedback on medical performance published in the English language between 2006-2016. Impact was defined as a measured change in behaviour using Barr’s (2000) adaptation of Kirkpatrick’s four level evaluation model. Papers were quality appraised, thematically analysed and synthesised using a narrative approach.ResultsFrom 1,269 initial studies, 20 articles were included (qualitative (n=8); observational (n=6); systematic review (n=3); mixed methodology (n=1); randomised control trial (n=1); and longitudinal (n=1) design). One article identified change at an organisational level (Kirkpatrick level 4); six reported a measured change in behaviour (Kirkpatrick level 3b); 12 identified self-reported change or intention to change (Kirkpatrick level 3a), and one identified knowledge or skill acquisition (Kirkpatrick level 2). No study identified a change at the highest level, an improvement in the health and wellbeing of patients. The main factors found to influence the impact of patient feedback were: specificity; perceived credibility; congruence with physician self-perceptions and performance expectations; presence of facilitation and reflection; and inclusion of narrative comments. The quality of feedback facilitation and local professional cultures also appeared integral to positive behaviour change.ConclusionPatient feedback can have an impact on medical performance. However, actionable change is influenced by several contextual factors and cannot simply be guaranteed. Patient feedback is likely to be more influential if it is specific, collected through credible methods and contains narrative information. Data obtained should be fed back in a way that facilitates reflective discussion and encourages the formulation of actionable behaviour change. A supportive cultural understanding of patient feedback and its intended purpose is also essential for its effective use.Electronic supplementary materialThe online version of this article (10.1186/s12909-018-1277-0) contains supplementary material, which is available to authorized users.

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Consumer assessment of healthcare providers and systems survey: Implications for the primary care physician

Cited by 4 publications

References 2 publications

How Patient-Centered Do Female Physicians Need to Be? Analogue Patients’ Satisfaction With Male and Female Physicians’ Identical Behaviors

How Patient-Centered Do Female Physicians Need to Be? Analogue Patients’ Satisfaction With Male and Female Physicians’ Identical Behaviors

Associations Between Physician Empathy, Physician Characteristics, and Standardized Measures of Patient Experience

The impact of patient feedback on the medical performance of qualified doctors: a systematic review

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