General Practice

Serving the customer–do patient feedback and questionnaires improve quality?

Abstract

This review article aims to analyse whether patient feedback and questionnaires improve quality of care. It is recognized that patients cannot assess the medical competence of the clinician, yet patient experience provides an insight into the process of care through the patients' eyes. Patient experience measures are more reliable for use to assess quality than patient satisfaction surveys. It is inappropriate to use patient satisfaction surveys as a basis for remuneration of dentists within the NHS. Patient Reported Outcome Measures (PROMs) have been a successful measure of patient experience in medicine and their introduction to dentistry needs to be considered.

CPD/Clinical Relevance: This article will enable clinicians to understand the importance of patient experience measures as a more reliable way of improving the quality of clinical care than patient satisfaction surveys.

References

1. Torpie K. Customer service vs. Patient care. Patient Experience J 2014; 1: 6–8. Google Scholar
2. Thiedke CC. What do we really know about patient satisfaction? Fam Pract Mgmt 2007; 14: 33–36. Medline, Google Scholar
3. Department of Health. Dental Quality and Outcomes Framework. London: The Stationery Office, 2011 (cited 2015 Aug 16). Available from: www.gov.uk/government/uploads/system/uploads/attachment_data/file/216300/dh_126627.pdf Google Scholar
4. Dental Quality Alliance. Quality Measurement in Dentistry: A Guidebook. American Dental Association, 2016: p8. Google Scholar
5. NHS Dental Services in England. An Independent Review led by Professor Jimmy Steele. London: Department of Health, 2009. Google Scholar
6. Guidance: NHS Constitution for England. London: Department of Health, 2009. Google Scholar
7. Roland M. Linking physicians' pay to the quality of care – a major experiment in the United kingdom. New Engl J Med 2004; 351: 1448–1454. Medline, Google Scholar
8. NHS dental contract pilots – Learning after first two years of piloting. The second report from the dental contract pilots evidence and learning reference group. Department of Health, 2014. (cited 2015 march 30) Available from: www.baos.org.uk/userfiles/files/Dental_contract_pilots_evidence_and_learning_report.pdf Google Scholar
9. NHS choices (cited 2015 Aug 16) Available from: www.nhs.uk/Service-Search/Dentists/LocationSearch/3 Google Scholar
10. Friends and family test in NHS dental services – summary of the guidance. NHS England. (cited 2015 Aug 16) Available from: www.england.nhs.uk/wp-content/uploads/2014/09/nhs-dent-serv-guid.pdf Google Scholar
11. Schoenfelder T. Patient satisfaction: a valid indicator for the quality of primary care? Primary Hlth Care 2012; 2: 1–2. Google Scholar
12. Boulding W, Glickman SW, Manary MP, Schulman KA, Staelin R. Relationship between patient satisfaction with inpatient care and hospital readmission within 30 days. Am J Managed Care 2011; 17: 41–48. Medline, Google Scholar
13. Doyle C, Lennox L, Bell DA. Systematic review of evidence on the links between patient experience and clinical safety and effectiveness. Br Med J 2013; 3: 1–18. Google Scholar
14. Salisbury C, Wallace M, Montgomery A. Patient experience and satisfaction in primary care: secondary analysis using multilevel modelling. Br Medl J 2010; 12: 1–8. Google Scholar
15. Siegrist RB Jr. Patient satisfaction: history, myths, and misperceptions. Virtual Mentor 2013; 15: 982–987. Medline, Google Scholar
16. Mills I, Frost J, Cooper C, Moles DR, Kay E. Patient-centred care in general dental practice – a systematic review of the literature. BioMed Central 2014; 14: 64. Google Scholar
17. Crow R, Gage H, Hampson S, Hart J, Kimber A, Storey L, Thomas H. The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature. Hlth Technol Assess 2002; 6: 1–244. Medline, Google Scholar
18. Fenton JJ, Jerant AF, Bertakis KD, Franks P. The cost of satisfaction: a national study of patient satisfaction, health care utilization, expenditures, and mortality. Arch Int Med 2012; 172: 405–411. Medline, Google Scholar
19. Patient Reported Outcome Measures (PROMs) in England. A Guide to PROMs Methodology. Health and Social Care Information Centre, 2014 (cited 2015 March 24). Available from: www.hscic.gov.uk/media/1537/A-Guide-to-PROMs-Methodology/pdf/PROMs_Guide_V8.pdf Google Scholar
20. Whelan PJ, Reddy L, Andrews T. Patient satisfaction rating scales v. patient-related outcome and experience measures. The Psychiatrist 2011; 35: 32–33. Google Scholar
21. Equity and excellence: liberating the NHS. July 2010. Department of Health. Paragraph 2.7 (cited 2015 March 24). Available from: www.hscic.gov.uk/media/1537/A-Guide-to-PROMs-Methodology/pdf/PROMs_Guide_V8.pdf Google Scholar
22. PROMs questionnaire (cited 2015 April 5). Available from: webcore.mskcc.org/breastq/ Google Scholar
23. Sheikh K, Matttingly S. Investigating non-response bias in mail surveys. J Epidemiol Community Hlth 1981; 35: 293–296. Medline, Google Scholar
24. Sitzia J, Wood N. Response rate in patient satisfaction research: an analysis of 210 published studies. Int J Qual Hlth Care 1998; 10: 311–317. Medline, Google Scholar
25. Manary MP, Manary MSE, Boulding W, Staelin R, Glickman SW. The patient experience and health outcomes. New Engl J Med 2013; 368: 201–203. Medline, Google Scholar
26. Denplan Excel Patient Survey (cited 2015 April 5). Available from: www.hilltondentistry.co.uk/pdfs/excel-patient-survey-questionnaire.pdf Google Scholar

2 January 2017Volume 44Issue 1

ISSN (print): 0305-5000
ISSN (online): 2515-589X

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History

Published online 10 July 2017

Published in print 2 January 2017

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