Exploring patient perspectives: A qualitative inquiry into healthcare perceptions, experiences and satisfaction in Lebanon

BACKGROUND: Patient perspectives have received increasing importance within health systems over the past four decades. Measures of patient experience and satisfaction are commonly used. However, these measures do not capture all the information that is available through engaging with patients. An im...

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Autores principales: Khalife, Jade, Ekman, Björn, Ammar, Walid, El-Jardali, Fadi, Al Halabi, Abeer, Barakat, Elise, Emmelin, Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10434906/
https://www.ncbi.nlm.nih.gov/pubmed/37590268
http://dx.doi.org/10.1371/journal.pone.0280665
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author Khalife, Jade
Ekman, Björn
Ammar, Walid
El-Jardali, Fadi
Al Halabi, Abeer
Barakat, Elise
Emmelin, Maria
author_facet Khalife, Jade
Ekman, Björn
Ammar, Walid
El-Jardali, Fadi
Al Halabi, Abeer
Barakat, Elise
Emmelin, Maria
author_sort Khalife, Jade
collection PubMed
description BACKGROUND: Patient perspectives have received increasing importance within health systems over the past four decades. Measures of patient experience and satisfaction are commonly used. However, these measures do not capture all the information that is available through engaging with patients. An improved understanding of the various types of patient perspectives and the distinctions between them is needed. The lack of such knowledge limits the usefulness of including patient perspectives as components within pay-for-performance initiatives. This study aimed to explore patient perspectives on hospital care in Lebanon. It also aimed to contribute insights that may improve the national pay-for-performance initiative and to the knowledge on engaging patients towards person-centered health systems. METHODS: We conducted a qualitative study using focus group discussions with persons recently discharged after hospitalization under the coverage of the Lebanese Ministry of Public Health. This study was implemented in 2017 and involved 42 participants across eight focus groups. Qualitative content analysis was used to analyze the information provided by participants. RESULTS: Five overall themes supported by 17 categories were identified, capturing the meaning of the participants’ perspectives: health is everything; being turned into second class citizens; money and personal connections make all the difference; wanting to be treated with dignity and respect; and tolerating letdown, for the sake of right treatment. The most frequently prioritized statement in a ranking exercise regarding patient satisfaction was regular contact with the patient’s doctor. CONCLUSIONS: Patient perspectives include more than what is traditionally incorporated in measures of patient satisfaction and experience. Patient valuing of health and their perceptions on each of the health system, and access and quality of care should also be taken into account. Hospital pay-for-performance initiatives can be made more responsive through a broader consideration of these perspectives. More broadly, health systems would benefit from wider engagement of patients. We propose a framework relating patient perspectives to value-based healthcare and health system performance.
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spelling pubmed-104349062023-08-18 Exploring patient perspectives: A qualitative inquiry into healthcare perceptions, experiences and satisfaction in Lebanon Khalife, Jade Ekman, Björn Ammar, Walid El-Jardali, Fadi Al Halabi, Abeer Barakat, Elise Emmelin, Maria PLoS One Research Article BACKGROUND: Patient perspectives have received increasing importance within health systems over the past four decades. Measures of patient experience and satisfaction are commonly used. However, these measures do not capture all the information that is available through engaging with patients. An improved understanding of the various types of patient perspectives and the distinctions between them is needed. The lack of such knowledge limits the usefulness of including patient perspectives as components within pay-for-performance initiatives. This study aimed to explore patient perspectives on hospital care in Lebanon. It also aimed to contribute insights that may improve the national pay-for-performance initiative and to the knowledge on engaging patients towards person-centered health systems. METHODS: We conducted a qualitative study using focus group discussions with persons recently discharged after hospitalization under the coverage of the Lebanese Ministry of Public Health. This study was implemented in 2017 and involved 42 participants across eight focus groups. Qualitative content analysis was used to analyze the information provided by participants. RESULTS: Five overall themes supported by 17 categories were identified, capturing the meaning of the participants’ perspectives: health is everything; being turned into second class citizens; money and personal connections make all the difference; wanting to be treated with dignity and respect; and tolerating letdown, for the sake of right treatment. The most frequently prioritized statement in a ranking exercise regarding patient satisfaction was regular contact with the patient’s doctor. CONCLUSIONS: Patient perspectives include more than what is traditionally incorporated in measures of patient satisfaction and experience. Patient valuing of health and their perceptions on each of the health system, and access and quality of care should also be taken into account. Hospital pay-for-performance initiatives can be made more responsive through a broader consideration of these perspectives. More broadly, health systems would benefit from wider engagement of patients. We propose a framework relating patient perspectives to value-based healthcare and health system performance. Public Library of Science 2023-08-17 /pmc/articles/PMC10434906/ /pubmed/37590268 http://dx.doi.org/10.1371/journal.pone.0280665 Text en © 2023 Khalife et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Khalife, Jade
Ekman, Björn
Ammar, Walid
El-Jardali, Fadi
Al Halabi, Abeer
Barakat, Elise
Emmelin, Maria
Exploring patient perspectives: A qualitative inquiry into healthcare perceptions, experiences and satisfaction in Lebanon
title Exploring patient perspectives: A qualitative inquiry into healthcare perceptions, experiences and satisfaction in Lebanon
title_full Exploring patient perspectives: A qualitative inquiry into healthcare perceptions, experiences and satisfaction in Lebanon
title_fullStr Exploring patient perspectives: A qualitative inquiry into healthcare perceptions, experiences and satisfaction in Lebanon
title_full_unstemmed Exploring patient perspectives: A qualitative inquiry into healthcare perceptions, experiences and satisfaction in Lebanon
title_short Exploring patient perspectives: A qualitative inquiry into healthcare perceptions, experiences and satisfaction in Lebanon
title_sort exploring patient perspectives: a qualitative inquiry into healthcare perceptions, experiences and satisfaction in lebanon
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10434906/
https://www.ncbi.nlm.nih.gov/pubmed/37590268
http://dx.doi.org/10.1371/journal.pone.0280665
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