Cargando…

Overall scores as an alternative to global ratings in patient experience surveys; a comparison of four methods

BACKGROUND: Global ratings of healthcare by patients are a popular way of summarizing patients’ experiences. Summary scores can be used for comparing healthcare provider performance and provider rankings. As an alternative, overall scores from actual patient experiences can be constructed as summary...

Descripción completa

Detalles Bibliográficos
Autores principales: Krol, Maarten W, de Boer, Dolf, Rademakers, Jany JDJM, Delnoij, Diana M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3842791/
https://www.ncbi.nlm.nih.gov/pubmed/24245726
http://dx.doi.org/10.1186/1472-6963-13-479
_version_ 1782292990369202176
author Krol, Maarten W
de Boer, Dolf
Rademakers, Jany JDJM
Delnoij, Diana M
author_facet Krol, Maarten W
de Boer, Dolf
Rademakers, Jany JDJM
Delnoij, Diana M
author_sort Krol, Maarten W
collection PubMed
description BACKGROUND: Global ratings of healthcare by patients are a popular way of summarizing patients’ experiences. Summary scores can be used for comparing healthcare provider performance and provider rankings. As an alternative, overall scores from actual patient experiences can be constructed as summary scores. This paper addresses the statistical and practical characteristics of overall scores as an alternative to a global rating in summarizing patient survey results. METHODS: Data from a 2010 patient experience survey for approximately 12,000 nursing home residents (7.5% of all Dutch nursing home residents at the time) from 464 nursing homes in the Netherlands (25% of the Dutch nursing homes) was used. Data was collected through specifically designed standardized interview surveys. The respondents’ scores for 15 established quality indicators (or composites) for nursing home care were used to calculate overall scores for each nursing home, using four different strategies. The characteristics of the overall scores were compared against each other and with the respondents’ global rating. RESULTS: The individual indicators showed stronger associations with each of the four overall strategies than with the global ratings. Furthermore, the dispersion of the overall scores across nursing homes was greater. Differences between overall scores appeared limited. CONCLUSIONS: Overall scores proved more valid than global ratings as a summary of the indicator scores, and also showed more pronounced differences between nursing homes. Because of the limited statistical differences between the strategies, and for practical reasons, a straightforward averaging of quality indicator scores may be preferred as an overall score.
format Online
Article
Text
id pubmed-3842791
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-38427912013-11-29 Overall scores as an alternative to global ratings in patient experience surveys; a comparison of four methods Krol, Maarten W de Boer, Dolf Rademakers, Jany JDJM Delnoij, Diana M BMC Health Serv Res Research Article BACKGROUND: Global ratings of healthcare by patients are a popular way of summarizing patients’ experiences. Summary scores can be used for comparing healthcare provider performance and provider rankings. As an alternative, overall scores from actual patient experiences can be constructed as summary scores. This paper addresses the statistical and practical characteristics of overall scores as an alternative to a global rating in summarizing patient survey results. METHODS: Data from a 2010 patient experience survey for approximately 12,000 nursing home residents (7.5% of all Dutch nursing home residents at the time) from 464 nursing homes in the Netherlands (25% of the Dutch nursing homes) was used. Data was collected through specifically designed standardized interview surveys. The respondents’ scores for 15 established quality indicators (or composites) for nursing home care were used to calculate overall scores for each nursing home, using four different strategies. The characteristics of the overall scores were compared against each other and with the respondents’ global rating. RESULTS: The individual indicators showed stronger associations with each of the four overall strategies than with the global ratings. Furthermore, the dispersion of the overall scores across nursing homes was greater. Differences between overall scores appeared limited. CONCLUSIONS: Overall scores proved more valid than global ratings as a summary of the indicator scores, and also showed more pronounced differences between nursing homes. Because of the limited statistical differences between the strategies, and for practical reasons, a straightforward averaging of quality indicator scores may be preferred as an overall score. BioMed Central 2013-11-19 /pmc/articles/PMC3842791/ /pubmed/24245726 http://dx.doi.org/10.1186/1472-6963-13-479 Text en Copyright © 2013 Krol et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Krol, Maarten W
de Boer, Dolf
Rademakers, Jany JDJM
Delnoij, Diana M
Overall scores as an alternative to global ratings in patient experience surveys; a comparison of four methods
title Overall scores as an alternative to global ratings in patient experience surveys; a comparison of four methods
title_full Overall scores as an alternative to global ratings in patient experience surveys; a comparison of four methods
title_fullStr Overall scores as an alternative to global ratings in patient experience surveys; a comparison of four methods
title_full_unstemmed Overall scores as an alternative to global ratings in patient experience surveys; a comparison of four methods
title_short Overall scores as an alternative to global ratings in patient experience surveys; a comparison of four methods
title_sort overall scores as an alternative to global ratings in patient experience surveys; a comparison of four methods
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3842791/
https://www.ncbi.nlm.nih.gov/pubmed/24245726
http://dx.doi.org/10.1186/1472-6963-13-479
work_keys_str_mv AT krolmaartenw overallscoresasanalternativetoglobalratingsinpatientexperiencesurveysacomparisonoffourmethods
AT deboerdolf overallscoresasanalternativetoglobalratingsinpatientexperiencesurveysacomparisonoffourmethods
AT rademakersjanyjdjm overallscoresasanalternativetoglobalratingsinpatientexperiencesurveysacomparisonoffourmethods
AT delnoijdianam overallscoresasanalternativetoglobalratingsinpatientexperiencesurveysacomparisonoffourmethods