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Paris La Villette - Cité des Sciences et de l’Industrie Lundi 25 et mardi 26 novembre 2013. Plénière n°2. Les programmes d’expérience du patient. PATIENT EXPERIENCE Instruments, methodolgy, results. Dr. Katja Stahl, Picker Institut Deutschland, Hamburg, Germany 00 49 40 22 75 95 77
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Paris La Villette - Cité des Sciences et de l’Industrie Lundi 25etmardi 26 novembre 2013 Plénière n°2 Les programmes d’expérience du patient PATIENT EXPERIENCEInstruments, methodolgy, results Dr. Katja Stahl, Picker Institut Deutschland, Hamburg, Germany 00 49 40 22 75 95 77 stahl@pickerinstitut.de
Agenda • Patient experience - Introduction • Patient experience – Instruments & Methodology • Questionnaires • Survey procedure • Patient experience – The reality • Leading dimensions • Actual results
Patient experience Introduction
A valid measure? Patient experience • Communication and empathy influence health outcome • Consistent associations of patient experience with safety and effectiveness of care • Prerequisite: Well-designed instruments & sound methodology
Patient experience Instruments & Methodology
The Picker Institutes "Understanding and respecting patients' values, preferences and expressed needs is the foundation of patient-centred care.“ Harvey Picker
Picker methodology Questionnaires & Procedure
Picker methodology Questionnaires & Procedure
Picker methodology Questionnaires & Procedure
Picker methodology Questionnaires & Procedure
Picker clients(patient inpatient surveys, n≈400 hospitals) Private, for profit > 800 beds 600-800 beds Private, not for profit 300-600 beds Public, not for profit < 300 beds
Transparency initiatives Klinikführer Rhein-Ruhr 2004 (38 hosp.) 2005/06 (74 hosp.) 2007/08 (75 hosp.) 2010/11 (51 hosp.) Klinikführer Berlin 2007/08 (29 hosp.) Klinikführer Bremen 2010 (12 hosp.) 2012 (12 hosp.)
Patient experience The reality
Picker Report 2013 Patient experience: leading dimensions Dimensionsofpatientexperienceandtheirinfluence on theoverallexperience The interactionwithhealth professionalsarebyfarthemostimportantdimensionsfor a positive overallexperience ²Influence (%) on overall experience
Picker Report 2013 Patient experience in German hospitals1 From the patients‘ perspective communication & information before discharge are the areas in most urgent need of improvement. 1Survey data from 111.835 patiens, 197 hospitals, 2009-12 ²percentage of answers indicating improvement areas
Picker Report 2013 Patient and employee experience Quality of patientcenteredcarefrom the patients‘ and the nurses‘ perspective1 Quality of patientcenteredcarefrom the patients‘ and doctors‘ perspective 1survy data of 27.300 patients and ca. 15.000 employees 2006-12