Next Article in Journal
Groundwater Arsenic Contamination in the Ganga River Basin: A Future Health Danger
Next Article in Special Issue
Patient-Centered Care in Breast Cancer Genetic Clinics
Previous Article in Journal
The Association between Air Pollution and Outpatient and Inpatient Visits in Shenzhen, China
Previous Article in Special Issue
Investigating Effect of Service Encounter, Value, and Satisfaction on Word of Mouth: An Outpatient Service Context
Article Menu
Issue 2 (February) cover image

Export Article

Open AccessFeature PaperArticle
Int. J. Environ. Res. Public Health 2018, 15(2), 179; https://doi.org/10.3390/ijerph15020179

System-Wide and Group-Specific Health Service Improvements: Cross-Sectional Survey of Outpatient Improvement Preferences and Associations with Demographic Characteristics

1
Priority Research Centre for Cancer Research, Innovation and Translation, University of Newcastle, Callaghan, NSW 2308, Australia
2
Priority Research Centre for Health Behaviour, Hunter Medical Research Institute, University of Newcastle, Callaghan, NSW 2308, Australia
3
Health Behaviour Research Group, University of Newcastle, Callaghan, NSW 2308, Australia
4
Hunter Medical Research Institute, HMRI Building, University of Newcastle, Callaghan, NSW 2308, Australia
5
School of Mathematical and Physical Sciences, Faculty of Science and Information Technology, University of Newcastle, Callaghan, NSW 2308, Australia
*
Author to whom correspondence should be addressed.
Received: 9 October 2017 / Revised: 16 December 2017 / Accepted: 17 January 2018 / Published: 23 January 2018
(This article belongs to the Special Issue Quality of Patient-Centered Care)
View Full-Text   |   Download PDF [1858 KB, uploaded 23 January 2018]   |  

Abstract

Efficient patient-centred quality improvement requires an understanding of the system-wide areas of dissatisfaction along with evidence to identify the programs which can be strategically targeted according to specific patient characteristics and preferences. This cross-sectional study reports the proportion of chronic disease outpatients selecting 23 patient-centred improvement initiatives. Using univariate tests and multivariable logistic regressions, this multi-site study also identifies initiatives differentially selected by outpatients according to clinical and demographic characteristics. A total of 475 outpatients participated (49% response). Commonly selected initiatives included: reducing wait-times (22.3%); convenient appointment scheduling (16.0%); and receiving up-to-date treatment information (16.0%). Within univariate tests, preferences for information and service accessibility initiatives were not significantly associated with specific subgroups. However, seven initiatives were preferred according to age, gender, diagnosis status, and chronic disease type within multivariate models. For example, neurology outpatients were more likely to select assistance to manage psychological symptoms when compared to oncology outpatients (OR: 2.89). Study findings suggest that system-wide programs to enhance information provision are strategic approaches to improve experiences across patient characteristics. Furthermore, a few initiatives can be targeted to specific groups and emphasized the importance of detailed scoping analyses and tailored implementation plans when designing patient-centred quality improvement programs. View Full-Text
Keywords: health services; outpatient; chronic disease; cancer or neoplasm; quality improvement; consumer participation health services; outpatient; chronic disease; cancer or neoplasm; quality improvement; consumer participation
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Supplementary material

SciFeed

Share & Cite This Article

MDPI and ACS Style

Fradgley, E.A.; Paul, C.L.; Bryant, J.; Zucca, A.; Oldmeadow, C. System-Wide and Group-Specific Health Service Improvements: Cross-Sectional Survey of Outpatient Improvement Preferences and Associations with Demographic Characteristics. Int. J. Environ. Res. Public Health 2018, 15, 179.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top