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The Patient Experience: Antecedents, Structural Models and Links to Hospital Quality

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Guest Editor
UiS School of Business and Law, University of Stavanger, 4021 Stavanger, Norway
Interests: applied psychology; structural equation modeling; health and safety; health psychology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

A call for papers is announced for a Special Issue on measuring patient experiences with the use of survey instruments. Submissions are invited on one or more of the following topics.

Firstly, contributions can explore the antecedents of patient safety experience levels, including how hospital characteristics and factors related to the work environment and culture influence patient perceptions. Secondly, papers are also sought that use structural models to examine the relationships between different patient experience dimensions and concepts. Thirdly, submitted research can investigate how patient experience measures relate to and can predict important outcomes and hospital quality indicators. Lastly, submissions are called for that focus on the theoretical and practical implications of patient experience research to move the field forward.

A wide range of methodological approaches is welcomed, including quantitative research and systematic reviews. The goal is to investigate the validity of patient experience measurement and build knowledge on how patient experience instruments can be used to improve real-world hospital quality of care.

Prof. Dr. Espen Olsen
Guest Editor

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Keywords

  • patient experiences
  • psychometrics
  • patient-reported experience measure (PREM)
  • validity
  • quality of care

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Published Papers (1 paper)

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28 pages, 1491 KB  
Systematic Review
Towards a Quality Care Climate Perspective: A Systematic Review of Associations Among Patient Experience, Patient Outcomes, and Organisational Climate Factors in Hospitals
by Seth Ayisi Addo, Reidar Johan Mykletun and Espen Olsen
Int. J. Environ. Res. Public Health 2026, 23(2), 268; https://doi.org/10.3390/ijerph23020268 - 20 Feb 2026
Viewed by 820
Abstract
Objective (study question): The main purpose of this systematic review was to conduct a qualitative synthesis of quantitative studies among patient experience, patient outcomes, and organisational climate factors. The review sought to answer the following research questions: (i) What are the main directions, [...] Read more.
Objective (study question): The main purpose of this systematic review was to conduct a qualitative synthesis of quantitative studies among patient experience, patient outcomes, and organisational climate factors. The review sought to answer the following research questions: (i) What are the main directions, dominant methods, and theories on the associations among these concepts? (ii) What theoretical propositions can be made? Data sources/study setting (w/hospital/institution setting anonymised): The study involved a search for literature in PubMed, PsychINFO, Medline, CINAHL, Academic Search Premier, Scopus, and Web of Science between 2007 and 2022 with the guidance of a librarian. The search was limited to English language and to human adult inpatients. Study design: This study primarily employed a systematic review method, following the guidelines in the PRISMA statement. Data collection/extraction methods: Articles were screened and excluded first on title and abstract, and then on fulltexts. Quality assessments were done on remaining articles using the National Institutes of Health (NIH) quality assessment tool for observational, cohort and cross-sectional studies. Data was extracted from articles that met the inclusion criteria and passed the checks. Principal findings: The search identified 11,571 records that were checked for duplications. After removing duplicates and applying the eligibility criteria, a final list of 220 articles were included for the qualitative synthesis. Results showed that the relationships among the concepts were more conclusive and generally positive rather than negative, especially between patient experience and patient outcomes. The review, however, showed areas that required more attention such as an encompassing quality-oriented care climate theory, validation of patient-reported instruments, and longitudinal studies linking subjective patient outcomes to objective patient outcomes. Conclusions: The review shows that conclusions can be drawn on the relationships among the variables, indicating that favourable factors in the hospitals, as perceived by patients, have positive implications for patient experiences and their outcomes. Based on this, an argument for an encompassing framework on quality care climate from the patients’ perspectives was made to enhance understanding of these relationships. Limitations: Among others, this review is limited by the search restriction to quantitative studies or studies that employed mainly quantitative tools to assess associations or changes. Funding: This study received no external funding. Registration: PROSPERO ID- CRD42021291787. Full article
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