Routine patient-reported experience measurement of shared decision-making in the USA: a qualitative study of the current state according to frontrunners.
BMJ Open
; 10(6): e037087, 2020 06 07.
Article
de En
| MEDLINE
| ID: mdl-32513894
ABSTRACT
OBJECTIVES:
To identify and describe instances of routine patient-reported shared decision-making (SDM) measurement in the USA, and to explore barriers and facilitators of routine patient-reported SDM measurement for quality improvement.SETTING:
Payer and provider healthcare organisations in the USA.PARTICIPANTS:
Current or former adult employees of healthcare organisations with prior SDM activity and that may be conducting routine SDM measurement (n=21).OUTCOMES:
Qualitative interview and survey data collected through snowball sampling recruitment strategy to inform barriers and facilitators of routine patient-reported SDM measurement.RESULTS:
Three participating sites routinely measured SDM from patients' perspectives, including one payer organisation and two provider organisations-with the largest measurement effort taking place in the payer organisation. Facilitators of SDM measurement included SDM as a core organisational value or strategic priority, trialability of SDM measurement programmes, flexibility in how measures can be administered and existing momentum from payer-mandated measurement programmes. Barriers included competing organisational priorities with regard to patient-reported measurement and lack of perceived comparative advantage of patient-reported SDM measurement.CONCLUSIONS:
Payers have a unique opportunity to encourage emphasis on SDM within healthcare organisations, including routine patient-reported measurement of SDM; however, provider organisations are currently best placed to make effective use of this type of data.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Objectifs de fonctionnement
/
Participation des patients
/
Mesures des résultats rapportés par les patients
/
Prise de décision partagée
Type d'étude:
Clinical_trials
/
Prognostic_studies
/
Qualitative_research
Aspects:
Patient_preference
Limites:
Humans
Pays/Région comme sujet:
America do norte
Langue:
En
Journal:
BMJ Open
Année:
2020
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique