- Title
- System-wide and group-specific health service improvements: cross-sectional survey of outpatient improvement preferences and associations with demographic characteristics
- Creator
- Fradgley, Elizabeth A.; Paul, Christine L.; Bryant, Jamie; Zucca, Alison; Oldmeadow, Christopher
- Relation
- ARC and NHMRC
- Relation
- International Journal of Environmental Research and Public Health Vol. 15, Issue 2
- Publisher Link
- http://dx.doi.org/10.3390/ijerph15020179
- Publisher
- MDPI AG
- Resource Type
- journal article
- Date
- 2018
- Description
- 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.
- Subject
- health services; outpatient; chronic disease; cancer or neoplasm; quality improvement; consumer participation; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1357469
- Identifier
- uon:31923
- Identifier
- ISSN:1661-7827
- Rights
- © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
- Language
- eng
- Full Text
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Goal 3: Good Health and Well-Being
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