학술논문

From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals
Document Type
article
Source
BMJ Quality & Safety. 25(11)
Subject
Health Services and Systems
Nursing
Health Sciences
Patient Safety
8.1 Organisation and delivery of services
Health and social care services research
Good Health and Well Being
Family
Friends
Hospital Administration
Hospital Charges
Humans
Internet
Patient Satisfaction
Patient-Centered Care
Perception
Quality Indicators
Health Care
Patient-centred care
Qualitative research
Hospital medicine
Quality improvement
Patient safety
Health services and systems
Public health
Language
Abstract
ObjectivePatient-centred care has become a priority in many countries. It is unknown whether current tools capture aspects of care patients and their surrogates consider important. We investigated whether online narrative reviews from patients and surrogates reflect domains in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and we described additional potential domains.DesignWe used thematic analysis to assess online narrative reviews for reference to HCAHPS domains and salient non-HCAHPS domains and compared results by reviewer type (patient vs surrogate).SettingWe identified hospitals for review from the American Hospital Association database using a stratified random sampling approach. This approach ensured inclusion of reviews of a diverse set of hospitals. We searched online in February 2013 for narrative reviews from any source for each hospital.ParticipantsWe included up to two narrative reviews for each hospital.ExclusionsOutpatient or emergency department reviews, reviews from self-identified hospital employees, or reviews of