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Feedback preferences of patients, professionals and health insurers in integrated head and neck cancer care
Author(s) -
Overveld Lydia F. J.,
Takes Robert P.,
Vijn Thomas W.,
Braspenning Jozé C. C.,
Boer Jan P.,
Brouns John J. A.,
Bun Rolf J.,
Dijk Boukje A. C.,
Dortmans Judith A. W. F.,
Dronkers Emilie A. C.,
Es Robert J. J.,
Hoebers Frank J. P.,
Kropveld Arvid,
Langendijk Johannes A.,
Langeveld Ton P. M.,
Oosting Sjoukje F.,
Verschuur Hendrik P.,
Visscher Jan G. A. M.,
Weert Stijn,
Merkx Matthias A. W.,
Smeele Ludi E.,
Hermens Rosella P. M. G.
Publication year - 2017
Publication title -
health expectations
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.314
H-Index - 74
eISSN - 1369-7625
pISSN - 1369-6513
DOI - 10.1111/hex.12567
Subject(s) - health care , audit , benchmarking , psychological intervention , transparency (behavior) , medicine , exploratory research , nursing , psychology , medical education , family medicine , business , accounting , marketing , sociology , political science , anthropology , law , economics , economic growth
Abstract Background Audit and feedback on professional practice and health care outcomes are the most often used interventions to change behaviour of professionals and improve quality of health care. However, limited information is available regarding preferred feedback for patients, professionals and health insurers. Objective Investigate the (differences in) preferences of receiving feedback between stakeholders, using the Dutch Head and Neck Audit as an example. Methods A total of 37 patients, medical specialists, allied health professionals and health insurers were interviewed using semi‐structured interviews. Questions focussed on: “Why,” “On what aspects” and “How” do you prefer to receive feedback on professional practice and health care outcomes? Results All stakeholders mentioned that feedback can improve health care by creating awareness, enabling self‐reflection and reflection on peers or colleagues, and by benchmarking to others. Patients prefer feedback on the actual professional practice that matches the health care received, whereas medical specialists and health insurers are interested mainly in health care outcomes. All stakeholders largely prefer a bar graph. Patients prefer a pie chart for patient‐reported outcomes and experiences, while Kaplan‐Meier survival curves are preferred by medical specialists. Feedback should be simple with firstly an overview, and 1‐4 times a year sent by e‐mail. Finally, patients and health professionals are cautious with regard to transparency of audit data. Conclusions This exploratory study shows how feedback preferences differ between stakeholders. Therefore, tailored reports are recommended. Using this information, effects of audit and feedback can be improved by adapting the feedback format and contents to the preferences of stakeholders.

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