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The Picker Patient Experience Questionnaire: development and validation using data from in-patient surveys in five
Crispin Jenkinson1, Angela Coulter, Stephen Bruster
1Picker Institute Europe, Oxford, UK. crispin.jenkinson@pickereurope.ac.uk
Summary
A core set of 15 questions was developed to measure patient experiences in hospitals. This Picker Patient Experience Questionnaire provides actionable insights for improving inpatient care quality and benchmarking performance across facilities.
Area of Science:
- Healthcare Quality Measurement
- Patient Experience Research
- Health Services Research
Background:
- Assessing patient experiences is crucial for evaluating healthcare quality.
- Existing in-patient surveys utilize various item banks, such as those from the Picker Institute.
- Standardized measurement tools are needed for consistent quality assessment.
Purpose of the Study:
- To develop and validate a concise set of questions for measuring patient experiences during inpatient care.
- To create a core instrument for use in routine inpatient surveys.
- To establish a foundation for comparing patient experiences across different healthcare settings.
Main Methods:
- Data were collected from surveys of 62,925 patients across acute care hospitals in five countries (UK, Germany, Sweden, Switzerland, USA).
- Questionnaires were mailed to patients within one month of discharge.
- Response rates varied by country, ranging from 46% (USA) to 74% (Germany).
Main Results:
- Fifteen items were selected from the Picker Institute's in-patient questionnaire item bank.
- The selected items demonstrated high face validity.
- When summed, the items showed high construct validity and internal reliability, forming a reliable index.
Conclusions:
- The 15-item Picker Patient Experience Questionnaire provides a meaningful measure of patient experiences.
- This core set of questions is recommended for all inpatient facility surveys.
- The questionnaire facilitates interpretation of scores, allows for benchmarking, and supports the addition of optional modules for further assessment.