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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Using Patient-Reported Information to Improve Clinical Practice.

Mark Schlesinger¹, Rachel Grob^2,3, Dale Shaller⁴

¹Department of Health Policy and Management, Yale University School of Public Health, Room 304 LEPH 60 College St, New Haven, CT 06520.

Health Services Research

|November 18, 2015

Summary

This summary is machine-generated.

Financial incentives in healthcare may harm patient-valued care. Aligning pay-for-performance with patient-reported outcomes and experiences, alongside diverse feedback, can protect quality patient care.

Keywords:

Patient experience patient narratives patient-reported outcomes pay-for-performance public reporting

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Area of Science:

Health Services Research
Health Policy
Patient Experience Measurement

Background:

Financial incentives in healthcare aim to improve care quality.
Patient experience measures and patient-reported outcomes (PROs) are key metrics.
Understanding the link between incentives and patient-valued outcomes is crucial.

Purpose of the Study:

To review the relationship between patient experience measures and financial incentives.
To identify strategies for promoting patient-valued outcomes in incentivized health systems.

Main Methods:

Systematic review of gray and peer-reviewed literature on patient experience and PROs.
Analysis of pay-for-performance (P4P) programs in multiple countries.
Examination of how patient-reported information influences clinical practice.

Main Results:

Four forms of patient-reported information (PRI) exist: PROs, experience surveys, narratives, and complaints.
Limited evidence links incentives directly to patient experience, but P4P may threaten valued aspects of care.
Incentives can align with patient values if tied to PRI, complemented by diverse feedback, and supported by organizational learning.

Conclusions:

Public policy must consider patient perspectives to prevent financial incentives from undermining valued care.
Further research is needed on collecting and reporting patient narratives and fostering a culture of learning from patient feedback.