What do patients really want? An in-depth examination of patient experience in four Australian hospitals

F. Rapport*, P. Hibbert, M. Baysari, J. C. Long, R. Seah, W. Y. Zheng, C. Jones, K. Preece, J. Braithwaite

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)
26 Downloads (Pure)

Abstract

Background: Patient satisfaction is an important outcome measure guiding quality improvement in the healthcare setting while the patient-centred care movement places increasing importance on patient engagement in clinical decision-making. However, the concept of patient satisfaction is not clearly defined, and beliefs of patients are not always evident in health surveys. Researchers rarely follow up on surveys to explore patient views and what they mean in greater depth. This study set out to examine perceptions of hospital care, through in-depth, qualitative data capture and as a result, to gather rich, patient-driven information on user experience and satisfaction in the Australian healthcare setting; and identify influencing factors. Methods: Focus groups were undertaken in four St Vincent's Health Australia (SVHA) hospitals in 2017 where participants discussed responses to eight questions from the Press Ganey Patient Experience Survey. Thirty people who were inpatients at SVHA. Results: Good communication and high-quality information at arrival and discharge were found to be important to patients. Communication breakdown was also evident, further exacerbated by a range of environmental factors such as sharing a room with others. Overall, patients' felt that while their spiritual needs were well-supported by the hospital staff at all SVHA hospitals, it was the clinical teams prioritised their emotional needs. Good communication and environments can improve patient experience and follow-up at home is vital. Conclusions: Patient-centred care needs careful planning with patients involved at entry and exit from hospital. Focused communication, environmental changes, attending to complaints, and clearer discharge strategies are recommended.

Original languageEnglish
Article number38
Pages (from-to)1-9
Number of pages9
JournalBMC Health Services Research
Volume19
Issue number1
DOIs
Publication statusPublished - 15 Jan 2019

Bibliographical note

Copyright the Author(s) 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • Communication and hospital environment
  • Discharge
  • Focus groups
  • Patient experience
  • Patient satisfaction

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