Valuing patients' experiences of healthcare processes

towards broader applications of existing methods

Mandy Ryan, Philip Kinghorn, Vikki A. Entwistle, Jill J. Francis

    Research output: Contribution to journalArticle

    24 Citations (Scopus)
    90 Downloads (Pure)

    Abstract

    Healthcare policy leaders internationally recognise that people's experiences of healthcare delivery are important, and invest significant resources to monitor and improve them. However, the value of particular aspects of experiences of healthcare delivery - relative to each other and to other healthcare outcomes - is unclear.This paper considers how economic techniques have been and might be used to generate quantitative estimates of the value of particular experiences of healthcare delivery.A recently published conceptual map of patients' experiences served to guide the scope and focus of the enquiry. The map represented both what health services and staff are like and do and what individual patients can feel like, be and do (while they are using services and subsequently).We conducted a systematic search for applications of economic techniques to healthcare delivery. We found that these techniques have been quite widely used to estimate the value of features of healthcare systems and processes (e.g. of care delivery by a nurse rather than a doctor, or of a consultation of 10minutes rather than 15minutes), but much less to estimate the value of the implications of these features for patients personally.To inform future research relating to the valuation of experiences of healthcare delivery, we organised a workshop for key stakeholders. Participants undertook and discussed 'exercises' that explored the use of different economic techniques to value descriptions of healthcare delivery that linked processes to what patients felt like and were able to be and do. The workshop identified a number of methodological issues that need careful attention, and highlighted some important concerns about the ways in which quantitative estimates of the value of experiences of healthcare delivery might be used. However the workshop confirmed enthusiasm for efforts to attend directly to the implications of healthcare delivery from patients' perspectives, including in terms of their capabilities.
    Original languageEnglish
    Pages (from-to)194-203
    Number of pages10
    JournalSocial Science and Medicine
    Volume106
    DOIs
    Publication statusPublished - 1 Apr 2014

    Fingerprint

    Delivery of Health Care
    Values
    experience
    economics
    Economics
    Education
    Healthcare
    Patient Experience
    health service
    nurse
    stakeholder
    leader
    staff
    Health Services
    resources
    Referral and Consultation
    Nurses
    Exercise

    Cite this

    Ryan, Mandy ; Kinghorn, Philip ; Entwistle, Vikki A. ; Francis, Jill J. / Valuing patients' experiences of healthcare processes : towards broader applications of existing methods. In: Social Science and Medicine. 2014 ; Vol. 106. pp. 194-203.
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    Valuing patients' experiences of healthcare processes : towards broader applications of existing methods. / Ryan, Mandy ; Kinghorn, Philip; Entwistle, Vikki A.; Francis, Jill J.

    In: Social Science and Medicine, Vol. 106, 01.04.2014, p. 194-203.

    Research output: Contribution to journalArticle

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