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Chapman M, Milte R, Dawson S, Laver K. Patient-reported experience measures for people living with dementia: A scoping review. DEMENTIA 2024:14713012241272823. [PMID: 39118041 DOI: 10.1177/14713012241272823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/10/2024]
Abstract
The prevalence of dementia is increasing globally, with an estimated 139 million people expected to be living with dementia by 2050. Across numerous countries, substandard care for people with dementia is evident, with quality improvement needed. Recently, a focus on patient-reported experience measures (PREMs) has been utilised in healthcare services as a method of evaluating the care experiences provided and determining areas of improvement. The literature is scarce regarding the feasibility and acceptability of implementing PREMs with people with moderate to advanced dementia. This scoping review aimed to identify PREMs that have been used with vulnerable populations including people with cognitive impairment, mental health concerns, and children, outline dimensions included, and determine adaptions made to the PREMs to improve acceptability of the instruments for vulnerable populations. A database search of Medline was conducted to identify 36 studies including 32 PREMs. The PREMs identified covered a range of dimensions, most frequently care effectiveness, care environment, and patient involvement. The most common adaption to the PREMs was simplification of wording and sentence structure. Several measures conflated patient outcomes and patient satisfaction with patient experience, limiting utility for improving patient experience specifically. While several PREMs have been used with people with dementia, challenges in their implementation and their applicability to specific settings limit their use more broadly. Evidently, there is a need for development of a PREM for people with moderate to advanced dementia that is applicable across healthcare settings and is appropriately adapted for varying cognitive and communicative barriers.
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Affiliation(s)
- Madison Chapman
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Australia
| | - Rachel Milte
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Australia
| | - Suzanne Dawson
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Australia
| | - Kate Laver
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Australia
- Rehabilitation, Aged and Palliative Care Service, Southern Adelaide Local Health Network, Australia
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Jones E, Kurman J, Delia E, Crockett J, Peterson R, Thames J, Salorio C, Kalb L, Jacobson L, Stone J, Zabel TA. Parent Satisfaction With Outpatient Telemedicine Services During the COVID-19 Pandemic: A Repeated Cross-Sectional Study. Front Pediatr 2022; 10:908337. [PMID: 36090558 PMCID: PMC9453196 DOI: 10.3389/fped.2022.908337] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 06/08/2022] [Indexed: 11/13/2022] Open
Abstract
Prior to the COVID-19 pandemic, the development of hospital-based telemedicine services had been slow and circumscribed in scope due to insurance and licensure restrictions. As these restrictions were eased during the COVID-19 pandemic to facilitate ongoing patient care, the public health emergency facilitated a rapid expansion and utilization of telemedicine services across the ambulatory service sector. Objectives The current quality improvement (QI) study utilized this unprecedented opportunity to evaluate the use of telemedicine services across a variety of clinical disciplines and patient groups. Methods Caregivers of patients (ages 0-21) who received care through an outpatient specialty center provided experience ratings of telemedicine services delivered during the initial pandemic months (March-June 2020; N = 1311) or during the national "winter surge" in late 2020 (November 2020-February 2021; N = 1395). Questionnaires were distributed electronically following the clinical visits, and ANCOVA was employed (with patient age as the covariate) to determine if caregiver responses differed based on patient demographic characteristics. Results Ratings of patient satisfaction with services were very strong at both time points; greater variability in scores was noted when caregivers were asked if they would use telemedicine services again. At both time points, younger patient age (i.e., age 0-5) was associated with decreased caregiver willingness to use telemedicine services in the future. Smaller effects were seen for certain "hands on" therapies (occupational, physical, and speech) during the initial months of the pandemic and for proximity to the hospital during the "winter surge." Conclusions These data suggest a very positive overall caregiver response to telemedicine-based services during the COVID-19 pandemic. Several areas of potential improvement/innovation were identified, including the delivery of telemedicine therapies (e.g., occupational, physical, and speech) services to young patients (i.e., aged 0-5).
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Affiliation(s)
- Erin Jones
- Department of Neuropsychology, Kennedy Krieger Institute, Baltimore, MD, United States
| | - Jaime Kurman
- Office of Patient Experience and Community Engagement, Kennedy Krieger Institute, Baltimore, MD, United States
| | - Elisa Delia
- Administration, Kennedy Krieger Institute, Baltimore, MD, United States
| | - Jennifer Crockett
- Department of Neuropsychology, Kennedy Krieger Institute, Baltimore, MD, United States.,Johns Hopkins University School of Medicine, Johns Hopkins University, Baltimore, MD, United States
| | - Rachel Peterson
- Department of Neuropsychology, Kennedy Krieger Institute, Baltimore, MD, United States.,Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States
| | - Jasmin Thames
- Department of Neuropsychology, Kennedy Krieger Institute, Baltimore, MD, United States
| | - Cynthia Salorio
- Department of Neuropsychology, Kennedy Krieger Institute, Baltimore, MD, United States.,Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States
| | - Luther Kalb
- Johns Hopkins University School of Medicine, Johns Hopkins University, Baltimore, MD, United States.,Center for Autism and Related Disorders, Kennedy Krieger Institute, Baltimore, MD, United States
| | - Lisa Jacobson
- Department of Neuropsychology, Kennedy Krieger Institute, Baltimore, MD, United States.,Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States
| | - Jacqueline Stone
- Administration, Kennedy Krieger Institute, Baltimore, MD, United States.,Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States
| | - T Andrew Zabel
- Department of Neuropsychology, Kennedy Krieger Institute, Baltimore, MD, United States.,Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States
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