Feasibility of using emergency department patient experience surveys as a proxy for equity of care.
Open accessAbstract
Collecting and examining equity data can help inform quality improvement initiatives but is a relatively new practice in health care. The overall goal of this study was to assess different methods of administering patient experience surveys as a feasible starting point in measuring equity in an urban Emergency Department (ED) that serves a diverse patient population. Socio-demographic characteristics of patients visiting an ED were compared with those of patients who responded to provincial patient experience surveys routinely administered by mail. Patient experience survey data were collected over an 11-week period in an urban ED using different survey administration methods (face-to-face interviews vs. handout) among study participants from vulnerable populations (elderly, low income, homeless, and mental health or substance use issues). Patient populations receiving care in the ED were shown to be different from those who responded to routinely mailed patient experience surveys with elderly patients over-represented, and contrarily, low income, mental health or substance use and homeless/unstable housing populations under-represented in survey responses. From a total of 111 study participants, the response rate for face-to-face surveys was significantly higher than for surveys that were handed out (p = 0.002), but no significant difference in the percentage of positive responses was evident. Delivering patient experience surveys immediately upon discharge is an effective way of capturing unique responses from patients in vulnerable populations, supporting a valuable means of assessing equity in the ED. Survey administration method poses important implications when used to inform quality improvement efforts and performance measurement.
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Measuring equity in care settings is feasible through patient experience surveys.
“the limited evidence suggests that measuring equity in care settings is feasible through patient experience surveys [21]”
From Using a health equity lens to measure patient experiences of care in diverse health care settings (2024) · cites this paper as [21]
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Research works printed but not linked: 1
- Feasibility of Using Emergency Department Patient Experience Surveys as a Proxy for Equity of Care, Chiu et al. Patient Experience Journal, Volume 1, Issue 2 -Fall 2014 86
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“[68], which compared the BCEDPEC sample to a sample collected inperson, our sample was more diverse in terms of having greater representation from Indigenous people and those less likely to have a usual primary care home (meaning access to an identified physician or nurse practitioner as their regular health care prov…”
Using a health equity lens to measure patient experiences of care in diverse health care settings
Browne, A. J., Varcoe, C., Ford-Gilboe, M., Wathen, C. N., Wilson, E., Bungay, V., & Perrin, N. (2024) · PLOS ONE · doi:10.1371/journal.pone.0297721 · Cited by 17 · see citing works
- Authors
- Chiu, H., Batara, N., Stenstrom, R., Carley, L., Jones, C., Cuthbertson, L., & Grafstein, E.
- Affiliations
- University of British Columbia (CA)
- St. Paul's Hospital (CA)
- Vancouver Coastal Health (CA)
- Provincial Health Services Authority (CA)
- Ministry of Health (CA)
- Venue
- Patient Experience Journal
- Publisher
- The Beryl Institute
- Published
- 2014-11-20
- Volume
- 1
- Issue
- 2
- Pages
- 78-86
- ISSN
- 2372-0247 (ISSN-L)
- OpenAlex
- W155257600
- Cited by
- 11
- References
- 27
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 1 · 2017: 1 · 2015: 1
- FWCI
- 1.21
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Patient Experience Journal (publishedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
- Keywords
- patient experience survey, health equity, emergency department, response rate, vulnerable populations, homeless patients, low-income patients, mental health, substance use, elderly patients, post-discharge follow-up, quality improvement, performance measurement
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