Perceptions of people with respiratory problems on physician performance evaluation—a qualitative study

  • Background: Despite increasing calls for patient and public involvement in health‐care quality improvement, the question of how patient evaluations can contribute to physician learning and performance assessment has received scant attention. Objective: The objective of this study was to explore, amid calls for patient involvement in quality assurance, patients' perspectives on their role in the evaluation of physician performance and to support physicians’ learning and decision making on professional competence. Design: A qualitative study based on semi‐structured interviews. Setting and Participants: The study took place in a secondary care setting in the Netherlands. The authors selected 25 patients from two Dutch hospitals and through the Dutch Lung Foundation, using purposive sampling. Methods: Data were analysed according to the principles of template analysis, based on an a priori coding framework developed from the literature about patient empowerment, feedback and performance assessment. Results: The analysis unearthed three predominant patient perspectives: the proactive perspective, the restrained perspective and the outsider perspective. These perspectives differed in terms of perceived power dynamics within the doctor‐patient relationship, patients' perceived ability, and willingness to provide feedback and evaluate their physician's performance. Patients' perspectives thus affected the role patients envisaged for themselves in evaluating physician performance. Discussion and conclusion: Although not all patients are equally suitable or willing to be involved, patients can play a role in evaluating physician performance and continuing training through formative approaches. To involve patients successfully, it is imperative to distinguish between different patient perspectives and empower patients by ensuring a safe environment for feedback.
Author:Carolin Sehlbach, Marjan J. B. Govaerts, Sharon Mitchell, Truus Teunissen, Frank W. J. M. Smeenk, Erik W. Driessen, Gernot Gerhard Ulrich RohdeORCiDGND
Pubmed Id:
Parent Title (English):Health expectations
Place of publication:Oxford [u. a.]
Document Type:Article
Year of Completion:2019
Date of first Publication:2019/11/20
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2020/05/06
Tag:empowerment; feedback; lifelong learning; patient and public involvement; patient perspective; performance evaluation; power dynamics; recertification; revalidation; voice
Page Number:9
First Page:247
Last Page:255
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Institutes:Medizin / Medizin
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Licence (German):License LogoCreative Commons - Namensnennung 4.0