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Patients are central to healthcare delivery, yet all too often their perspectives and input have not been considered by providers. 1 2 This is beginning to change rapidly and is having a major impact across a range of dimensions. Patients are becoming more engaged in their care and patient-centred healthcare has emerged as a major domain of quality. 3–6 At(More)
BACKGROUND Achieving high levels of patient satisfaction requires hospital management to be proactive in patient-centred care improvement initiatives and to engage frontline clinicians in this process. METHOD We developed a survey to assess the attitudes of clinicians towards hospital management activities with respect to improving patient satisfaction(More)
PURPOSE Patient satisfaction is increasingly recognized as an important component of quality. The expansion of health information technologies (HIT) might have an impact on patient satisfaction - either positively or negatively. We conducted a literature review to explore the impact of these technologies on patient satisfaction. METHODS The database of(More)
Patient-centered care has become an increasing priority in the United States and plays a prominent role in recent healthcare reforms. One way the country has managed to advance patient-centered care is through establishment of a family of national patient experience surveys (the Consumer Assessment of Healthcare Providers and Systems Plans (CAHPS). CAHPS is(More)
BACKGROUND Patients routinely use Twitter to share feedback about their experience receiving healthcare. Identifying and analysing the content of posts sent to hospitals may provide a novel real-time measure of quality, supplementing traditional, survey-based approaches. OBJECTIVE To assess the use of Twitter as a supplemental data stream for measuring(More)
Rising ownership of smartphones and tablets across social and demographic groups has made mobile applications, or apps, a potentially promising tool for engaging patients in their health care, particularly those with high health care needs. Through a systematic search of iOS (Apple) and Android app stores and an analysis of apps targeting individuals with(More)
OBJECTIVE To summarize the Canadian health information technology (HIT) policy experience and impart lessons learned to the US as it determines its policy in this area. DESIGN Qualitative analysis of interviews with identified key stakeholders followed by an electronic survey. MEASUREMENTS We conducted semi-structured interviews with 29 key Canadian HIT(More)
We implemented a web-based, patient-centered toolkit that engages patients/caregivers in the hospital plan of care by facilitating education and patient-provider communication. Of the 585 eligible patients approached on medical intensive care and oncology units, 239 were enrolled (119 patients, 120 caregivers). The most common reason for not approaching the(More)
OBJECTIVE To investigate lessons learned from national policy initiatives in Canada and U.S. with respect to health information technical infrastructure, data standards, and interoperability; and to identify the implications of these lessons for other policy makers, as they guide the future of their own healthcare information technology initiatives. (More)
OBJECTIVE To investigate organizational strategies to promote personal health records (PHRs) adoption with a focus on patients with chronic disease. METHODS Using semi-structured interviews and a web-based survey, we sampled US health delivery organizations which had implemented PHRs for at least 12 months, were recognized as PHR innovators, and had(More)