Incidence and impact of proxy response in measuring patient experience: secondary analysis of a large postal survey using propensity score matching

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Chris Graham

Abstract

To determine whether use of proxy respondents in a patient experience survey was related to patient characteristics, and to compare patient and proxy responses. Secondary analysis, using propensity score matching, of the NHS adult inpatient survey, a large cross-sectional survey. Hospitals (n = 161) providing inpatient services in England in 2011. The survey received 70 863 responses: 10 661 (15.6%) involved proxy respondents in some way. None. Prevalence of proxy response was explored by patient demographic characteristics. Responses were compared using seven composite domains and one overall rating. Cases involving proxy responses were matched to similar independent responses via propensity score matching and mean scores compared using t-tests. Use of proxy respondents was common, with 15.7% of responses involving a proxy in some way: higher than in other similar collections internationally. Proxy response was more common for some patient groups, such as older people and those from black and minority ethnic groups. Reports made by or with the assistance of proxy respondents were markedly less positive than those from patients completing the survey unaided. This pattern was consistent across all tested variables, although the ...Continue Reading

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Citations

May 3, 2008·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Peter W GroeneveldFeifei Yang
Aug 26, 2020·Psycho-oncology·Jessica K RoydhouseNancy L Keating
Jul 22, 2020·BMJ Supportive & Palliative Care·Elisabetta BertocchiMassimo Costantini
Jul 14, 2021·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Jessica K RoydhouseUNKNOWN ISOQOL Proxy Task Force and the ISOQOL Board of Directors

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