10 Things you should not do when using a patient experience measure (PREM)

Measurement of the patient’s experience is a now a key factor in providing improved health care.

The Patient Experience Network has provided a lot of information around the measurement of the patient’s experience including the 7-step measurement process. However, what is not discussed is some of the do’s and don’ts when choosing or using a PREM.

Regretably with the increasing availability of on-line questionnaire design packages such as SurveyMonkey, this can lead to a plethora of questionnaires that would fail the most basic questionnaire design criteria.

Questionnaire design is a complex process to ensure you collect the right kind of information to enable good decision-making. Also choosing the right PREM is also something that requires some thought.

Below I’ve listed 10-things you should not do when choosing a PREM.

  1. Use a PREM  simply because a colleague has used it before
  2. Assume that the PREM is relevant and suitable for your patients
  3. Use a PREM that was developed for a different population to yours
  4. Assume that its valid and reliable without any evidence
  5. Use a PREM that has been developed without patient input
  6. Assume  the PREM will give you the information you are looking for
  7. Use a PREM that was designed by a colleague last week
  8. Use the Net Promoter Score (NPS) because you’ve been told it’s the best thing available
  9. Use a PREM if you are not sure what you will do with the information
  10. Assume all your patients will be happy to complete the questionnaire

Would you like to add to this list from your experiences just let me know

You might find the following interesting:

7-  Tips you need to know for successful questionnaire design

Found this post interesting – why not share it with a colleague

Categories: Patient reported experience

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2 replies

  1. Hi Keith: I just read this piece and found it interesting. Wondered if it would be helpful to consider the PREM tool be used to let patients have input about helping them design a questionnaire for themselves rather than asking them to fill the the “typical” one? I thought of it along the line of making it a, “psychological benefit metric” so to speak, as enabling the patient/client to become motivated in their recovery aimed at better or good health, using a “process by patient design method, ” if you will! Together, the practitioner [or their assistant] and the patient work toward achievable outcomes as stated by the patient in their own words. It may work since patients are used to be told what to do and for those who can think for themselves what better way than to let them see what they are capable of achieving if “given the opportunity to define [have input] for themselves what they could be capable of. Some people need help, others don’t. The success I understand in the WeightWatchers program is based on something like this. It’s a Participatory Model” which more patients are headed toward.

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