Clinical measurement and patient feedback systems.

Patient Feedback Systems at the Primary Level of Health Care Centres in Bangladesh: A Mixed Methods Study

SAGE Open ◽

10.1177/21582440211011458 ◽

2021 ◽

Vol 11 (2) ◽

pp. 215824402110114

Author(s):

Rumana Huque ◽

Zunayed Al Azdi ◽

Bassey Ebenso ◽

Shammi Nasreen ◽

Ayesha Afroz Chowdhury ◽

...

Keyword(s):

Health Care ◽

Feedback Systems ◽

Policy And Practice ◽

District Health ◽

Patient Feedback ◽

Common Goals ◽

Future Policy ◽

Feedback Data ◽

High Level ◽

Document Review

This paper documents, and reflects on key strengths and weaknesses of, existing patient feedback management systems at primary health care in Bangladesh and proposes key implications for future policy and practice. A mixed-method study was conducted in two Upazila (sub-district) Health Complexes (UHC) within one district in Bangladesh. It reports qualitative data from thematic analysis of in-depth interviews ( n = 15) with key stakeholders; non-participant observations of feedback environment at UHCs; document review; and a stakeholder workshop. Patient feedback data from publicly available web portals were also analyzed. Multiple parallel patient feedback systems exist at health facilities. Key strengths across all systems included common goals of ensuring accountability and patient voice and high-level commitment. Common weaknesses included lack of documented processes, limited awareness of available channels among patients and a lack of documented actions following feedback. The findings helped to provide a few implications for future policy and practice on patient feedback management.

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Public Health and Project Management: Do Projects Deliver?

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17197244 ◽

2020 ◽

Vol 17 (19) ◽

pp. 7244

Author(s):

Farida Saleem ◽

Imran Murtaza ◽

Shabir Hyder ◽

Muhammad Imran Malik

Keyword(s):

Child Health ◽

Project Managers ◽

Working Environment ◽

Management Approach ◽

Feedback Systems ◽

Newborn And Child Health ◽

Patient Feedback ◽

Political Interference ◽

Initiation Stage ◽

And Child Health

Maternal, newborn, and child health (MNCH) has remained an ever-concerning area for hospital management and researchers throughout the world. Nevertheless, in the literature, less attention is paid to developing countries. The current study identifies the problems faced by maternal newborn and child health projects at each phase. We obtained data on MNCH projects via interviews from district project managers and extracted various themes for each phase of the MNCH project. The results indicated the most significant problems faced by the MNCH project emanate from the inefficient bureaucratic structure, lack of realistic planning, weak working environment, political interference, and inefficient knowledge acquisition. The current study found that project managers experience various problems from the initiation stage of the project to its closure. Additionally, they find themselves to be poorly equipped to manage such problems. We proposed various strategies such as implementing a bottom-up management approach, more decentralization, establishing patient feedback systems, giving more authority to the project managers, and so forth.

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Introducing BF++: A C++ Framework for Cognitive Bio-Feedback Systems Design

Methods of Information in Medicine ◽

10.1055/s-0038-1634215 ◽

2003 ◽

Vol 42 (01) ◽

pp. 104-110 ◽

Cited By ~ 9

Author(s):

F. Babiloni ◽

F. Cincotti ◽

S. Salinari ◽

M.G. Marcian ◽

L. Bianchi

Keyword(s):

Systems Design ◽

Feedback Systems ◽

Patient Feedback ◽

Wide Range ◽

Programming Effort ◽

Software Interfaces ◽

Cross Platform ◽

The One ◽

Feedback Rule ◽

Feedback Operator

Summary Objective: This paper addressed the issue of building-up a framework for the realization of several cognitive bio-feedback (CBF) systems. It minimizes the programming effort and maximizes the efficiency and the cross-platform portability so that it can be used with many platforms (either software or hardware). Methods: A generic CBF system was decomposed into six modules: acquisition, kernel, feedback rule, patient feedback, operator user interface and persistent storage. The way in which these modules interact was defined by immutable software interfaces in a way that allows to completely substitute a module without the need to modify the others. Results: Three Brain Computer Interface engines were developed with less than 40 lines of C++ code each. They can also be used under virtually any platform that supports an ANSI C++ compiler. Conclusion: A framework for the implementation of a wide range of CBF systems was developed. Compared to the other approaches that are described in the literature, the proposed one is the most efficient, the most portable across different platforms, the most generic and the one that allows the realization of the cheapest final systems.

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How do patient feedback systems work in low- and middle-income countries? Insights from a realist evaluation in Bangladesh.

10.21203/rs.3.rs-47988/v2 ◽

2020 ◽

Author(s):

Tolib Mirzoev ◽

Sumit Kane ◽

Zunayed Al Azdi ◽

Bassey Ebenso ◽

Ayesha Afroz Chowdhury ◽

...

Keyword(s):

Realist Evaluation ◽

Feedback Systems ◽

Middle Income ◽

Middle Income Countries ◽

Patient Feedback ◽

Low And Middle Income

Abstract The authors have withdrawn this preprint due to author disagreement.

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How do patient feedback systems work in low- and middle-income countries? Insights from a realist evaluation in Bangladesh.

10.21203/rs.3.rs-47988/v1 ◽

2020 ◽

Author(s):

Tolib Mirzoev ◽

Sumit Kane ◽

Zunayed Al Azdi ◽

Bassey Ebenso ◽

Ayesha Afroz Chowdhury ◽

...

Keyword(s):

Health Workers ◽

Secondary Analysis ◽

Quality Of Healthcare ◽

Realist Evaluation ◽

Program Theory ◽

Empirical Literature ◽

Political Commitment ◽

Feedback Systems ◽

Middle Income ◽

Patient Feedback

Abstract Background Well-functioning patient feedback systems can contribute to improved quality of healthcare and ultimately make health systems more accountable. We used realist evaluation to understand the functioning of patient feedback systems at frontline health facilities in Bangladesh. Methods We collected and analysed data in two stages using: document review; secondary analysis of data from publicly-available web-portals; in-depth interviews with patients, health workers and managers; non-participant observations of feedback environments; and stakeholder workshops. Stage 1 focused on identifying and articulating the initial program theory of patient feedback systems. In Stage 2, we iteratively tested and refined this initial theory, through analysing data and grounding emerging findings within substantive theories and empirical literature, to arrive at a refined program theory. Results Multiple patient feedback systems operate in Bangladesh, essentially comprising stages of collection, analysis and actions on feedback. Key contextual enablers include political commitment to accountability, whereas key constraints include limited patient awareness of feedback channels, lack of guidelines and documented processes, local political dynamics and priorities, institutional hierarchies and accountability relationships. Findings highlight that relational trust may be important for many people to exercise citizenship and providing feedback, and that appropriate policy and regulatory frameworks with clear lines of accountability are critical for ensuring effective patient feedback management within frontline healthcare facilities. Conclusion Tolib Information, Mirzoev*, Sumit Kanea, Bassey Ebenso1,b

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How do patient feedback systems work in low-income and middle-income countries? Insights from a realist evaluation in Bangladesh

BMJ Global Health ◽

10.1136/bmjgh-2020-004357 ◽

2021 ◽

Vol 6 (2) ◽

pp. e004357

Author(s):

Tolib Mirzoev ◽

Sumit Kane ◽

Zunayed Al Azdi ◽

Bassey Ebenso ◽

Ayesha Afroz Chowdhury ◽

...

Keyword(s):

Low Income ◽

Health Workers ◽

Secondary Analysis ◽

Realist Evaluation ◽

Empirical Literature ◽

Principal Agent ◽

Political Commitment ◽

Feedback Systems ◽

Programme Theory ◽

Patient Feedback

BackgroundWell-functioning patient feedback systems can contribute to improved quality of healthcare and systems accountability. We used realist evaluation to examine patient feedback systems at health facilities in Bangladesh, informed by theories of citizenship and principal–agent relationships.MethodsWe collected and analysed data in two stages, using: document review; secondary analysis of data from publicly available web-portals; in-depth interviews with patients, health workers and managers; non-participant observations of feedback environments; and stakeholder workshops. Stage 1 focused on identifying and articulating the initial programme theory (PT) of patient feedback systems. In stage 2, we iteratively tested and refined this initial theory, through analysing data and grounding emerging findings within substantive theories and empirical literature, to arrive at a refined PT.ResultsMultiple patient feedback systems operate in Bangladesh, essentially comprising stages of collection, analysis and actions on feedback. Key contextual enablers include political commitment to accountability, whereas key constraints include limited patient awareness of feedback channels, lack of guidelines and documented processes, local political dynamics and priorities, institutional hierarchies and accountability relationships. Findings highlight that relational trust may be important for many people to exercise citizenship and providing feedback, and that appropriate policy and regulatory frameworks with clear lines of accountability are critical for ensuring effective patient feedback management within frontline healthcare facilities.ConclusionTheories of citizenship and principal–agent relationships can help understand how feedback systems work through spotlighting the citizenship identity and agency, shared or competing interests, and information asymmetries. We extend the understanding of these theories by highlighting how patients, health workers and managers act as both principals and agents, and how information asymmetry and possible agency loss can be addressed. We highlight the importance of awareness raising and non-threatening environment to provide feedback, adequate support to staff to document and analyse feedback and timely actions on the information.

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