Patients’ rating of treatment tells you more about patients than hospitals, research concludes

BMJ 2013; 347 doi: (Published 18 November 2013) Cite this as: BMJ 2013;347:f6916
  1. Nigel Hawkes
  1. 1London

The way patients rate the outcome of their treatments in different hospitals says more about the patients than it does about the hospitals, a study at the Centre for Health Economics at the University of York has found.

Using patient reported outcome measures (PROMs) collected by the NHS in England since 2009, a team led by Andrew Street has found that most of the variation was accounted for by the types of patient treated rather than by the competence of the hospital treating them.

The findings, presented at a meeting in London on 14 November organised by Healthcare Conferences UK, undermine the idea that led to the introduction of PROMs in England, which was to improve the quality of care by identifying poor performers and enabling informed patients to choose to go to better ones.

Speaking at the meeting, Nick Black of …

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