Changing experience of adverse medical events in the National Health Service: Comparison of two population surveys in 2001 and 2013.
Care quality is important to patients and providers, but is hard to measure. This study aimed to examine changes in the frequency and severity of one quality measure - adverse events associated with medical care - in Great Britain over a 12-year period when available resources initially expanded and...
| Publicado en: | Social Science & Medicine Vol. 195; pp. 83 - 90 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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Elsevier B.V.
Dec2017
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=126455988&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 126455988 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 02779536 SMD jtl: Social Science & Medicine issn: 02779536 maglogo: N pubinfo: dt: Dec2017 vid: 195 pid: 2410 pub: Elsevier B.V. artinfo: ui: 126455988 10.1016/j.socscimed.2017.11.016 ppf: 83 ppct: 7 formats: tig: atl: Changing experience of adverse medical events in the National Health Service: Comparison of two population surveys in 2001 and 2013. aug: au: Gray, Alastair M. Fenn, Paul Rickman, Neil Vencappa, Dev affil: Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Old Road Campus, Headington, Oxford OX3 7LF, United Kingdom Nottingham University Business School, Nottingham NG8 1BB, United Kingdom Department of Economics, University of Surrey, Guildford GU2 7XH, United Kingdom Economics, Finance & Entrepreneurship Department, Aston Business School, Aston University, Aston Triangle, Birmingham B4 7ET, United Kingdom su: United Kingdom Great Britain. National Health Service Social classes Multivariate analysis Surveys Adverse health care events sug: subj: Social classes United Kingdom Great Britain. National Health Service Multivariate analysis Surveys Adverse health care events keyword: Adverse events Compensation and redress Disease frequency surveys Great Britain Medical errors Quality indicators Adverse events Compensation and redress Disease frequency surveys Great Britain Medical errors Quality indicators ab: Care quality is important to patients and providers, but is hard to measure. This study aimed to examine changes in the frequency and severity of one quality measure - adverse events associated with medical care - in Great Britain over a 12-year period when available resources initially expanded and were subsequently constrained. Data on perceived adverse events, collected from two representative population surveys in 2001 and 2013, were analysed and compared. The samples consisted of 8202 adults aged 15 and over in 2001 and 19,746 adults aged 15 and over in 2013. The main outcome measures were self-reported illness, injury or impairment caused in the opinion of the respondent by medical treatment or care. Respondents were also asked about the perceived severity of harm in terms of health and work, and any actions taken in response. The proportion of all respondents reporting that over the last three years they had suffered some illness, injury or impairment that in their opinion was caused by their medical treatment or care was 2.5% (497/19746) in 2013, compared with 4.8% (391/8202) in 2001, a reduction of 33% after adjusting for age, gender, income and social class differences between the two surveys. Perceived impact on health and work of these events was similar in both surveys, as was the proportion of injured respondents who pursued a legal claim for financial compensation, at 11% (53/497) in 2013 and 10.5% (41/391) in 2001. We also report multivariate analyses of perceived harm rates and severity, and propensity to seek, and accept, compensation. Our results suggest that the NHS became significantly safer over this period when measured by patient perceived harm from medical care. Our survey method could provide a valuable contribution to the monitoring of trends in health-care related adverse events and the impact of patient safety initiatives. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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