Real-time patient feedback methods

Feedback method For Against
Survey using handheld portable devices
  • For data collection at the practice
  • Questionnaires easily tailored to local setting
  • Automatic data entry
  • Rapid turnaround of results possible
  • Can be self-administered by patients/users
  • Questionnaires must be brief
  • Consider infection control if patients handle devices
  • Needs member of staff to manage devices and monitor use
  • May be difficult to track response rates
  • Sample will be unrepresentative if staff avoid potential negative respondents or 'difficult' volunteers because of language barriers or disabilities
Touch-screen kiosks
  • For data collection at the practice
  • Can be sited in waiting rooms
  • Automatic data entry
  • Rapid turnaround of results
  • Anonymous
  • Questionnaires must be brief
  • Consider infection control if patients handle devices
  • Impossible to calculate response rates
  • Patients may submit answers more than once
  • Time pressures may put people off taking part
  • Vulnerable to misuse
Online survey
  • User-friendly design – questions can be tailored to respondent
  • Reminders easy to send to patients
  • Data entry is automatic
  • Rapid turnaround of results possible
  • Can be self-administered by patients/users
  • Requires email addresses
  • Requires access to internet so representative sample not possible
  • Questionnaire needs to be brief
  • IT issues because users have different operating systems and browsers
  • Poorer quality responses – fatigue in answering questions may be more evident in online surveys
  • May not generate high response where trust and understanding of technology is low
Postal survey (self-completion)
  • Can reach large numbers
  • Less intrusive than other methods
  • No influence from interviewer so chance of bias is removed
  • Questionnaires can be fairly long and detailed
  • Can collect demographic data
  • Possible to achieve high response rates if reminders are sent
  • Relatively cheap
  • Not suitable for patients with low literacy
  • Not suitable for non-English speakers unless language known in advance or translationservice available
  • Requires careful administration
  • Data entry (manual or scanned) takes time
  • Requires expertise in use of statistical package to analyse results
Interviewer administered survey (eg someone in the waiting room)
  • Suitable for low literacy groups
  • Can enter data while conducting interview (CATI)
  • Results can be available quickly
  • Training required for interviewers
  • Similar problems as for postal surveys – language barriers, data entry (without CAPI) and analysis
  • Time-consuming and expensive
Telephone survey
  • Suitable for low literacy groups
  • Can enter data while conducting interview (CATI)
  • Results can be available quickly
  • Requires phone numbers
  • Response rates often low
  • Requires frequent call backs at different times of day to obtain representative sample
  • Questionnaire needs to be brief
  • Interviewers must be trained
Automated telephone survey (Interactive Voice Response (IVR) or key press)
  • Suitable for low literacy groups
  • Data entered automatically
  • Can be produced in multiple languages
  • Requires phone numbers
  • Response rates often low
  • Questionnaire needs to be very brief
In-depth interviews
  • Can produce richer, more detailed data
  • Allows respondents to express themselves in their own words
  • Expensive
  • Interviewers must be trained
  • Problem of interviewer bias
  • Transcribing and data analysis is time-consuming
Web-based feedback (free text)
  • Allows people to make any comments they want to about the care they’ve received
  • Respondents can be asked to give their views on specific topics
  • Responses are available for others to read
  • It is not suitable for people who do not have internet access, so representative coverage not possible
  • Sites must be moderated to avoid malicious comments
  • It may not represent majority view – likely to attract those wanting to give very favourable or very critical comments
Comment cards, exit surveys, suggestion boxes, video boxes
  • Can be used to collect on-site feedback, usually unstructured
  • Feedback can be analysed quickly
  • Likely to be completed by a small minority unless patients are specifically invited to respond

Table adapted from Measuring patients’ experience of care, part of the King’s Fund’s Point of Care Programme.

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