The Patient-Reported Experience Measure for Improving qUality of care in Mental health (PREMIUM) project in France: study protocol for the development and implementation strategy.
PPA. 2019-01-01; Volume 13: 165-177
DOI: 10.2147/ppa.s172100
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1. Patient Prefer Adherence. 2019 Jan 21;13:165-177. doi: 10.2147/PPA.S172100.
eCollection 2019.
The Patient-Reported Experience Measure for Improving qUality of care in Mental
health (PREMIUM) project in France: study protocol for the development and
implementation strategy.
Fernandes S(1), Fond G(1), Zendjidjian X(1), Michel P(1), Baumstarck K(1),
Lancon C(1), Berna F(2), Schurhoff F(2), Aouizerate B(2), Henry C(2), Etain
B(2), Samalin L(2), Leboyer M(2), Llorca PM(2), Coldefy M(3), Auquier P(1),
Boyer L(1).
Author information:
(1)Aix-Marseille University, School of Medicine, CEReSS – Health Service
Research and Quality of Life Center – EA 3279 Research Unit, Marseille, France,
Email .
(2)FondaMental Foundation, Créteil, France.
(3)Institute for Research and Information in Health Economics (IRDES), Paris,
France.
BACKGROUND: Measuring the quality and performance of health care is a major
challenge in improving the efficiency of a health system. Patient experience is
one important measure of the quality of health care, and the use of
patient-reported experience measures (PREMs) is recommended. The aims of this
project are 1) to develop item banks of PREMs that assess the quality of health
care for adult patients with psychiatric disorders (schizophrenia, bipolar
disorder, and depression) and to validate computerized adaptive testing (CAT) to
support the routine use of PREMs; and 2) to analyze the implementation and
acceptability of the CAT among patients, professionals, and health authorities.
METHODS: This multicenter and cross-sectional study is based on a mixed method
approach, integrating qualitative and quantitative methodologies in two main
phases: 1) item bank and CAT development based on a standardized procedure,
including conceptual work and definition of the domain mapping, item selection,
calibration of the item bank and CAT simulations to elaborate the administration
algorithm, and CAT validation; and 2) a qualitative study exploring the
implementation and acceptability of the CAT among patients, professionals, and
health authorities.
DISCUSSION: The development of a set of PREMs on quality of care in mental
health that overcomes the limitations of previous works (ie, allowing national
comparisons regardless of the characteristics of patients and care and based on
modern testing using item banks and CAT) could help health care professionals
and health system policymakers to identify strategies to improve the quality and
efficiency of mental health care.
TRIAL REGISTRATION: NCT02491866.
DOI: 10.2147/PPA.S172100
PMCID: PMC6345324
PMID: 30718945
Conflict of interest statement: Disclosure The authors report no conflicts of
interest in this work.