Please use this identifier to cite or link to this item: http://buratest.brunel.ac.uk/handle/2438/10358
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dc.contributor.authorMoney, AG-
dc.contributor.authorBarnett, J-
dc.contributor.authorKuljis, J-
dc.contributor.authorDuffin, D-
dc.date.accessioned2015-03-09T14:42:24Z-
dc.date.available2015-
dc.date.available2015-03-09T14:42:24Z-
dc.date.issued2015-
dc.identifier.citationScandinavian Journal of Caring Sciences, 2015en_US
dc.identifier.issn0283-9318-
dc.identifier.issn1471-6712-
dc.identifier.urihttp://onlinelibrary.wiley.com/doi/10.1111/scs.12195/abstract;jsessionid=A3BB81018F54F24C5D7B332748CD4C44.f02t03-
dc.identifier.urihttp://bura.brunel.ac.uk/handle/2438/10358-
dc.description.abstractBackground: Government initiatives see the provision of technology-assisted self-care as one of the key areas in which there is capacity for improving quality of care whilst reducing costs. However, levels of patient engagement in self-testing and management (STM) remain low. Little emphasis has been placed on understanding the patients' perspectives of the reasons for this limited engagement. Typically, patient engagement in STM is achieved via the provision of patient education programmes, which aim to enable patients to make the changes necessary to become competent self-carers. However, placing the onus to change on the individual patient is unrealistic. If levels of patient engagement are to be improved, patient needs and expectations of clinical services must be better understood and service provision must be adapted accordingly. Objective: Explore patient perceptions and expectations of clinical service provision and their views of having and making choices about care. Methods: Participants [N = 191, 103 patient self-tester managers (PSTMs) and 87 clinic-based testers (CBTs)] completed the SERVQUAL and ChQ instruments to capture perspectives on service quality and choice, respectively. A comparative statistical analysis explored the similarities and differences between PSTMs' and CBTs' responses. Results: Clinic-based testers' perceptions of service quality were significantly more positive than PSTMs', as were their expectations of the 'tangible' aspects of service delivery. PSTMs' expectations of service quality were significantly higher than their perceptions. PSTMs attributed significantly more value to making choices compared with CBTs. Conclusions and recommendations: To close the gap between PSTMs expectations and perceptions of service quality and better cater for their choice preferences, service providers may benefit from taking into account the following practice considerations: maintain frequent, timely, personalised and direct interactions with PSTMs; prioritise investment in resources to facilitate patient/practitioner interaction over tangible facilities; ensure that PSTMs are given the opportunity to make choices about their care.en_US
dc.languageeng-
dc.language.isoenen_US
dc.publisherJohn Wiley & Sonsen_US
dc.relation.replaces2438/12957-
dc.relation.replaceshttp://bura.brunel.ac.uk/handle/2438/12957-
dc.subjectHaving choiceen_US
dc.subjectMaking choiceen_US
dc.subjectPatient expectationsen_US
dc.subjectPatient perceptionsen_US
dc.subjectSelf-careen_US
dc.subjectSelf-managementen_US
dc.subjectSelf-testingen_US
dc.subjectService qualityen_US
dc.subjectTechnology-assisted health careen_US
dc.titlePatient perceptions and expectations of an anticoagulation service: A quantitative comparison study of clinic-based testers and patient self-testersen_US
dc.typeArticleen_US
dc.identifier.doihttp://dx.doi.org/10.1111/scs.12195-
dc.relation.isPartOfScandinavian Journal of Caring Sciences-
dc.relation.isPartOfScandinavian Journal of Caring Sciences-
dc.relation.isPartOfScandinavian Journal of Caring Sciences-
pubs.merge-from2438/12957-
pubs.merge-fromhttp://bura.brunel.ac.uk/handle/2438/12957-
pubs.publication-statusAccepted-
pubs.publication-statusAccepted-
pubs.publication-statusAccepted-
pubs.organisational-data/Brunel-
pubs.organisational-data/Brunel/Brunel Staff by College/Department/Division-
pubs.organisational-data/Brunel/Brunel Staff by College/Department/Division/College of Engineering, Design and Physical Sciences-
pubs.organisational-data/Brunel/Brunel Staff by College/Department/Division/College of Engineering, Design and Physical Sciences/Dept of Computer Science-
pubs.organisational-data/Brunel/Brunel Staff by College/Department/Division/College of Engineering, Design and Physical Sciences/Dept of Computer Science/Computer Science-
pubs.organisational-data/Brunel/University Research Centres and Groups-
pubs.organisational-data/Brunel/University Research Centres and Groups/Brunel Business School - URCs and Groups-
pubs.organisational-data/Brunel/University Research Centres and Groups/Brunel Business School - URCs and Groups/Centre for Research into Entrepreneurship, International Business and Innovation in Emerging Markets-
pubs.organisational-data/Brunel/University Research Centres and Groups/School of Health Sciences and Social Care - URCs and Groups-
pubs.organisational-data/Brunel/University Research Centres and Groups/School of Health Sciences and Social Care - URCs and Groups/Brunel Institute for Ageing Studies-
pubs.organisational-data/Brunel/University Research Centres and Groups/School of Health Sciences and Social Care - URCs and Groups/Brunel Institute of Cancer Genetics and Pharmacogenomics-
pubs.organisational-data/Brunel/University Research Centres and Groups/School of Health Sciences and Social Care - URCs and Groups/Centre for Systems and Synthetic Biology-
pubs.organisational-data/Brunel/University Research Centres and Groups/School of Information Systems, Computing and Mathematics - URCs and Groups-
pubs.organisational-data/Brunel/University Research Centres and Groups/School of Information Systems, Computing and Mathematics - URCs and Groups/Multidisclipary Assessment of Technology Centre for Healthcare (MATCH)-
Appears in Collections:Dept of Computer Science Research Papers

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