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Trial no.:
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PACTR201710002649121 |
Date of Approval:
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28/09/2017 |
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Trial Status:
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Retrospective registration - This trial was registered after enrolment of the first participant |
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| TRIAL DESCRIPTION |
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Public title
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Better accountability to stop ill treatment (BASI!) |
| Official scientific title |
Better accountability to stop ill treatment; Improving patient experience by leveraging community voices to hold health systems accountable |
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Brief summary describing the background
and objectives of the trial
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Poor health system experiences negatively affect the lives of poor people throughout the world. Poor quality extends to how people are treated: during a nationally representative survey of outpatient visits for sick children in Tanzania, fewer than half of caregivers were told their child¿s diagnosis and 20% of caregivers reported a major problem with the time they had to wait to see a healthcare provider [Larson et. al 2017]. A particularly egregious case of poor patient experience is disrespect and abuse.
The consequences of poor patient experiences are two-fold. First, disrespectful care violates individuals¿ fundamental rights to be treated with dignity. Second, poor patient experiences affect patient behavior. Individuals experiencing poor care are less likely to utilize the health system in the future. Associations between strong patient-provider communication and an increase in patient adherence to prescribed treatments and recommended prevention processes have been extensively documented [Greenfield et al. 1988, Zolnierek et al. 2009].
Two field experiments found large improvements with non-financial interventions. In the first, providing feedback reports on health worker performance led to significant improvements in healthcare delivery and health outcomes [Björkman & Svensson 2009]. In the second, non-financial rewards (social recognition) led to improved performance by public health agents [Ashraf et al. 2014]. Our proposed study builds on these findings in a new context, assessing whether community feedback through feedback reports (with and without social recognition) can improve patient experience.
The study objectives are to: 1. Characterize patient experience; 2. Evaluate the effect of private and public patient feedback on patient experience, care seeking behavior, and healthcare provider job satisfaction; 3. Develop a patient experience measurement tool; 4. Assess the feasibility and unintended consequences of feedback |
| Type of trial |
RCT |
| Acronym (If the trial has an acronym then please provide) |
BASI |
| Disease(s) or condition(s) being studied |
Patient experience during outpatient care for sick children |
| Sub-Disease(s) or condition(s) being studied |
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| Purpose of the trial |
Education /Training |
| Anticipated trial start date |
07/08/2017 |
| Actual trial start date |
07/08/2017 |
| Anticipated date of last follow up |
22/12/2017 |
| Actual Last follow-up date |
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| Anticipated target sample size (number of participants) |
4350 |
| Actual target sample size (number of participants) |
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| Recruitment status |
Recruiting |
| Publication URL |
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