Welcome to Health Care POV | sign in | join
The Busy PT's Guide to Finding Balance

Controversial Questions

Published April 18, 2012 4:58 PM by Janey Goude

Could you be using faulty information to make some of your decisions? Read on and see.

Today, consumers have an overwhelming amount of information they're able to research before choosing products and service providers. One type of information is surveys. Marketers use survey results to influence our decisions in almost every field: health care, fashion, politics, religion, food, travel, tourism etc. Those same groups use the results of consumer satisfaction surveys to shape their future products and services. But, just how valuable are survey results?

During a phone survey, I asked for clarification on one of the questions. The survey taker's response was, "It's however you interpret the question." Let's look at a specific scenario to see how that works.

A hospital survey asks, "Did you receive patient-centered care while you were at our facility?" Dean Metz's post, "Patient-Centered Care... Not," and the comments that follow show how the term "patient-centered care" can be interpreted at least three ways:

1. Medical care results in the patient having a positive perception of the experience.

2. The patient's best interests are the driving force behind medical decisions (as opposed to the facility's finances, for example).

3. The patient is the decision-maker and thus included in all discussions.

The patient who is filling out this survey hates making decisions and grew up believing a doctor should tell a patient what to do. While in the hospital, the patient was present for every medical team discussion. The medical team asked him to make decisions about his care.

The patient's interpretation of the survey question will determine how he answers.

-If he uses definition #1, his answer is NO, because he did not have a pleasant experience.

-If he uses definition #2, his answer is NO, because he believes his interests are best served when a doctor tells him what to do.

-If he uses definition #3, his answer is YES, because he was included in discussions and expected to make his own decisions.

If respondents give answers based on their interpretations of what the question is asking, their answers may not reflect their true beliefs about what the survey is actually asking. In fact, the respondents could be providing answers to a question that wasn't even asked.

A survey's validity depends largely on the quality of the questions it asks. Survey responses may reflect the question's clarity (or lack of it) more accurately than they measure the parameters the survey was designed to assess. Since poorly constructed questions can result in flawed conclusions, surveys are at risk of providing incorrect information and should be weighed carefully with other types of input.

2 comments

Debbie,

Good point, though it took me a minute to get it. My first thought was, "What country did he think he was polling?" Then I got it. Oh, my!

Thanks for your comment.

Jane Goude April 19, 2012 10:41 AM

For definition-type questions, it does seem like a good survey should anticipate questions and have answers prepared.  On the other hand, survey-taker neutrality is important, too.  I once participated in a phone survey in which the guy asking the questions said, "And what is your overall opinion of our current president, Dubya?"  Now, I am willing to bet that isn't what his script said, and any answer I gave past that point should have been thrown out because my answers might have been influenced by his (rather obvious) opinion.

Debbie April 18, 2012 11:37 PM
Las Vegas NV

leave a comment



To prevent comment spam, please type the code you see below into the code field before submitting your comment. If you cannot read the numbers in the image, reload the page to generate a new one.

Captcha
Enter the security code below:
 

Search

About this Blog

Keep Me Updated