Dear Rania,

One set of outcomes relate to patient satisfaction via a survey. One could measure overall patient satisfaction, and satisfaction with various components like quality of care, politeness of staff, cleanliness of facilities, etc. Over time, survey measures can be related to actual medical outcomes for a cohort of patients.

An early article on this issue is as follows:

Cleary, Paul D., and Barbara J. McNeil. "Patient satisfaction as an indicator of quality care." Inquiry (1988): 25-36.

A more recent article with a descriptive example is provided in the link below.

Thanks.

Vikas Mittal

http://dx.doi.org/10.2139/ssrn.2756196

Dear Rania

This isn't a simple question. 

i) The relationship between a PROM and quality of care is uncertain and variable

ii) The relationship between efficacy of management and quality of care is also uncertain (although one would hope there is one) and is likely to have different relationships with different aspects of quality (which in turn will have varying relationships with outcomes).

I think you need to take a step back and identify what the expected effects of increased efficacy of management are on both staff and patient care... This will point you toward the areas you need to measure. I think you will likely find that patient experience is likely to remain important . I'd use this concept rather than 'satisfaction' - you can be more specific about the experiences that are important - satisfaction is elusive. I'm not entirely sure it is best understood as a PROM - often patients are reporting on processes... ( we coined the phrase PReP for patient reported experience). The attached paper might be of some help but it's a complex territory!

Article Development and Testing of the Patient-Reported Chemotherapy...

Dear Vikal, are you a social scientist or a medical scientist. If the former, are you interested in marketing or production these can help better in conceptualizing and tool choice for your research.  For example marketing research for customer satisfaction is benchmarked against customer expectations( itself multifactorially decided in physical, social, technology state and economic terms) of returns on sum total cost monetary and non monetary, physical, social and even mental or psychological cost of seeking care.  In this model it is not difficult to get a low expectant satisfied customer even when medical care is less than desirable.  So define more precisely your interest and the tool will be clearer