Using Patient-reported Experience Measures to Evaluate a Community-based Chiropractic Outreach Programme in Rarotonga, Cook Islands
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Cade, Alice
McCambridge, Alana B
Stevens, Kirk
Baptista, Lisa
Holt, Kelly
Niazi, Imran
Marshall, Paul
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Elsevier BV
Abstract
Objective Community-based outreach placements provide authentic clinical learning environments yet are rarely evaluated using community-derived feedback. This study assessed an intern-led chiropractic outreach placement in Rarotonga using patient-reported experience measures (PREMs) and routinely collected case-mix data as complementary evaluative indicators. PREMs capture patients’ experience of the process of care and differ from patient-reported outcome measures (PROMs), which assess clinical or symptomatic outcomes. Methods Attending adults were invited to complete a post-visit PREM survey (n=252). Survey responses were compared with intern-recorded case-mix data (n=640; 2,453 encounters). Descriptive statistics and exploratory ordinal logistic regression examined patterns in patient experience, demographic predictors, and similarity between patient- and intern-reported information. Results Patient experience ratings were consistently high, particularly for relational domains (communication and personal manner). Tāne/male gender and symptom chronicity were associated with lower reported comfort and satisfaction. Patient- and intern-reported data showed closely similar patterns overall, suggesting good alignment in documentation practices. Conclusion PREMs data provided meaningful insight into relational aspects of care and, when combined with routine case-mix records, supported pragmatic evaluation of a community-based outreach placement. Findings highlight areas for targeted refinement in communication, expectations management, and documentation practices.
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4203 Health Services and Systems, 42 Health Sciences, Clinical Research, 8.1 Organisation and delivery of services, Patient experience, Programme evaluation, Community-based care, Patient-reported experience measures, Pacific health
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PEC Global, ISSN: 3117-468X (Print), Elsevier BV, 2, 100018-100018. doi: 10.1016/j.pecglo.2026.100018
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© 2026 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
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Except where otherwise noted, this item's license is described as Creative Commons Attribution CC BY 4.0