Drivers of Inpatient Hospital Experience Using the HCAHPS Survey in a Canadian Setting. (8th December 2014)

• Record Type: Journal Article
• Authors: Kemp, Kyle A.; Chan, Nancy; McCormack, Brandi; Douglas‐England, Kathleen
• Is Part Of: Health services research. Volume 50:Number 4(2015)
• Page Start: 982
• Page End: 997
• Publication Date: 2014-12-08
• Subjects: Medical care -- Periodicals; Medical care -- Evaluation -- Periodicals; Hospital care -- Periodicals; Health services administration -- Periodicals; 362
• DOI: 10.1111/1475-6773.12271
• Languages: English
• ISSNs: 0017-9124

Abstract

<abstract abstract-type="main" id="hesr12271-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="hesr12271-sec-0001" sec-type="section"> <title>Objective</title> <p>To identify factors associated with patients' overall rating of inpatient hospital care.</p> </sec> <sec id="hesr12271-sec-0002" sec-type="section"> <title>Data Sources</title> <p>Two years of patient interview data (April 1, 2011 to March 31, 2013), linked to inpatient administrative records.</p> </sec> <sec id="hesr12271-sec-0003" sec-type="section"> <title>Study Design</title> <p>Patients rated their overall health on a scale of 0 (worst care) to 10 (best care) using the HCAHPS instrument administered via telephone, up to 42 days postdischarge. Logistic regression was used to generate odds ratios for each independent predictor.</p> </sec> <sec id="hesr12271-sec-0004" sec-type="section"> <title>Data Extraction</title> <p>HCAHPS data were linked to inpatient records based on health care numbers and dates of service. The outcome (overall health experience) was collapsed into two groups (10 vs. 0–9).</p> </sec> <sec id="hesr12271-sec-0005" sec-type="section"> <title>Principal Findings</title> <p>Overall hospital experience of 0–9 was associated with younger age, male gender, higher level of education, being born in Canada, urgent admission, not having a family practitioner as the most responsible provider service, and not being discharged home. A length of stay of less than 3 days was protective. The c‐statistic for the multivariate model was 0.635.</p> </sec> <sec id="hesr12271-sec-0006" sec-type="section"> <title>Conclusions</title> <p>Our results are novel in the Canadian population. Several questions for future research have been generated, in addition to opportunities for quality improvement within our own organization.</p> </sec> </abstract>