Do Hospitals Rank Differently on HCAHPS for Different Patient Subgroups?

Medical Care Research and Review - Tập 67 Số 1 - Trang 56-73 - 2010
Marc N. Elliott1, William G. Lehrman2, Elizabeth Goldstein2, Katrin Hambarsoomian1, Megan K. Beckett1, Laura A. Giordano3
1RAND, Santa Monica, California
2Centers for Medicare & Medicaid Services, Baltimore, Maryland
3Health Services Advisory Group, Phoenix, Arizona

Tóm tắt

Prior research documents differences in patient-reported experiences by patient characteristics. Using nine measures of patient experience from 1,203,229 patients discharged in 2006-2007 from 2,684 acute and critical access hospitals, the authors find that adjusted hospital scores measure distinctions in quality for the average patient with high reliability. The authors also find that hospital “ranks” (the relative scores of hospitals for patients of a given type) vary substantially by patient health status and race/ ethnicity/language, and moderately by patient education and age ( p < .05 for almost all measures). Quality improvement efforts should examine hospital performance with both sicker and healthier patients, because many hospitals that do well with one group (relative to other hospitals) may not do well with another. The experiences of American Indians/Alaska Natives should also receive particular attention. As HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) data accumulate, reports that drill down to hospital performance for patient subtypes (especially by health status) may be valuable.

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Tài liệu tham khảo

10.1201/9781420057669

Centers for Medicare &amp; Medicaid Services., 2009, HCAHPS fact sheet 2009

10.1097/01.mlr.0000178200.72371.b7

Elliott, M.N., 2009, Components of care vary in importance for overall patient-reported experience by type of hospitalization in the HCAHPS survey

Elliott, M.N., 2001, Health Services Research, 36, 555

10.1007/s10742-006-0011-2

10.1111/j.1475-6773.2008.00914.x

Goldstein, E., 2009, Racial, ethnic and gender differences in patients’ perceptions of inpatient care

10.1111/j.1475-6773.2005.00477.x

10.1001/archinte.167.12.1233

10.1177/1062860605275754

Hays, R.D., 1999, Medical Care, 37, MS22

10.1016/j.amjmed.2005.02.012

10.1001/archinte.167.11.1177

10.1056/NEJMsa0804116

Lurie, N., 2003, American Journal of Managed Care, 9, 502

Morales, L.S., 2001, Health Services Research, 36, 595

Nunnally, J.C. & Bernstein, I.H. (1994). Psychometric theory (3rd ed.). New York: McGraw-Hill. O’Malley, A.J., Zaslavsky, A.M., Elliott, M.N., Zaborski, L. & Cleary, P.D. (2005). Case-mix adjustment of the CAHPS hospital survey. Health Services Research, 40, 2162-2181.

10.1007/s11606-008-0732-8

10.1111/j.1525-1497.2005.00311.x

Schultz, J., 2001, Health Services Research, 36, 509

Smedley, B.D., 2003, Unequal treatment: Confronting racial and ethnic disparities in health care

Solomon, L.S., 2002, Health Care Financing Review, 23, 85

10.1001/jama.296.16.1998

ver Ploeg, M., 2004, Eliminating health disparities: Measurement and data needs (by National Research Council Panel on DHHS Collection of Race)

10.1111/j.1525-1497.2004.30235.x

10.1111/1475-6773.00147

10.1377/hlthaff.26.5.1293

10.1111/j.1525-1497.2005.0174.x

Zaslavsky, A.M., Paper presented at Government and Social Statistics Sections Health Plans

10.1177/107755870005700307

Zaslavsky, A.M., 2002, Medical Care Research and Review, 40, 485

Zaslavsky, A.M., 2001, Health Care Financing Review, 22, 109

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Medical Care Research and Review

Tập 67 Số 1

56-73

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