Salinas Stanley R
Department of Health and Community Services, California State University, Chico.
Qual Manag Health Care. 2017 Jan/Mar;26(1):29-32. doi: 10.1097/QMH.0000000000000117.
To test the relationship between patient experience, as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), and actual quality of care, as measured by 30-day readmission rates.
Both HCAHPS data and outcome data reported to the Centers of Medicare & Medicaid Services (CMS).
This secondary, nationwide (N = 4060), hospital-level study focused only on acute care hospitals. HCAHPS question 22 "Would you recommend this hospital to your friends and family?" was used to determine level of overall satisfaction, and 30-day readmission rates, as reported to the CMS, was used as a proxy for actual quality of care.
A statistically significant relationship was found between patient experience and actual quality outcomes.
The results of this study reinforce the inclusion of patient experience in Medicare's Value Based Purchasing program as a matter of good public policy.
通过医院医疗服务提供者与系统消费者评估（HCAHPS）衡量患者体验，通过30天再入院率衡量实际医疗质量，测试二者之间的关系。
HCAHPS数据以及向医疗保险和医疗补助服务中心（CMS）报告的结果数据。
这项二级全国性（N = 4060）医院层面的研究仅聚焦于急症医院。HCAHPS问题22“您会向您的朋友和家人推荐这家医院吗？”用于确定总体满意度水平，向CMS报告的30天再入院率用作实际医疗质量的替代指标。
发现患者体验与实际质量结果之间存在统计学上的显著关系。
本研究结果强化了将患者体验纳入医疗保险基于价值的采购计划，这是一项良好的公共政策。
