Orthopedics. 2020 Nov 1;43(6):373-379. doi: 10.3928/01477447-20200910-02. Epub 2020 Sep 22.
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a metric for patient satisfaction consisting of 19 questions divided into 10 domains. Scores affect hospital reimbursements and accreditation and may play a role in patient outcomes. It is unclear how length of stay and other factors affect each of the 10 domains. This retrospective review gathered data of 600 patients between December 2008 and January 2017 who completed the HCAHPS survey. The odds of complete satisfaction in each of the 10 domains was evaluated. The results suggest increased length of stay is associated with lower odds of patient satisfaction and decreased likelihood of recommending the hospital. The odds of being completely satisfied regarding communication with physicians, discharge information, and responsiveness of the hospital staff, as well as the odds of recommending the hospital to others, were lower if the care provider was younger than the patient. Obese patients were also more likely to be satisfied with responsiveness and care transition. Male patients were more satisfied with communication about medications (odds ratio [OR], 1.694), care transition (OR, 1.489), and cleanliness (OR, 2.120). Medicare and fewer consults were related to increased odds of patient satisfaction with care transition (OR, 1.748 and 0.573, respectively). Males, older patients, and White patients were more likely to recommend the hospital (OR, 1.476, 1.025, and 1.690, respectively). Length of stay affects patient satisfaction and likelihood of recommending the hospital to others. Other factors such as a younger provider age than the patient, lower body mass index, female sex, non-Medicare insurance, and higher number of consults are also associated with lower satisfaction in various domains. Hospital systems can bolster patient satisfaction by strategizing day-of-surgery and weekend staffing to reduce length of stay. [Orthopedics. 2020;43(6):373-379.].
医院患者医疗保健提供者和系统评估（HCAHPS）是一个患者满意度指标，由 19 个问题组成，分为 10 个领域。评分会影响医院的报销和认证，并可能影响患者的治疗结果。目前尚不清楚住院时间长短和其他因素如何影响这 10 个领域中的每一个。本回顾性研究收集了 2008 年 12 月至 2017 年 1 月期间完成 HCAHPS 调查的 600 名患者的数据。评估了每个领域中完全满意的可能性。结果表明，住院时间延长与患者满意度降低以及医院推荐率下降有关。如果医疗服务提供者比患者年轻，那么对医生沟通、出院信息和医院工作人员反应能力以及向他人推荐医院的完全满意的可能性就会降低。肥胖患者对反应能力和护理过渡也更满意。男性患者对药物沟通（优势比[OR]，1.694）、护理过渡（OR，1.489）和清洁（OR，2.120）的满意度更高。医疗保险和就诊次数减少与患者对护理过渡的满意度增加有关（OR 分别为 1.748 和 0.573）。男性、年龄较大的患者和白人患者更有可能推荐医院（OR 分别为 1.476、1.025 和 1.690）。住院时间会影响患者的满意度和向他人推荐医院的可能性。其他因素，如患者比医疗服务提供者年轻、较低的体重指数、女性、非医疗保险和就诊次数增加，也与各个领域的满意度降低有关。医院系统可以通过制定手术当天和周末的人员配备策略来减少住院时间，从而提高患者的满意度。[骨科。2020;43(6):373-379.]。
