Rodriguez-Homs Larissa G, Hammill Bradley G, Ryser Marc D, Phillips Harry R, Mosca Paul J
Duke University School of Medicine, Durham, NC, USA.
Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
J Patient Exp. 2020 Dec;7(6):1543-1548. doi: 10.1177/2374373520932458. Epub 2020 Jun 22.
Patient experience is an important dimension of health care quality and is assessed using the standard Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for inpatients. The HCAHPS scores may vary based on survey response rate and hospital size. The objective of this study was to describe the association between survey response rate and HCAHPS scores and examine whether the relationship varies based on hospital size. Medicare's Hospital Compare publicly reported HCAHPS data were used. Pearson correlation, controlling for number of staffed beds, and linear regression models were used for the analysis. Hospitals were grouped into quartiles based on number of staffed beds to delineate the effect of increasing hospital size on the relationship between survey response rate and HCAHPS scores. A significant association between HCAHPS survey response rate and all examined HCAHPS domain scores was observed. The effect size across HCAHPS domains varied based on hospital size. The relationship between HCAHPS score and survey response rate differed significantly between hospitals in the smallest and largest size quartiles for discharge information, nurse communication, and hospital quietness. While a causal relationship cannot be inferred from this study, the response rate could be a direct and/or indirect driver of HCAHPS scores. Future research should be aimed to further explore the basis of this relationship and to determine how it may inform the interpretation of HCAHPS results.
患者体验是医疗质量的一个重要维度，通过针对住院患者的标准医院医疗服务提供者及系统消费者评估（HCAHPS）调查来进行评估。HCAHPS得分可能会因调查回复率和医院规模而有所不同。本研究的目的是描述调查回复率与HCAHPS得分之间的关联，并检验这种关系是否因医院规模而异。使用了医疗保险的医院比较公开报告的HCAHPS数据。分析采用了控制床位数量的皮尔逊相关性分析和线性回归模型。根据床位数量将医院分为四分位数，以描述医院规模增加对调查回复率与HCAHPS得分之间关系的影响。观察到HCAHPS调查回复率与所有检查的HCAHPS领域得分之间存在显著关联。HCAHPS各领域的效应大小因医院规模而异。在出院信息、护士沟通和医院安静程度方面，最小规模和最大规模四分位数的医院之间，HCAHPS得分与调查回复率的关系存在显著差异。虽然本研究无法推断出因果关系，但回复率可能是HCAHPS得分的直接和/或间接驱动因素。未来的研究应旨在进一步探索这种关系的基础，并确定它如何为HCAHPS结果的解释提供信息。
