Kemp Kyle A, Norris Colleen M, Steele Brian, Fairie Paul, Santana Maria J
Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Patient Engagement Platform, Alberta Strategy for Patient-Oriented Research (SPOR), Calgary, Alberta, Canada.
CJC Open. 2021 Aug 26;3(12 Suppl):S36-S43. doi: 10.1016/j.cjco.2021.08.011. eCollection 2021 Dec.
Women with heart disease experience disparities in the diagnosis, treatment, and management of their condition. However, it is unknown whether these sex differences exist with respect to in-hospital patient experience. We examined the comprehensive experience of patients hospitalized due to ischemic heart disease (IHD) across Alberta, Canada, according to sex.
Patients completed a modified version of the Canadian Patient Experiences Survey-Inpatient Care (CPES-IC) within 6 weeks of discharge. We examined 37 questions, including 33 regarding specific care processes and 4 global rating scales. Survey responses were reported as raw "top-box" percentages, that is, the most-positive answer choice to each question. Odds and corresponding 95% confidence intervals of women reporting a top-box response were then calculated for each question, while controlling for demographic and clinical factors.
From April 2014 to March 2020, a total of 5795 surveys (1612 women, 4183 men) were completed. Taking the survey margin of error into account, women had lower top-box percentages on 26 of 37 questions. Similar results were obtained for the adjusted odds of reporting a top-box response. Women did not have a higher percentage of top-box responses on any of the questions studied.
This study is a Canadian first, which stratified the experiences of hospitalized patients living with ischemic heart disease according to sex. Our results highlighted important sex differences. Future research to understand the mechanisms associated with these observed sex differences in patient-reported experiences is warranted.
患有心脏病的女性在疾病的诊断、治疗和管理方面存在差异。然而，关于住院患者体验方面是否存在这些性别差异尚不清楚。我们根据性别对加拿大艾伯塔省因缺血性心脏病（IHD）住院的患者的综合体验进行了研究。
患者在出院后6周内完成了加拿大患者体验调查 - 住院护理（CPES - IC）的修改版。我们研究了37个问题，包括33个关于特定护理流程的问题和4个总体评分量表。调查回复以原始的“最高等级”百分比形式报告，即对每个问题最积极的答案选项。然后，在控制人口统计学和临床因素的同时，计算每个问题中报告最高等级回复的女性的优势比及相应的95%置信区间。
2014年4月至2020年3月，共完成了5795份调查（女性1612人，男性4183人）。考虑到调查误差范围，在37个问题中的26个问题上，女性的最高等级百分比更低。对于报告最高等级回复的调整后优势比，也得到了类似结果。在所研究的任何问题上，女性的最高等级回复百分比都没有更高。
本研究在加拿大尚属首次，它根据性别对缺血性心脏病住院患者的体验进行了分层。我们的结果突出了重要的性别差异。未来有必要开展研究以了解这些在患者报告体验中观察到的性别差异背后的机制。
