Are HCAHPS Scores Higher for Private vs Double-Occupancy Inpatient Rooms in Total Joint Arthroplasty Patients?
| Autor: | Joan Kelly, Lorraine Hutzler, Joseph A. Bosco, James D. Slover, Matthew R. Boylan |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Joint arthroplasty Arthroplasty Replacement Hip Health Personnel medicine.medical_treatment Arthroplasty 03 medical and health sciences 0302 clinical medicine Patients' Rooms Patient experience medicine Humans Orthopedics and Sports Medicine In patient Arthroplasty Replacement Knee Reimbursement Retrospective Studies Inpatients 030222 orthopedics business.industry Retrospective cohort study Odds ratio Hospitals Patient Satisfaction Emergency medicine business Healthcare providers |
| Zdroj: | The Journal of Arthroplasty. 34:408-411 |
| ISSN: | 0883-5403 |
| DOI: | 10.1016/j.arth.2018.11.033 |
| Popis: | Private hospital rooms have a number of potential advantages compared to shared rooms, including reduced noise and increased control over the hospital environment. However, the association of room type with patient experience metrics in total joint arthroplasty (TJA) patients is currently unclear.For private versus shared rooms, we compared our institutional Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores in patients who underwent primary TJA over a 2-year period. Regression model odds ratios (ORs) were adjusted for surgeon, date of surgery, and length of stay.Patients in private rooms were more likely to report a top-box score for overall hospital rating (85.6% vs 79.4%, OR = 1.53, P = .011), hospital recommendation (89.3% vs 83.0%, OR = 1.78, P = .002), call button help (76.0% vs 68.7%, OR = 1.40, P = .028), and quietness (70.4% vs 59.0%, OR = 1.78, P.001). There were no significant differences on surgeon metrics including listening (P = .225), explanations (P = .066), or treatment with courtesy and respect (P = .396).For patients undergoing TJA, private hospital rooms were associated with superior performance on patient experience metrics. This association appears specific for global and hospital-related metrics, with little impact on surgeon evaluations. With the utilization of HCAHPS data in value-based initiatives, placement of TJA patients in private rooms may lead to increased reimbursement and higher hospital rankings.Level III, retrospective cohort. |
| Databáze: | OpenAIRE |
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