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Patient-centred medicine
Research
Impact of patient characteristics on the Canadian Patient Experiences Survey–Inpatient Care: survey analysis from an academic tertiary care centre
  1. Fraser D Rubens1,
  2. Diana M Rothwell2,
  3. Amal Al Zayadi2,
  4. Sudhir Sundaresan1,
  5. Tim Ramsay2,
  6. Alan Forster2,3
  1. 1 Department of Surgery, University of Ottawa, Ottawa, Ontario, Canada
  2. 2 Clinical Epidemiology, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
  3. 3 Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada
  1. Correspondence to Dr Fraser D Rubens; frubens{at}ottawaheart.ca

Abstract

Objective To determine the role of patient demographics, care domains and self-perceived health status in the analysis and interpretation of results from the Canadian Patient Experience Survey–Inpatient Care.

Design Cross-sectional survey.

Setting Single large Canadian two campus tertiary care academic centre.

Participants Random sampling of hospital patients postdischarge.

Intervention and main outcome measures Logistic regression models were developed to analyse topbox scoring on four questions of global care (rate experience, recommend hospital, rate hospital, overall helped). Means of each composite domain were correlated to the four overall scores at the patient level to determine Spearman’s rank correlation coefficients which were plotted against the overall (hospital) domain score for the key driver analysis.

Results Topbox scoring was decreased with worse degrees of perceived physical and mental health in all four global questions (p<0.05). Female gender and higher levels of education were associated with worse scoring on rate experience, recommend hospital and rate hospital (p<0.001). Whereas there was a significant difference between hospital departments in unadjusted measures, these differences were no longer evident after adjustment with patient covariates. Key driver analysis identified person-centred care, care transition and the domain related to emergency admission as areas of highest potential for improvement.

Conclusions Global measures of overall care are influenced by patient-perceived physical and mental health. Caution should be exercised in using patient-satisfaction surveys to compare performance between different healthcare provision entities, as apparent differences could be explained by variation in patient mix rather than variation in performance.

  • patient experience
  • organisation of health services
  • patient experience

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjopen-2018-021575

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    Footnotes

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Not required.

    • Ethics approval The protocol was reviewed and approved by the Ottawa Health Science Network – Research Ethics Board.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data sharing statement There are no additional unpublished data from this study. The study data are partially deanonymised, and therefore, it is kept on a secure server at the Ottawa Hospital.

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