Hospitalization from the patient perspective: A data linkage study of adults in Australia

Reema Harrison; Merrilyn Walton; Patrick Kelly; Elizabeth Manias; Christine Jorm; Jennifer Smith-Merry; Rick Iedema; Karen Luxford; Amalie Dyda

doi:10.1093/intqhc/mzy024

Hospitalization from the patient perspective: A data linkage study of adults in Australia

Reema Harrison^*, Merrilyn Walton, Patrick Kelly, Elizabeth Manias, Christine Jorm, Jennifer Smith-Merry, Rick Iedema, Karen Luxford, Amalie Dyda

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

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Abstract

Objective: Evidence of the patient experience of hospitalization is an essential component of health policy and service improvement but studies often lack a representative population sample or do not examine the influence of patient and hospital characteristics on experiences. We address these gaps by investigating the experiences of a large cohort of recently hospitalized patients aged 45 years and over in New South Wales (NSW), Australia who were identified using data linkage. Design: Cross-sectional survey. Setting: Hospitals in NSW, Australia. Participants: The Picker Patient Experience Survey (PPE-15) was administered to a random sample of 20 000 patients hospitalized between January and June 2014. Main outcome measure: Multivariable negative binomial regression was used to investigate factors associated with a higher PPE-15 score. Results: There was a 40% response rate (7661 completed surveys received). Respondents often reported a positive experience of being treated with dignity and respect, yet almost 40% wanted to be more involved in decisions about their care. Some respondents identified other problematic aspects of care such as receiving conflicting information from different care providers (18%) and feeling that doctors spoke in front of them as if they were not there (14%). Having an unplanned admission or having an adverse event were both very strongly associated with a poorer patient experience (P < 0.001). No other factors were found to be associated. Conclusions: Patient involvement in decision-making about care was highlighted as an important area for improvement. Further work is needed to address the challenges experienced by patients, carers and health professionals in achieving a genuine partnership model.

Original language	English
Pages (from-to)	358-365
Number of pages	8
Journal	International Journal for Quality in Health Care
Volume	30
Issue number	5
Early online date	1 Mar 2018
DOIs	https://doi.org/10.1093/intqhc/mzy024
Publication status	Published - Jun 2018

Keywords

Hospital patients
Patient experience
Patient surveys
Patient-centred care
Picker Patient Experience Survey

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Cite this

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abstract = "Objective: Evidence of the patient experience of hospitalization is an essential component of health policy and service improvement but studies often lack a representative population sample or do not examine the influence of patient and hospital characteristics on experiences. We address these gaps by investigating the experiences of a large cohort of recently hospitalized patients aged 45 years and over in New South Wales (NSW), Australia who were identified using data linkage. Design: Cross-sectional survey. Setting: Hospitals in NSW, Australia. Participants: The Picker Patient Experience Survey (PPE-15) was administered to a random sample of 20 000 patients hospitalized between January and June 2014. Main outcome measure: Multivariable negative binomial regression was used to investigate factors associated with a higher PPE-15 score. Results: There was a 40% response rate (7661 completed surveys received). Respondents often reported a positive experience of being treated with dignity and respect, yet almost 40% wanted to be more involved in decisions about their care. Some respondents identified other problematic aspects of care such as receiving conflicting information from different care providers (18%) and feeling that doctors spoke in front of them as if they were not there (14%). Having an unplanned admission or having an adverse event were both very strongly associated with a poorer patient experience (P < 0.001). No other factors were found to be associated. Conclusions: Patient involvement in decision-making about care was highlighted as an important area for improvement. Further work is needed to address the challenges experienced by patients, carers and health professionals in achieving a genuine partnership model.",

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Hospitalization from the patient perspective: A data linkage study of adults in Australia

Abstract

Keywords

UN SDGs

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