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首页> 外文期刊>Health services management research: an official journal of the Association of University Programs in Health Administration >Do patient, hospital, and community characteristics predict variations in overall inpatient experience scores? A multilevel analysis of hospitals in California
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Do patient, hospital, and community characteristics predict variations in overall inpatient experience scores? A multilevel analysis of hospitals in California

机译：做病人,医院和社区预测变化的总体特征住院经验得分?分析医院在加州

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摘要

The purpose of this cross-sectional study was to examine how patient, hospital, and community characteristics explain variations in overall inpatient experience with care. We used data from the Patients' Evaluations of Performance in California survey, the American Hospital Association annual hospital survey, and the Area Resource File. The sample consisted of 24,887 adult patients who received either medical or surgical inpatient care in 173 hospitals located in 46 California counties. A null hierarchical linear model for overall inpatient experience showed that 96.17%, 3.24%, and 0.59% of the variations were within hospitals, between hospitals, and between communities, respectively. Conditional models showed that patient characteristics (sex, age, education, health status, and service line) explained 10.95% of the within-hospital variations; hospital characteristics (teaching status, registered-nurse staffing intensity, and resources directed to patient care) explained 34.12% of the between-hospital variations; and community characteristics (hospital competition, teaching hospitals, per-capita income, and percentage of minority population) explained 99.33% of the between-community variations. These findings suggest that multilevel variations need to be considered when patient experiences are compared across hospitals. Larger future studies are needed to understand how patient experience with care may vary based on patient health-care provider communication across patient subgroups.
机译：这个横断面研究的目的检查病人,医院和社区解释的变化总体特征住院病人护理的经验。病人的评估的性能加州的调查中,美国医院协会年度医院调查,该地区资源文件。成年病人医疗或173年外科住院病人护理医院所在地在加州的46个县。线性模型整体住院的经历表明,96.17%,3.24%,和0.59%的之间的差异是在医院,医院和社区之间,分别。有条件的模型表明,耐心特征(性别、年龄、教育、健康状态和服务线)10.95%的解释within-hospital变化;特征(教学地位,注册护士人员强度资源直接病人护理)解释说里的34.12%的变化;社区特征(医院竞争,教学医院、人均收入和少数民族人口的比例)解释说不同社区变异的99.33%。研究结果表明,多级变化的需要时要考虑病人的经验而在医院。需要了解病人的经验吗基于病人医疗小心可能会有所不同供应商沟通在患者亚组。

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