Effects of Survey Mode, Patient Mix, and Nonresponse on CAHPS<sup>®</sup> Hospital Survey Scores

Elliott, Marc N.; Zaslavsky, Alan M.; Goldstein, Elizabeth; Lehrman, William G.; Hambarsoomians, Katrin; Beckett, Megan K.; Giordano, Laura

doi:10.1111/j.1475-6773.2008.00914.x

Cited by 297 publications

(330 citation statements)

References 19 publications

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“…While it is possible that survey methodology could explain the differences between the groups, previous work has shown that mailed surveys tend to score lower, thus biasing our results towards a finding of lower dissatisfaction for children with SCD [15]. Likewise, the surveys were not conducted over identical time periods; however, as there were no significant changes in scores over time for the hospital survey, combining the years for the control groups should not have affected the comparisons and still allowed for more power in analyzing differences between the groups.…”

Section: Discussioncontrasting

confidence: 47%

Dissatisfaction with hospital care for children with sickle cell disease not due only to race and chronic disease

Brousseau

Mukonje

Brandow

et al. 2009

Pediatric Blood & Cancer

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BackgroundA previous study reported increased dissatisfaction with hospital care for children with sickle cell disease (SCD); however, its small size excluded determining whether race and chronic disease explained the difference.ProcedureAt hospital discharge, parents of children with SCD completed a survey assessing satisfaction with their child's hospital care. Results were compared to three years of satisfaction surveys for children with asthma or admitted to a general pediatrician's service collected as quality improvement for the hospital. The primary outcome was parent reported dissatisfaction with care. A chi‐square was used to compare dissatisfaction between SCD and each comparison group.ResultsParents of 639 children were included, 34 children with SCD, 124 with asthma, and 481 general pediatric patients. Parents of children with SCD were more often dissatisfied with their child's care compared to children with asthma (32.4% vs. 16.9%, P < 0.05) and general pediatric patients (32.4% vs. 14.6%, P < 0.05). Among all children, dissatisfaction was higher in families with minority children (21.1% vs. 12.6%); this difference did not exist among children with asthma. Among African‐American children, a higher proportion of parents of children with SCD believed their child was treated differently because of race than children with asthma (45.5% vs. 2.8%, P < 0.01) or general pediatric patients (45.5% vs. 8.3%, P < 0.01).ConclusionParents of children with SCD report increased dissatisfaction with care. While dissatisfaction was higher in minority families, the high rate of parental concern about race as a reason for families of children with SCD is not seen in African‐American families of children with asthma. Pediatr Blood Cancer 2009;53:174–178. © 2009 Wiley‐Liss, Inc.

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Section: Discussioncontrasting

confidence: 47%

Dissatisfaction with hospital care for children with sickle cell disease not due only to race and chronic disease

Brousseau

Mukonje

Brandow

et al. 2009

Pediatric Blood & Cancer

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“…In addition, HCAHPS analysis models adjust for possible nonresponse bias resulting from differential response rates across hospitals. 25 7. There are faster, cheaper, and more customized ways to survey patients than the standardized approaches mandated by federal accountability initiatives.…”

Section: Patient Experience Scores May Be Confounded By Factorsmentioning

confidence: 99%

Should Health Care Providers be Accountable for Patients’ Care Experiences?

Price

Elliott

Cleary³

et al. 2014

J GEN INTERN MED

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Measures of patients' care experiences are increasingly used as quality measures in accountability initiatives. As the prominence and financial impact of patient experience measures have increased, so too have concerns about the relevance and fairness of including them as indicators of health care quality. Using evidence from the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) surveys, the most widely used patient experience measures in the United States, we address seven common critiques of patient experience measures: (1) consumers do not have the expertise needed to evaluate care quality; (2) patient "satisfaction" is subjective and thus not valid or actionable; (3) increasing emphasis on improving patient experiences encourages health care providers and plans to fulfill patient desires, leading to care that is inappropriate, ineffective, and/or inefficient; (4) there is a trade-off between providing good patient experiences and providing high-quality clinical care; (5) patient scores cannot be fairly compared across health care providers or plans due to factors beyond providers' control; (6) response rates to patient experience surveys are low, or responses reflect only patients with extreme experiences; and (7) there are faster, cheaper, and more customized ways to survey patients than the standardized approaches mandated by federal accountability initiatives.

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“…[2][3][4][5] The item is also used as a case mix variable for patient experiences with care measures. 6 The Patient-Reported Outcomes Measurement Information System (PROMIS ® ) project was funded by the National Institutes of Health (NIH) in 2004 with the objective of developing, evaluating, and disseminating publicly available survey items assessing self-reported generic health (www.nihpromis. gov).…”

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confidence: 99%

U.S. General Population Estimate for “Excellent” to “Poor” Self-Rated Health Item

et al. 2015

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BACKGROUND:The most commonly used self-reported health question asks people to rate their general health from excellent to poor. This is one of the Patient-Reported Outcomes Measurement Information System (PROMIS) global health items. Four other items are used for scoring on the PROMIS global physical health scale. Because the single item is used on the majority of large national health surveys in the U.S., it is useful to construct scores that can be compared to U.S. general population norms. OBJECTIVE: To estimate the PROMIS global physical health scale score from the responses to the single excellent to poor self-rated health question for use in public health surveillance, research, and clinical assessment. DESIGN: A cross-sectional survey of 21,133 individuals, weighted to be representative of the U.S. general population. PARTICIPANTS: The PROMIS items were administered via a Web-based survey to 19,601 persons in a national panel and 1,532 subjects from PROMIS research sites. The average age of individuals in the sample was 53 years, 52 % were female, 80 % were non-Hispanic white, and 19 % had a high school degree or lower level of education. MAIN OUTCOME MEASURES: PROMIS global physical health scale. KEY RESULTS: The product-moment correlation of the single item with the PROMIS global physical health scale score was 0.81. The estimated scale score based on responses to the single item ranged from 29 (poor selfrated health, 2.1 SDs worse than the general population mean) to 62 (excellent self-rated health, 1.2 SDs better than the general population mean) on a T-score metric (mean of 50). CONCLUSIONS: This item can be used to estimate scores for the PROMIS global physical health scale for use in monitoring population health and achieving public health objectives. The item may also be used for individual assessment, but its reliability (0.52) is lower than that of the PROMIS global health scale (0.81).

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Effects of Survey Mode, Patient Mix, and Nonresponse on CAHPS^® Hospital Survey Scores

Cited by 297 publications

References 19 publications

Dissatisfaction with hospital care for children with sickle cell disease not due only to race and chronic disease

Dissatisfaction with hospital care for children with sickle cell disease not due only to race and chronic disease

Should Health Care Providers be Accountable for Patients’ Care Experiences?

U.S. General Population Estimate for “Excellent” to “Poor” Self-Rated Health Item

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Effects of Survey Mode, Patient Mix, and Nonresponse on CAHPS® Hospital Survey Scores

Cited by 297 publications

References 19 publications

Dissatisfaction with hospital care for children with sickle cell disease not due only to race and chronic disease

Dissatisfaction with hospital care for children with sickle cell disease not due only to race and chronic disease

Should Health Care Providers be Accountable for Patients’ Care Experiences?

U.S. General Population Estimate for “Excellent” to “Poor” Self-Rated Health Item

Contact Info

Product

Resources

About

Effects of Survey Mode, Patient Mix, and Nonresponse on CAHPS^® Hospital Survey Scores