Improving Response Rates and Representation of Hard-to-Reach Groups in Family Experience Surveys.
Most US hospitals conduct patient experience surveys by mail or telephone after discharge to assess patient/family centeredness of care. Pediatric response rates are usually very low, especially for black, Latino, and low-income respondents. We investigated whether day of discharge surveying using t...
| Publicado en: | Academic Pediatrics Vol. 19; no. 4; pp. 446 - 454 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
May2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136154821&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 136154821 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18762859 8NBK jtl: Academic Pediatrics issn: 18762859 maglogo: N pubinfo: dt: May2019 vid: 19 iid: 4 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 136154821 136154821 136154821 10.1016/j.acap.2018.07.007 136154821 ppf: 446 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Improving Response Rates and Representation of Hard-to-Reach Groups in Family Experience Surveys. aug: au: Quinn, Jessica Klein, David J. Wagner, Stephanie Thomson, Cassandra Wu, Melody Onorato, Sarah Toomey, Sara L. Schuster, Mark A. Elliott, Marc N. Zaslavsky, Alan M. affil: Division of General Pediatrics, Department of Medicine (SL Toomey, J Quinn, DJ Klein, S Wagner, C Thomson, MWu, S Onorato, and MA Schuster), Boston Children's Hospital sug: subj: Pediatric Care Patient Discharge Information Technology Utilization Family Attitudes Quality of Health Care Human Hospitals, Pediatric United States Quasi-Experimental Studies United States Descriptive Statistics Quality Improvement Surveys Computers, Hand-Held World Wide Web Patient Attitudes Outcome Assessment Attitude to Computers ab: Most US hospitals conduct patient experience surveys by mail or telephone after discharge to assess patient/family centeredness of care. Pediatric response rates are usually very low, especially for black, Latino, and low-income respondents. We investigated whether day of discharge surveying using tablets improves response rates and respondent representativeness. This was a quasi-experimental study of parents of patients discharged from 4 units of a children's hospital. Parents were assigned to receive the Child Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) via an audio-enabled tablet before discharge or via mail at approximately 1 week postdischarge. Intervention and control conditions alternated by week. We compared response rates, child/respondent characteristics, and mean top-box scores between tablet and mail only arms. Administering Child HCAHPS on a tablet was administratively feasible and did not interfere with the discharge process (median completion time, 12.4 minutes). The response rate was 71.1% (424 of 596) for tablet versus 16.3% (96 of 588) for mail only. Although the tablet response rate was higher in every subgroup, tablet respondents were more likely to be fathers (20.4% vs 6.4%; P =.006), more likely to have a high school education or less (17.5% vs 8.4%; P =.002), less likely to be white (56.8% vs 71.9%; P =.006), and more likely to be publicly insured (31.4% vs 19.8%; P =.02). Tablet scores were significantly higher than mail only scores for 3 of 17 measures. The response rate for day of discharge tablet survey administration was >4-fold higher than with single-wave mail-only administration, with greater participation of hard-to-reach groups. These findings suggest tablet administration before discharge shows great promise for real-time feedback and QI and may transform the field of inpatient survey administration. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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