Relationship between patient experience and hospital readmission: system-level survey with deterministic data linkage method.
Background: Linkage of public healthcare data provides powerful resources for studying from a comprehensive view of quality of care than information for a single administrative database. It is believed that positive patient experiences reflect good quality of health care and may reduce patient readm...
| Published in: | BMC Medical Research Methodology Vol. 22; no. 1; pp. 1 - 11 |
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| Main Authors: | , , , , |
| Format: | research Journal Article |
| Published: |
BioMed Central
7/21/2022
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=158111703&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 158111703 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14712288 1CI1 jtl: BMC Medical Research Methodology issn: 14712288 maglogo: N pubinfo: dt: 7/21/2022 vid: 22 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 158111703 158111703 NLM35864472 158111703 10.1186/s12874-022-01677-8 NLM35864472 158111703 ppf: 1 ppct: 10 formats: tig: atl: Relationship between patient experience and hospital readmission: system-level survey with deterministic data linkage method. aug: au: Wong, Eliza Lai-Yi Poon, Chin-Man Cheung, Annie Wai-Ling Chen, Frank Youhua Yeoh, Eng-Kiong affil: Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China sug: subj: Hospitalization Readmission Outcome Assessment Patient Discharge Information Retrieval Scales Ferrans and Powers Quality of Life Index ab: Background: Linkage of public healthcare data provides powerful resources for studying from a comprehensive view of quality of care than information for a single administrative database. It is believed that positive patient experiences reflect good quality of health care and may reduce patient readmission. This study aimed to determine the relationship between patient experience and hospital readmission at a system level by linking anonymous experience survey data with de-identified longitudinal hospital administrative admissions data.Methods: Data were obtained by linking two datasets with anonymised individual-level records from seven largest-scale acute public hospitals over seven geographical clusters in Hong Kong. Selected records in the two datasets involving patient experience survey (PES) (2013 survey dataset) and healthcare utilization (admissions dataset) were used. Following data cleaning and standardization, a deterministic data linkage algorithm was used to identify pairs of records uniquely matched for a list of identifiers (10 selected variables) between two datasets. If patient's record from the survey dataset matched with the hospitalization records in the admissions dataset, they were included in the subsequent analyses. Bivariate analyses and multivariable logistic regression models were performed to evaluate the associations between hospital readmission in the next calendar month and patient experience.Results: The overall matching rate was 62.1% (1746/2811) for PES participants aged 45 or above from the survey dataset. The average score for overall inpatient experience was 8.10 (SD = 1.53). There was no significant difference between matched patients and unmatched patients in terms of their score for the perception of overall quality of care received during hospitalization (X2 = 6.931, p-value = 0.14) and score for overall inpatient experience (X2 = 7.853, p-value = 0.25). In the multivariable model, readmission through the outpatient department (planned admission) in the next calendar month was significantly associated with a higher score given to the overall quality of care received (adjusted OR = 1.54, 95%CI = 1.09-2.17), while such association was absent for readmission through Accident and Emergency department (adjusted OR = 0.75, 95%CI = 0.50-1.12).Conclusions: This study demonstrated the feasibility of routine record linkage, with the limited intrusion of patients' confidentiality, for evaluating health care quality. It also highlights the significant association between readmission through planned readmission and a higher score for overall quality of care received. A possible explanation might be the perceived better co-ordination between outpatient departments and inpatient service and the well-informed discharge plan given to this group of patients. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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