title: Drivers of Inpatient Hospital Experience Using the HCAHPS Survey in a Canadian Setting.
abstract: OBJECTIVE
  To identify factors associated with patients' overall rating of inpatient hospital care.
  
  
  METHODS
  Two years of patient interview data (April 1, 2011 to March 31, 2013), linked to inpatient administrative records.
  
  
  METHODS
  Patients rated their overall health on a scale of 0 (worst care) to 10 (best care) using the HCAHPS instrument administered via telephone, up to 42 days postdischarge. Logistic regression was used to generate odds ratios for each independent predictor.
  
  
  METHODS
  HCAHPS data were linked to inpatient records based on health care numbers and dates of service. The outcome (overall health experience) was collapsed into two groups (10 vs. 0-9).
  
  
  RESULTS
  Overall hospital experience of 0-9 was associated with younger age, male gender, higher level of education, being born in Canada, urgent admission, not having a family practitioner as the most responsible provider service, and not being discharged home. A length of stay of less than 3 days was protective. The c-statistic for the multivariate model was 0.635.
  
  
  CONCLUSIONS
  Our results are novel in the Canadian population. Several questions for future research have been generated, in addition to opportunities for quality improvement within our own organization.
authors.affiliation: Survey and Evaluation Services, Alberta Health Services, Calgary, Alberta, Canada.
authors.forename: Kyle A
authors.initials: KA
authors.lastname: Kemp
authors.affiliation: Survey and Evaluation Services, Alberta Health Services, Calgary, Alberta, Canada.
authors.forename: Nancy
authors.initials: N
authors.lastname: Chan
authors.affiliation: Survey and Evaluation Services, Alberta Health Services, Calgary, Alberta, Canada.
authors.forename: Brandi
authors.initials: B
authors.lastname: McCormack
authors.affiliation: Survey and Evaluation Services, Alberta Health Services, Calgary, Alberta, Canada.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Douglas-England
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000416:Alberta; D005260:Female; D006304:Health Status; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D010351:Patient Discharge / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D058996:Quality Improvement; D012189:Retrospective Studies; D012737:Sex Factors; D012959:Socioeconomic Factors; D055815:Young Adult
keywords: HCAHPS; Patient experience; inpatient