Affiliation:
1. Department of Health Services Research, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht University , P.O. Box 616, Maastricht, Limburg 6200 MD, The Netherlands
2. Top Institute Evidence-Based Education Research (TIER), Maastricht University , P.O. Box 616, Maastricht, Limburg 6200 MD, The Netherlands
Abstract
Abstract
The association between patient experience and the quality of hospital care is controversial. We assess the association between clinical outcomes and patient-reported experience measures (PREMs) in hospitals in Saudi Arabia. Knowledge on this issue informs value-based health-care reforms. A retrospective observational study was conducted in 17 hospitals in Saudi Arabia during the period of 2019–22. Hospital data were collected on PREMs, mortality, readmission, length of stay (LOS), central line–associated bloodstream infection (CLABSI), catheter-associated urinary tract infection (CAUTI), and surgical site infection. Descriptive analysis was used to describe hospital characteristics. Spearman’s rho correlation tests were used to assess the correlation between these measures, and multivariate generalized linear mixed model regression analysis was used to study associations while controlling for hospital characteristics and year. Our analysis showed that PREMs were negatively correlated with hospital readmission rate (r = −0.332, P ≤ .01), LOS (r = −0.299, P ≤ .01), CLABSI (r = −0.297, P ≤ .01), CAUTI (r = −0.393, P ≤ .01), and surgical site infection (r = −0.298, P ≤ .01). The results indicated that CAUTI and LOS converged negatively with PREMs (β = −0.548, P = .005; β = −0.873, P = .008, respectively) and that larger hospitals tended to have better patient experience scores (β =0.009, P = .003). Our findings suggest that better performance in clinical outcomes is associated with higher PREM scores. PREMs are not a substitute or surrogate for clinical quality. Yet, PREMs are complementary to other objective measures of patient-reported outcomes, the process of care, and clinical outcomes.
Publisher
Oxford University Press (OUP)
Subject
Public Health, Environmental and Occupational Health,Health Policy,General Medicine
Reference30 articles.
1. What Is Patient Experience ?;Agency for Healthcare Research and Quality (AHRQ),2016
2. Patient-centered care and outcomes: a systematic review of the literature;Rathert;Med Care Res Rev,2013
3. What is value in health care?;Porter;N Engl J Med,2010
4. The triple aim: care, health, and cost;Berwick;Health Aff (Millwood),2008
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