From: Is the impact of hospital performance data greater in patients who have compared hospitals?
Information on hospital | Levels | All patients (n = 337) RI [95%CI] | Patients who have compared hospitals (n = 71) RI [95%CI] | Patients who have not compared hospitals (n = 266) RI [95%CI] | Univariate test of difference β [95% CI] |
---|---|---|---|---|---|
Report card grade regarding physician's expertise | 6.9 vs. 7.7 vs.8.6 | 17.29 [15.22-19.35] | 20.17 [15.57-24.77] | 16.52 [14.20-18.83] | 3.65 [-1.40-8.71] |
Waiting time for outpatient clinic appointment | 1 week vs. 4 weeks vs. 7 weeks | 15.46 [13.40-17.53] | 15.12 [10.66-19.59] | 15.55 [13.21-17.90] | -0.43 [-5.51-4.65] |
Waiting time for surgery | 1 week vs. 3 weeks vs. 5 weeks | 7.83 [6.63-9.04] | 6.97 [4.44-9.49] | 8.06 [6.69-9.44] | 1.10 [-4.05-1.86] |
Positive judgment regarding physicians communication | 49% vs. 58% vs. 68% | 7.70 [6.67-8.73] | 7.40 [5.31-9.49] | 7.79 [6.60-8.97] | -0.38 [-2.91-2.14] |
Surgery with textbook outcome | 72% vs. 81% vs. 90% | 4.23 [3.32-5.15] | 5.73 [3.64-7.82] | 3.83 [2.81-4.85] | 1.90 [-0.35-4.14] |
Attention to pain management | 10% vs. 55% vs.100% | 3.66 [2.74-4.58] | 2.87 [1.03-4.72] | 3.87 [2.81-4.93] | -1.00 [-3.25-1.26] |
Positive judgment regarding treatment explanation | 52% vs. 63% vs. 71% | 3.63 [2.95-4.31] | 3.51 [2.32-4.70] | 3.66 [2.86-4.47] | -0.15 [-1.82-1.53] |
Distance to hospital | 5 km vs. 10 km vs. 20 km | 3.59 [2.76-4.43] | 1.91[0.73-3.09] | 4.04 [3.03-5.05] | -2.13 [-4.17;-0.09] |
Type of hospital | academic or non-academic hospital | 3.30 [2.53-4.07] | 3.30 [1.96-4.64] | 3.30 [2.39-4.21] | 0.00 [-0.189-1.89] |
Positive judgment regarding nurses' communication | 43% vs. 54% vs. 66% | 2.66 [2.13-3.18] | 2.18 [1.12-3.24] | 2.78 [2.18-3.39] | -0.60 [-1.89-0.69] |
Sufficient privacy and ability to participate in decisions | 32% vs. 39% vs. 46% | 2.56 [2.05-3.07] | 1.76 [0.94-2.58] | 2.78 [2.17-3.38] | -1.02 [-2.26-0.23] |
Complications | 6% vs. 14% vs. 23% | 2.56 [1.76-3.36] | 2.38 [1.03-3.72] | 2.61 [1.66-3.56] | -0.23 [-2.19-1.73] |
Travel time to hospital | 10 min vs. 20 min vs.30 min | 2.40 [1.86-2.95] | 1.89 [0.43-3.34] | 2.54 [1.97-3.12] | -0.66 [-1.99-0.68] |
Report card grade regarding the care provided by physicians | 7.7 vs. 8.1 vs.8.6 | 2.38 [1.92-2.85] | 2.39 [1.53-3.24] | 2.38 [1.84-2.93] | 0.00 [-1.14-1.15] |
Report card grade regarding the quality of the care | 6.6 vs. 7.5 vs. 8.4 | 2.07 [1.62-2.52] | 2.65 [1.64-3.65] | 1.91 [1.41-2.42] | 0.74 [-0.38-1.84] |
Overall report card grade hospital | 7.3 vs. 7.9 vs. 8.5 | 1.74 [1.32 -2.16] | 1.34 [0.68-2.00] | 1.85 [1.35-2.35] | -0.51 [-1.53-0.51] |
Percentage of patients who would recommend the hospital | 29% vs. 51% vs.74% | 1.49 [1.02 -1.95] | 1.71 [0.52-2.89] | 1.43 [0.92-1.93] | 0.28 [-0.86-1.43] |
Report card grade regarding the care provided by nurses | 7.6 vs. 8.0 vs. 8.5 | 1.44 [1.10-1.78] | 1.22 [0.56-1.88] | 1.50 [1.11-1.90] | -0.28 [-1.12-0.55] |
Positive judgment regarding pain management | 49% vs. 61% vs. 74% | 1.25 [0.82-1.68] | 1.59 [0.40-2.79] | 1.16 [0.71-1.60] | 0.44 [-0.61-1.49] |
No problems with coordination between health care providers | 75% vs. 84% vs. 94% | 1.17 [0.81-1.52] | 0.84 [0.26-1.43] | 1.26 [0.83-1.68] | -0.41 [-1.28-0.46] |
Positive judgment regarding medication explanation | 31% vs. 48% vs. 66% | 1.15 [0.76-1.54] | 0.71 [0.14-1.28] | 1.27 [0.80-1.74] | -0.56 [-1.52-0.39] |
Report card grade regarding information provision to the patient | 6.4 vs. 7.0 vs.7.7 | 1.00 [0.71-1.29] | 1.53 [0.79-2.28] | 0.86 [0.55-1.17] | 0.67 [-0.04-1.38] |
Positive judgment regarding patient safety | 48% vs. 57% vs. 66% | 0.99 [0.63-1.36] | 0.91 [0.25-1.56] | 1.02 [0.59-1.45] | -0.11 [-1.01-0.79] |
Positive judgment regarding personal treatment and reception by professionals | 92% vs. 95% vs.99% | 0.82 [0.57-1.08] | 1.09 [0.45-1.73] | 0.75 [0.48-1.03] | 0.33 [-0.29-0.96] |
Report card grade regarding reception when admitted | 7.3 vs.7.8 vs. 8.3 | 0.82 [0.57-1.08] | 0.36 [0.03-0.68] | 0.31 [0.14-0.48] | 0.05 [-0.32-0.42] |
Positive judgment regarding the hospital room and food | 37% vs. 49% vs.61% | 0.74 [0.43-1.04] | 0.52 [0.06-0.99] | 0.79 [0.42-1.17] | -0.27 [-1.03-0.49] |
Positive judgment regarding the content of the interview at admission | 57% vs.64% vs.71% | 0.69 [0.45-0.94] | 0.69 [0.21-1.16] | 0.69 [0.41-0.98] | -0.01 [-0.61-0.60] |
No problems with hospital accessibility | 48% vs. 71% vs. 94% | 0.66 [0.38-0.94] | 0.41 [0.02-0.79] | 0.72 [0.38-1.07] | -0.32 [-1.01-0.37] |
Mean duration of hospital admission | 5 days vs. 7 days vs. 9 days | 0.66 [0.39-0.93] | 0.37 [0.03-0.71] | 0.73 [0.40-1.06] | -0.36 [-1.03-0.30] |
Admission in daycare | 15% vs. 29% vs. 43% | 0.64 [0.40-0.89] | 0.61 [-0.02-1.22] | 0.65 [0.39-0.92] | -0.04 [-0.64-0.55] |
Report card grade regarding respect for patients | 6.8 vs. 7.5 vs. .8.2 | 0.58 [0.31-0.85] | 1.19 [0.11-2.27] | 0.42 [0.24-0.61] | 0.77 [0.11-1.42] |
Availability of electronic patient data | Score 6 vs. Score 8 vs. Score 10 | 0.55 [0.27-0.83] | 0.45 [-0.22-1.13] | 0.57 [0.26-0.88] | -0.12 [-0.80-0.57] |
Report card grade regarding the quality of discharge and after care | 6.1 vs. 6.9 vs. 7.8 | 0.50 [0.26-0.74] | 0.85 [0.12-1.58] | 0.41 [0.17-0.65] | 0.44 [-0.15-1.03] |
Wound infections | 1% vs. 2% vs. 4% | 0.42 [0.23-0.61] | 0.90 [0.28-1.52] | 0.30 [0.12-0.47] | 0.61 [0.14-1.07] |
Re-operation or readmission | 6% vs. 9% vs.12% | 0.39 [0.15-0.63] | 0.85 [0.15-1.54] | 0.27 [0.02-0.52] | 0.58 [-0.20-1.17] |
Size of hospital (number of beds) | 150 vs. 500 vs. 1000 beds | 0.31 [0.14-0.49] | 0.37 [-0.03-0.76] | -0.30 [0.10-0.50] | 0.07 [-0.37-0.50] |
Death during admission | 0.5% vs. 1% vs. 2% | 0.31 [0.12-0.50] | 0.67 [0.11-1.22] | 0.22 [0.03-0.41] | 0.45 [-0.20-0.91] |
Cancelled surgeries within 24 hours before the scheduled date | 0.5% vs. 3% vs. 6% | 0.28 [0.11-0.44] | 0.00 [0.00-0.00] | 0.35 [0.14-0.56] | -0.35 [-0.76-0.06] |
Positive judgment regarding information during hospital discharge | 67% vs. 76% vs. 85% | 0.27 [0.15-0.39] | 0.13 [-0.08-0.29] | 0.31 [0.16-0.46] | -0.18 [-0.48-0.12] |
Access to information on medication use at the outpatient clinic | 0% vs. 50% vs. 100% | 0.18 [0.04-0.31] | 0.41 [-0.08-0.91] | 0.12 [0.01-0.22] | 0.30 [-0.03-0.63] |
Pressure sores | 1% vs. 6% vs. 11% | 0.10 [-0.01-0.21] | 0.07 [-0.07-0.20] | 0.11 [-0.02-0.24] | -0.04 [-0.30-0.22] |
 |  | Model fit: Root Likely Hood: 0.617 |  |  |  |