Abstract
Background
The Canadian Patient Experience Survey—Inpatient Care is a validated measure for adult
inpatient experience. Linking surveys with administrative data can examine the experience
of patients in specific demographic or clinical groups.
Methods
We examined survey responses obtained over a 4-year period from patients who underwent
coronary artery bypass graft and/or valve replacement in Alberta. The 56-question
telephone survey was administered within 6 weeks of discharge. Surveys were linked
with administrative records to identify the Canadian Classification of Intervention
procedure codes, which were in scope. Responses to each question were reported as
percentage in “top box,” where “top box” represents the most positive answer choice
(eg, “always” and “yes”).
Results
From April 2014 to March 2018, 1082 surveys were completed by patients who underwent
coronary artery bypass graft and/or valve replacement. Respondents were predominantly
male (73.8%), with a mean age of 64.7 ± 11.9 years. Overall, 73.3% of respondents
rated their hospital care as 9 or 10 out of 10 (best), and 86.2% would “definitely
recommend” the hospital to friends/family members. Top performing questions pertained
to having a discussion about help needed after discharge (96.6% responding “yes”)
and receiving written discharge information (93.2% responding “yes”). Lack of quietness
of the hospital environment at night (34.8% responding “always”) and lack of staff
sufficiently describing side effects of new medications (44.9% responding “always”)
were identified as potential areas for improvement.
Conclusions
Our results provide patient-reported experiences about inpatient cardiac care in Alberta
hospitals. The findings could inform quality improvement initiatives that are patient-centred.
Résumé
Introduction
Le Sondage sur les expériences d’hospitalisation des patients canadiens est un outil
valide de mesure de l’expérience des patients adultes hospitalisés. Le couplage des
sondages aux données administratives peut permettre d’examiner l’expérience des patients
de groupes démographiques ou cliniques particuliers.
Méthodes
Nous avons examiné les réponses obtenues au sondage sur une période de 4 ans auprès
de patients qui avaient subi un pontage aortocoronarien ou un remplacement valvulaire,
ou les deux, en Alberta. Nous avons fait passer un sondage téléphonique de 56 questions
dans les 6 semaines après la sortie de l’hôpital. Les sondages ont été couplés aux
dossiers administratifs pour trouver les codes d’interventions de la Classification
canadienne des interventions en santé, qui en faisaient partie. Les réponses à chacune
des questions étaient exprimées en pourcentage dans la « catégorie supérieure », c’est-à-dire
que la « catégorie supérieure » représente le choix le plus positif de réponse (par
exemple « toujours » et « oui »).
Résultats
D’avril 2014 à mars 2018, les patients qui avaient subi un pontage aortocoronarien
ou un remplacement valvulaire, ou les deux, ont rempli 1082 sondages. Les répondants
étaient surtout des hommes (73,8 %), dont l’âge moyen était de 64,7 ± 11,9 ans. Dans
l’ensemble, 73,3 % des répondants ont accordé à leurs soins hospitaliers une cote
de 9 ou de 10 sur 10 (la plus élevée), et 86,2 % « recommanderaient certainement »
l’hôpital à leurs amis et aux membres de leur famille. Les questions qui ont eu la
meilleure cote concernaient le fait d’avoir une discussion sur l’aide nécessaire après
la sortie de l’hôpital (96,6 % ont répondu « oui ») et de recevoir des renseignements
écrits à la sortie de l’hôpital (93,2 % ont répondu « oui »). Le manque de tranquillité
de l’environnement hospitalier durant la nuit (34,8 % ont répondu « toujours ») et
le manque de personnel pour décrire adéquatement les effets secondaires des nouveaux
médicaments (44,9 % ont répondu « toujours ») ont été considérés comme les points
à améliorer.
Conclusions
Nos résultats fournissent les expériences rapportées par les patients sur les soins
en cardiologie aux patients hospitalisés dans les hôpitaux de l’Alberta. Les résultats
pourraient influencer les initiatives sur l’amélioration de la qualité de manière
à ce qu’elles soient axées sur le patient.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Canadian Journal of CardiologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Crossing the Quality Chasm: A New Health System for the 21st Century.National Academies Press, Washington, DC2001
- Care is for patients—and their families.(Available at:)https://catalyst.nejm.org/care-is-for-patients-and-their-families/Date accessed: December 30, 2018
- What is person-centered care and why is it important?.(Available at:)
- Instruments to measure patient experience of healthcare quality in hospitals: a systematic review.Syst Rev. 2015; 4: 97
- Evidence scan: measuring patient experience.(Available at:)http://www.health.org.uk/sites/health/files/MeasuringPatientExperience.pdfDate accessed: August 10, 2018
- Instruments to measure the inpatient hospital experience: a literature review.Patients Exp J. 2015; 2: 77-85
- The triple aim: care, health, and cost.Health Aff. 2008; 27: 759-769
- Are patient surveys valuable as a service-improvement tool in health services? An overview.J Healthc Leadersh. 2012; 4: 33-46
- How was your hospital stay? Patients’ reports about their care in Canadian hospitals.CMAJ. 1994; 150: 1813-1822
- Patient experience.(Available at:)https://www.cihi.ca/en/patient-experienceDate accessed: December 27, 2018
- Information on current surveys.(Available at:)https://www.albertahealthservices.ca/about/page13181.aspxDate accessed: December 27, 2018
- Surveys.(Available at:)https://hqca.ca/surveys/Date accessed: December 27, 2018
- Ontario patient experience measurement strategy.(Available at:)https://hqontario.ca/Portals/0/documents/system-performance/patient-experience-measurement-strategy-1608-en.pdfDate accessed: December 27, 2018
- Patient experience survey results.(Available at:)
- Outcomes and cost of coronary artery bypass graft surgery in the United States and Canada.Arch Intern Med. 2005; 165: 1506-1513
- Outcomes of coronary artery bypass graft surgery.Vasc Health Risk Manag. 2006; 2: 477-484
- Survey aims to capture patient experience.CMAJ. 2015; 187: E508
- HCAHPS fact sheet.(Available at:)http://www.hcahpsonline.com/globalassets/hcahps/facts/hcahps_fact_sheet_november_2017.pdfDate accessed: August 7, 2018
- Developing the first pan-Canadian acute care patient experiences survey.Patient Exp J. 2018; 5: 25-33
- Drivers of inpatient hospital experience using the HCAHPS survey in a Canadian setting.Health Serv Res. 2015; 50: 982-997
- Discharge Abstract Database Metadata (DAD).(Available at:)
- Canadian Classification of Health Interventions (CCI).in: Volume Three—Tabular List. Canadian Institute for Health Information, Ottawa, ON2012
- Comorbidity measures for use with administrative data.Med Care. 1998; 36: 8-27
- Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data.Med Care. 2005; 43: 1130-1139
- A note about HCAHPS “Boxes”.(Available at:)http://www.hcahpsonline.com/en/summary-analyses/#NoteAboutBoxesDate accessed: August 8, 2018
- Patients’ key experiences after coronary artery bypass grafting: a synthesis of qualitative studies.Scand J Caring Sci. 2008; 22: 616-628
- Patients’ experiences with symptoms and needs in the early rehabilitation phase after coronary artery bypass grafting.Eur J Cardiovasc Nurs. 2012; 11: 14-24
- Coronary heart disease survey of patients 2004.(Available at:)http://www.nhssurveys.org/Filestore/CQC/CHD_KF_2004.pdfDate accessed: August 10, 2018
- The Alberta inpatient experience survey: representativeness of sample and initial findings.Survey Prac. 2015; 8: 2015
- Nonresponse bias in a survey of patient perceptions of hospital care.Med Care. 2005; 43: 374-380
- Equivalence of mail and telephone responses to the CAHPS® hospital survey.Health Serv Res. 2005; 40: 2120-2139
- The effects of survey mode, patient mix, and nonresponse on CAHPS survey scores.Health Serv Res. 2009; 44: 501-518
- Discharge abstract database open-year data quality test specifications.(Available at:)https://www.cihi.ca/sites/default/files/document/dad-2018-2019-oydq-specs-en03pc.pdfDate accessed: December 28, 2018
- Patient’s perception of stressors associated with coronary artery bypass surgery.J Cardiovasc Thor Res. 2013; 5: 113-117
- A multicomponent intervention to prevent delirium in hospitalized older patients.N Engl J Med. 1999; 340: 669-676
- Night noise in hospitals is linked with unplanned readmissions: a retrospective, Canadian investigation.Qual Life Res. 2017; 26: 57
- Post-hospital syndrome—an acquired, transient condition of generalized risk.N Engl J Med. 2013; 368: 100-102
Article info
Publication history
Published online: August 21, 2019
Accepted:
May 7,
2019
Received:
February 24,
2019
Footnotes
See editorial by Graham and Norris, pages 1265–1266 of this issue.
See page 1351 for disclosure information.
Identification
Copyright
© 2019 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
