Choosing between Hospitals

Groot, Ingrid B de; Otten, W.; Dijs-Elsinga, J.; Smeets, H.J.; Kievit, J.; Mheen, Perla J Marang-van de

doi:10.1177/0272989x12443416

Cited by 51 publications

(17 citation statements)

References 29 publications

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“…In an Internet study of factors involved in choosing between hospitals, investigators showed that the experience of other patients was considered at least as important in making a choice as information provided by the hospitals [21]. The patient-attributed “report card grade regarding physicians expertise” had the highest relative importance in making a choice.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Different Surgical Modalities for Hysterectomy on Satisfaction and Patient Reported Outcomes

Pitter

Simmonds²,

Seshadri-Kreaden³

et al. 2014

Interact J Med Res

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BackgroundThere is an ongoing debate regarding the cost-benefit of different surgical modalities for hysterectomy. Studies have relied primarily on evaluation of clinical outcomes and medical expenses. Thus, a paucity of information on patient-reported outcomes including satisfaction, recovery, and recommendations exists.ObjectiveThe objective of this study was to identify differences in patient satisfaction and recommendations by approach to a hysterectomy.MethodsWe recruited a large, geographically diverse group of women who were members of an online hysterectomy support community. US women who had undergone a benign hysterectomy formed this retrospective study cohort. Self-reported characteristics and experiences were compared by surgical modality using chi-square tests. Outcomes over time were assessed with the Jonkheere-Terpstra trend test. Logistic regression identified independent predictors of patient satisfaction and recommendations.ResultsThere were 6262 women who met the study criteria; 41.74% (2614/6262) underwent an abdominal hysterectomy, 10.64% (666/6262) were vaginal, 27.42% (1717/6262) laparoscopic, 18.94% (1186/6262) robotic, and 1.26% (79/6262) single-incision laparoscopic. Most women were at least college educated (56.37%, 3530/6262), and identified as white, non-Hispanic (83.17%, 5208/6262). Abdominal hysterectomy rates decreased from 68.2% (152/223) to 24.4% (75/307), and minimally invasive surgeries increased from 31.8% (71/223) to 75.6% (232/307) between 2001 or prior years and 2013 (P<.001 all trends). Trends in overall patient satisfaction and recommendations showed significant improvement over time (P<.001).There were differences across the surgical modalities in all patient-reported experiences (ie, satisfaction, time to walking, driving and working, and whether patients would recommend or use the same technique again; P<.001). Significantly better outcomes were evident among women who had vaginal, laparoscopic, and robotic procedures than among those who had an abdominal procedure. However, robotic surgery was the only approach that was an independent predictor of better patient experience; these patients were more satisfied overall (odds ratio [OR] 1.31, 95% CI 1.13-1.51) and on six other satisfaction measures, and more likely to recommend (OR 1.64, 95% CI 1.39-1.94) and choose the same modality again (OR 2.07, 95% CI 1.67-2.57). Abdominal hysterectomy patients were more dissatisfied with outcomes after surgery and less likely to recommend (OR 0.36, 95% CI 0.31-0.40) or choose the same technique again (OR 0.29, 95% CI 0.25-0.33). Quicker return to normal activities and surgery after 2007 also were independently associated with better overall satisfaction, willingness to recommend, and to choose the same surgery again.ConclusionsConsistent with other US data, laparoscopic and robotic hysterectomy rates increased over time, with a concomitant decline in abdominal hysterectomy. While inherent shortcomings of this retrospective Web-based study exist, findings show that patient experience...

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Section: Discussionmentioning

confidence: 99%

The Impact of Different Surgical Modalities for Hysterectomy on Satisfaction and Patient Reported Outcomes

Pitter

Simmonds²,

Seshadri-Kreaden³

et al. 2014

Interact J Med Res

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“…While patients have long used the experiences of friends and family in choosing hospitals, service users can now more systematically access collected information on patient experience (eg, Consumer Assessment of Health care Providers and Systems reports in the United States [ 8 ] and NHS Choices in the United Kingdom [ 9 ]). There is evidence that information based on patient experience is considered at least as important by service users choosing between different providers as different performance indicators provided by hospitals or reporting bodies [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Identifying Quality Indicators Used by Patients to Choose Secondary Health Care Providers: A Mixed Methods Approach

King¹,

Zaman²,

Zaman³

et al. 2015

JMIR mHealth uHealth

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BackgroundPatients in health systems across the world can now choose between different health care providers. Patients are increasingly using websites and apps to compare the quality of health care services available in order to make a choice of provider. In keeping with many patient-facing platforms, most services currently providing comparative information on different providers do not take account of end-user requirements or the available evidence base.ObjectiveTo investigate what factors were considered most important when choosing nonemergency secondary health care providers in the United Kingdom with the purpose of translating these insights into a ratings platform delivered through a consumer mHealth app.MethodsA mixed methods approach was used to identify key indicators incorporating a literature review to identify and categorize existing quality indicators, a questionnaire survey to formulate a ranked list of performance indicators, and focus groups to explore rationales behind the rankings. Findings from qualitative and quantitative methodologies were mapped onto each other under the four categories identified by the literature review.ResultsQuality indicators were divided into four categories. Hospital access was the least important category. The mean differences between the other three categories hospital statistics, hospital staff, and hospital facilities, were not statistically significant. Staff competence was the most important indicator in the hospital staff category; cleanliness and up-to-date facilities were equally important in hospital facilities; ease of travel to the hospital was found to be most important in hospital access. All quality indicators within the hospital statistics category were equally important. Focus groups elaborated that users find it difficult to judge staff competence despite its importance.ConclusionsA mixed methods approach is presented, which supported a patient-centered development and evaluation of a hospital ratings mobile app. Where possible, mHealth developers should use systematic research methods in order to more closely meet the needs of the end user and add credibility to their platform.

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“…An adaptive approach to DCE is an established method in evaluating healthcare choices, [33][34][35][36] and comparisons between adaptive and more standard DCE approaches show comparable results, [37][38][39] with the adaptive approach allowing screening of a larger number of attributes and levels with a lower number of subjects. ADCE also limits some bias.…”

Section: Discussionmentioning

confidence: 99%

Attributes influencing parental decision-making to receive the Tdap vaccine to reduce the risk of pertussis transmission to their newborn – outcome of a cross-sectional conjoint experiment in Spain and Italy

Ledent

Gabutti

Bekker‐Grob

et al. 2019

Human Vaccines & Immunotherapeutics

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Choosing between Hospitals

Abstract: Consumers consider patient experience-based information at least as important as hospital-based information. They rely most on information regarding physicians' expertise, waiting time, and physicians' communication when choosing a hospital.

Cited by 51 publications

References 29 publications

The Impact of Different Surgical Modalities for Hysterectomy on Satisfaction and Patient Reported Outcomes

The Impact of Different Surgical Modalities for Hysterectomy on Satisfaction and Patient Reported Outcomes

Identifying Quality Indicators Used by Patients to Choose Secondary Health Care Providers: A Mixed Methods Approach

Attributes influencing parental decision-making to receive the Tdap vaccine to reduce the risk of pertussis transmission to their newborn – outcome of a cross-sectional conjoint experiment in Spain and Italy

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