Patient Experiences in Canadian Hospitals

Davidson, Mélanie Josée; Lacroix, Jeanie; McMartin, Seanna; Kudhail, Reena; Hart, Kristen M.; Diestelkamp, Naomi

doi:10.12927/hcq.2019.26024

Cited by 7 publications

(15 citation statements)

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“…Previous studies have demonstrated the role between high quality care transitions and post-discharge outcomes [1,3,9,12,23]. Interestingly, our study demonstrates higher patient experience scores than was reported in the only other cross-sectional study of patient experience across multiple Canadian provinces [20]. While some differences may be due to our focus on discharge management rather than patient satisfaction which was included in this study, our results likely represent the increasing attention on care transition quality and hospital-specific initiatives that are underway in Ontario [16].…”

Section: Discussionsupporting

confidence: 40%

“…Improving patient experience during care transitions from hospital to home has gained much attention over the last 10 years [4][5][6][7][8][9]. However, Canada has only focused on capturing patient experience recently [10,14,[17][18][19][20]. Our study provides a deeper dive into areas for system improvement at a time when care coordination and communication practices were likely further hindered due to the COVID-19 pandemic [21,22].…”

Section: Discussionmentioning

confidence: 99%

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Raising the bar for patient experience during care transitions in Canada: A repeated cross-sectional survey evaluating a patient-oriented discharge summary at Ontario hospitals

Okrainec

Chaput

Rac

et al. 2022

Preprint

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Background: Patient experience when transitioning home from hospital is an important quality metric linked to improved patient outcomes. We evaluated the impact of a hospital-based care transition intervention, patient-oriented discharge summary (PODS), on patient experience across Ontario acute care hospitals. Methods: We used a repeated cross-sectional study design to compare yearly positive responses to four questions centered on discharge communication from the Canadian Patient Experience Survey (2016-2020) among three hospital cohorts with various levels of PODS implementation. Logistic regression using a binomial likelihood accounting for site level clustering was used to assess continuous linear time trends among cohorts and cohort differences during the post-implementation period. This research had oversight from a public advisory group of patient and caregiver partners from across the province. Results: 512,288 responses were included with mean age 69 ± 14 years (females) and 61 ± 20 years (males). Compared to non-implementation hospitals, hospitals with full implementation (>50% discharges) reported higher odds for having discussed the help needed when leaving hospital (OR=1.18, 95% CI=1.02-1.37) and having received information in writing about what symptoms to look out for (OR=1.44, 95%=1.17-1.78) post-implementation. The linear time trend was also significant when comparing hospitals with full versus no implementation for having received information in writing about what symptoms to look out for (OR=1.05, 95% CI=1.01-1.09). Interpretation: PODS implementation was associated with higher odds of positive patient experience, particularly for discharge planning. Further efforts should center on discharge management, specifically: understanding of medications and what to do if worried once home.

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Section: Discussionsupporting

confidence: 40%

Section: Discussionmentioning

confidence: 99%

Raising the bar for patient experience during care transitions in Canada: A repeated cross-sectional survey evaluating a patient-oriented discharge summary at Ontario hospitals

Okrainec

Chaput

Rac

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…The results suggest several implications for policy, practice and ongoing research. Given widespread need to improve the quality of hospital care [2][3][4][5], and global attention on PE as a means of doing so [6][7][8], these implications are broadly relevant. Healthcare policymakers, hospital executives and PE managers may identify PE infrastructure or processes that hospitals lack to inform resource allocation decisions.…”

Section: Discussionmentioning

confidence: 99%

“…The proportion of patients who gave high overall ratings of their hospital ranged from 35 to 60% across 13 countries [4]. In Canada, a survey of over 90,000 Canadians discharged from more than 300 acute care hospitals in 5 provinces between 2015 and 2018, 54% said their medication was always wellexplained, 56% felt their care was always well-coordinated by hospital staff, and 66% felt completely informed of their condition, treatment and medication upon discharge [5]. Clearly, there is a need to further improve hospital patient experiences and care.…”

Section: Introductionmentioning

confidence: 99%

Hospital capacity for patient engagement in planning and improving health services: a cross-sectional survey

Gagliardi

Martínez

Baker

et al. 2021

BMC Health Serv Res

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Background Patient engagement (PE) in planning or improving hospital facilities or services is one approach for improving healthcare delivery and outcomes. To provide evidence on hospital capacity needed to support PE, we described the attributes of hospital PE capacity associated with clinical quality measures. Methods We conducted a cross-sectional survey of general and specialty hospitals based on the Measuring Organizational Readiness for Patient Engagement framework. We derived a PE capacity index measure, and with Multiple Correspondence Analysis, assessed the association of PE capacity with hospital type, and rates of hand-washing, C. difficile infection rates and 30-day readmission. Results Respondents (91, 66.4%) included general: < 100 beds (48.4%), 100+ beds (27.5%), teaching hospitals (11.0%) and specialty (13.2%) hospitals. Most featured PE in multiple clinical and corporate departments. Most employed PE in a range of Planning (design/improve facilities 94.5%, develop strategic plans 87.9%), Evaluation/Quality Improvement (accreditation 91.2%, develop QI plans 90.1%) and Service Delivery activities (develop information/communication aids 92.3%). Hospitals enabled PE with multiple supports (median 12, range 0 to 25), most often: 76.9% strategic plan recognizes PE, 74.7% patient/family advisory council, and 69.2% pool of patient volunteers; and least often: 30.0% PE staff, 26.4% PE funding and 16.5% patient reimbursement or 3.3% compensation. Hospitals employed a range of less (inform, consult) and more (involve, partner) active modes of engagement. Two variables accounted for 29.6% of variance in hospital PE capacity index measure data: number of departments featuring PE and greater use of active engagement modes. PE capacity was not associated with general hospital type or clinical quality measures. Conclusions Hospitals with fewer resources can establish favourable PE conditions by deploying PE widely and actively engaging patients. Healthcare policy-makers, hospital executives and PE managers can use these findings to allocate PE resources. Future research should explore how PE modes and methods impact clinical outcomes.

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“…For example, a survey of hospital patients across 13 countries showed that overall quality ratings were low to moderate, ranging from 35 to 60% [ 2 ]. Another survey of 90,000 + patients hospitalized in Canada similarly revealed moderate views of the care they received: 56% reported that care was well-coordinated and 66% reported being well-informed about their condition and its management [ 3 ]. Given the imperative to improve patient experiences and outcomes in a cost-efficient manner, strategies are needed to support quality improvement efforts in hospitals.…”

Section: Introductionmentioning

confidence: 99%

Impacts of patient and family engagement in hospital planning and improvement: qualitative interviews with patient/family advisors and hospital staff

Anderson

Dong

Baker

et al. 2022

BMC Health Serv Res

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Background Patient engagement (PE) in hospital planning and improvement is widespread, yet we lack evidence of its impact. We aimed to identify benefits and harms that could be used to assess the impact of hospital PE. Methods We interviewed hospital-affiliated persons involved in PE activities using a qualitative descriptive approach and inductive content analysis to derive themes. We interpreted themes by mapping to an existing framework of healthcare performance measures and reported themes with exemplar quotes. Results Participants included 38 patient/family advisors, PE managers and clinicians from 9 hospitals (2 < 100 beds, 4 100 + beds, 3 teaching). Benefits of PE activities included 9 impacts on the capacity of hospitals. PE activities involved patient/family advisors and clinicians/staff in developing and spreading new PE processes across hospital units or departments, and those involved became more adept and engaged. PE had beneficial effects on hospital structures/resources, clinician staff functions and processes, patient experience and patient outcomes. A total of 14 beneficial impacts of PE were identified across these domains. Few unintended or harmful impacts were identified: overextended patient/family advisors, patient/family advisor turnover and clinician frustration if PE slowed the pace of planning and improvement. Conclusions The 23 self reported impacts were captured in a Framework of Impacts of Patient/Family Engagement on Hospital Planning and Improvement, which can be used by decision-makers to assess and allocate resources to hospital PE, and as the basis for ongoing research on the impacts of hospital PE and how to measure it.

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Patient Experiences in Canadian Hospitals

Cited by 7 publications

References 0 publications

Raising the bar for patient experience during care transitions in Canada: A repeated cross-sectional survey evaluating a patient-oriented discharge summary at Ontario hospitals

Raising the bar for patient experience during care transitions in Canada: A repeated cross-sectional survey evaluating a patient-oriented discharge summary at Ontario hospitals

Hospital capacity for patient engagement in planning and improving health services: a cross-sectional survey

Impacts of patient and family engagement in hospital planning and improvement: qualitative interviews with patient/family advisors and hospital staff

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