Provider–patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19

Belasen, Alan T.; Oppenlander, Jane; Belasen, Ariel R.; Hertelendy, Attila

doi:10.1093/intqhc/mzaa140

Cited by 8 publications

(7 citation statements)

References 27 publications

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“…Previous epidemics have also created anxiety among the general population, such as in South Korea, where the MERS occurred in 2015, 34 but the panic caused by the COVID-19 pandemic has had profound economic and social consequences. 35 …”

Section: Resultsmentioning

confidence: 99%

Early stage risk communication and community engagement (RCCE) strategies and measures against the coronavirus disease 2019 (COVID-19) pandemic crisis

Zhang¹,

Tambo²,

Djuikoue³

et al. 2021

Global Health Journal

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Coronavirus disease 2019 (COVID-19) pandemic has proven to be tenacious and shows that the global community is still poorly prepared to handling such emerging pandemics. Enhancing global solidarity in emergency preparedness and response, and the mobilization of conscience and cooperation, can serve as an excellent source of ideas and measures in a timely manner. The article provides an overview of the key components of risk communication and community engagement (RCCE) strategies at the early stages in vulnerable nations and populations, and highlight contextual recommendations for strengthening coordinated and sustainable RCCE preventive and emergency response strategies against COVID-19 pandemic. Global solidarity calls for firming governance, abundant community participation and enough trust to boost early pandemic preparedness and response. Promoting public RCCE response interventions needs crucially improving government health systems and security proactiveness, community to individual confinement, trust and resilience solutions. To better understand population risk and vulnerability, as well as COVID-19 transmission dynamics, it is important to build intelligent systems for monitoring isolation/quarantine and tracking by use of artificial intelligence and machine learning systems algorithms. Experiences and lessons learned from the international community is crucial for emerging pandemics prevention and control programs, especially in promoting evidence-based decision-making, integrating data and models to inform effective and sustainable RCCE strategies, such as local and global safe and effective COVID-19 vaccines and mass immunization programs.

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Section: Resultsmentioning

confidence: 99%

Early stage risk communication and community engagement (RCCE) strategies and measures against the coronavirus disease 2019 (COVID-19) pandemic crisis

Zhang¹,

Tambo²,

Djuikoue³

et al. 2021

Global Health Journal

View full text Add to dashboard Cite

show abstract

“…Hospitals seeking ways to bolster HCAHPS scores and improve their ratings can respond more equitably to underserved communities and minority groups to reduce health-care disparities. Additionally, examining HCAHPS results over longer time intervals may provide additional insights, especially due to risk perception and communication gaps where hospitals may be blamed for service disruptions, which could further skew HCAHPS results [ 32 ].…”

Section: Resultsmentioning

confidence: 99%

Demographics matter: the potentially disproportionate effect of COVID-19 on hospital ratings

Belasen

Tracey

Belasen

2021

International Journal for Quality in Health Care

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Background We analyze a sample of 2,816 Medicare-certified acute care hospitals across all US states, using January to December 2019 CMS Hospital Compare datasets merged with county-level socio-demographic data. These data allow us to identify how features of the community in which a hospital serves differentially relate to its patients’ experiences based on the quality of that hospital. Methods A Finite Mixture Model (FMM) is used to uncover a mix of latent groups of hospitals that differ in quality. In the FMM, a multinomial logistic equation relates hospital-level factors to the odds of being in a particular group. And a multiple linear regression relates the characteristics of communities served by hospitals to the patients’ expected ratings of their experiences at hospitals in each group. Thus, this association potentially varies with hospital quality. We conducted the analysis via Stata. Results We provide evidence that relatively low-quality hospitals have much more variability in patient experience ratings than relatively high-quality ones. Moreover, the experiences at low-quality hospitals are more sensitive to county demographic factors, which means exogenous shocks, like COVID-19, will likely affect these hospitals differently, as such shocks are known to disproportionately affect their communities. Conclusion Our results imply that low-quality hospitals with more variability in their HCAHPS responses are more likely to face adverse patient experiences due to COVID-19 than relatively high-quality hospitals. Pandemics like COVID-19 create conditions that intensify the already high demands placed on hospitals and make it even more challenging to deliver quality care.

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“…17 When hospitalized, patients with COVID-19 are typically kept in isolated rooms and are at risk of receiving less individual attention from their medical teams. [18][19][20][21][22] We hope that highlighting potential risk factors for adverse symptoms may allow healthcare teams to address these issues and improve the patient experience.…”

Section: Discussionmentioning

confidence: 99%

Serum Sodium, Patient Symptoms, and Clinical Outcomes in Hospitalized Patients with COVID-19

Yen

Kim

Benson

et al. 2022

J Prim Care Community Health

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Introduction: Disorders of serum sodium (SNa) are common in hospitalized patients with COVID-19 and may reflect underlying disease severity. However, the association of SNa with patient-reported outcomes is not clear. Methods: The Brigham and Women’s Hospital COVID-19 Registry is a prospective cohort study of consecutively admitted adult patients with confirmed SARS-CoV-2 infection (n = 809). We examined the associations of SNa (continuous and tertiles) on admission with: (1) patient symptoms obtained from detailed chart review; and (2) in-hospital mortality, length of stay, and intensive care unit (ICU) admission using unadjusted and adjusted logistic regression models. Covariates included demographic data and comorbidities. Results: Mean age was 60 years, 48% were male, and 35% had diabetes. The most frequent symptoms were cough (64%), fever (60%), and shortness of breath (56%). In adjusted models, higher SNa (per mmol/L) was associated with lower odds of GI symptoms (OR 0.96; 95% CI 0.92-0.99), higher odds of confusion (OR 1.08; 95% CI 1.04-1.13), in-hospital mortality (OR 1.06; 95% CI 1.02-1.11), and ICU admission (OR 1.09; 95% CI 1.05-1.13). The highest sodium tertile (compared with the middle tertile) showed similar associations, in addition to lower odds of either anosmia or ageusia (OR 0.30; 95% CI 0.12-0.74). Conclusion: In this prospective cohort study of hospitalized patients with COVID-19, hypernatremia was associated with higher odds of confusion and in-hospital mortality. These findings may aid providers in identifying high-risk patients who warrant closer attention, thereby furthering patient-centered approaches to care.

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Provider–patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19

Cited by 8 publications

References 27 publications

Early stage risk communication and community engagement (RCCE) strategies and measures against the coronavirus disease 2019 (COVID-19) pandemic crisis

Early stage risk communication and community engagement (RCCE) strategies and measures against the coronavirus disease 2019 (COVID-19) pandemic crisis

Demographics matter: the potentially disproportionate effect of COVID-19 on hospital ratings

Serum Sodium, Patient Symptoms, and Clinical Outcomes in Hospitalized Patients with COVID-19

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