Abstract
The use of measures of patient-centered care to evaluate hospital care is mandated by The Patient Protection and Affordable Care Act of 2010. Using three years of data from 315 California acute-care hospitals and data collected from patients via the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, we seek to evaluate patients’ hospital-care experience by (1) analyzing patients’ experience-of-care scores in light of these hospitals’ patient profiles, structural characteristics, and outcomes in 2011, and (2) determining and analyzing the extent of changes in patients’ experience of care over the three-year period 2009–2011. For 2011, we find significant variation in patients’ experience-of-care scores associated with hospitals’ different patient profiles and structural characteristics. In spite of these single-year differences, virtually all aspects of patients’ experience of care showed improvement over the 2009-2011 period.
Highlights
Delivering patient-centered care (PCC) has become a major objective of the US healthcare system.[1, 2] PCC has been defined as care that is “respectful of and responsive to individual patient preferences, needs, and values and [that ensures] that patient values guide all clinical decisions.”[3]
One essential feature of the PPACA legislation designed to improve the patient’s quality of care and their satisfaction with their hospital stay is the Medicare payment methodology known as value-based purchasing (VBP)
For the three major diagnoses - Acute myocardial infarction (AMI), congestive heart failure (CHF), and PN - California accounted for 8.2 percent of total U.S discharges and 11.2 percent of aggregate U.S costs
Summary
Delivering patient-centered care (PCC) has become a major objective of the US healthcare system.[1, 2] PCC has been defined as care that is “respectful of and responsive to individual patient preferences, needs, and values and [that ensures] that patient values guide all clinical decisions.”[3]. The reasoning behind adopting patient value as a guiding criterion is that it cuts through the divergent goals of the multitude of stakeholders in health care.[4,5,6,7]. The importance of PCC for evaluating patient care and for judging exceptional quality and excellent care delivery has been prioritized with the passage of The Patient Protection and Affordable Care Act of 2010 (PPACA) colloquially known as ‘Obamacare.’ 8 The culmination of years of legislative efforts to address quality problems in health care, PPACA mandates high value for patients as a key goal. Some observers have noted that valuing the patient’s perspective is an important aspect of service quality.9.10 Here, service quality signifies how well the health-care experience aligns with patients’ expectations.[11,12,13] Good service quality in hospital care consists of positive patient-care experiences from the patient’s point of view, from helpful communications with physicians, nurses, and staff to providing clean and comfortable facilities, managing pain, and supplying and explaining discharge information.[9,14]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
