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Measuring patient experiences on hospitalist and teaching services: Patient responses to a 30‐day postdischarge questionnaire
Author(s) -
Wray Charlie M.,
Flores Andrea,
Padula William V.,
Prochaska Micah T.,
Meltzer David O.,
Arora Vineet M.
Publication year - 2016
Publication title -
journal of hospital medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.128
H-Index - 65
eISSN - 1553-5606
pISSN - 1553-5592
DOI - 10.1002/jhm.2485
Subject(s) - medicine , hospital medicine , odds ratio , confidence interval , family medicine , logistic regression , medline , patient satisfaction , inpatient care , retrospective cohort study , rapid response team , emergency medicine , health care , nursing , political science , law , economics , economic growth
BACKGROUND Data comparing patient experiences between general medicine teaching and nonteaching hospitalist services are lacking. OBJECTIVE Evaluate hospitalized patients' experience on general medicine teaching and nonteaching hospitalist services by assessing patients' confidence in their ability to identify their physician(s), understand their roles, and their rating of the coordination and overall care. METHODS Retrospective cohort analysis of general medicine teaching and nonteaching hospitalist services from 2007 to 2013 at an academic medical center. Patients were surveyed 30‐days after hospital discharge regarding their confidence in their ability to identify their physician(s), understand the role of their physician(s), and their perceptions of coordination and overall care. A 3‐level, mixed effects logistic regression was performed to ascertain the association between service type and patient‐reported outcomes. RESULTS Data from 4591 general medicine teaching and 1811 nonteaching hospitalist service patients demonstrated that those cared for by the hospitalist service were more likely to report being able to identify their physician (50% vs 45%, P < 0.001), understand their role (54% vs 50%, P < 0.001), and rate greater satisfaction with coordination (68 vs 64%, P = 0.006) and overall care (73% vs 67%, P < 0.001). In regression models, the hospitalist service was associated with higher ratings in overall care (odds ratio [OR]: 1.33; 95% confidence interval [CI]: 1.15‐1.47), even when hospitalists were the attendings on general medicine teaching services (OR: 1.17; 95% CI: 1.01‐1.31). CONCLUSION Patients on a nonteaching hospitalist service rated their overall care slightly better than patients on a general medicine teaching service. Team structure and complexity may play a role in this difference. Journal of Hospital Medicine 2016;11:99–104. © 2015 Society of Hospital Medicine