Document Type
Article
Publication Date
2-8-2021
Abstract
Objective:
Through geocoding the physical residential address included in the electronic medical record to the census tract level, we present a novel model for concomitant examination of individual patient-related and residential context-related factors that are associated with patient-reported experience scores.
Summary Background Data:
When assessing patient experience in the surgical setting, researchers need to examine the potential influence of neighborhood-level characteristics on patient experience-of-care ratings.
Methods:
We geocoded the residential address included in the electronic medical record (EMR) from a tertiary care facility to the census tract level of Orange County, CA. We then linked each individual record to the matching census tract and use hierarchical regression analyses to test the impact of distinct neighborhood conditions on patient experience. This approach allows us to estimate how each neighborhood characteristic uniquely influences Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores.
Results:
Individuals residing in communities characterized by high levels of socioeconomic disadvantage have the highest experience ratings. Accounting for individual patient’s characteristics such as age, gender, race/ethnicity, primary language spoken at home, length of stay, and average pain levels during their hospital stay, neighborhood-level characteristics such as proportions of people receiving public assistance influence the ratings of hospital experience (0.01, P < 0.05) independent of, and beyond, these individual-level factors.
Conclusions:
This manuscript is an example of how geocoding could be used to analyze surgical patient experience scores. In this analysis, we have shown that neighborhood-level characteristics influence the ratings of hospital experience independent of, and beyond, individual-level factors.
Recommended Citation
Kranjac, A. W., Kranjac, D., Fortier, M. A., Patton, P., Giafaglione, B., & Kain, Z. N. (2021). Surgical patients’ hospital experience scores: Neighborhood context conceptual framework. Annals of Surgery, 2(1): e037. https://doi.org/10.1097/AS9.0000000000000037
Peer Reviewed
1
Copyright
The authors
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Included in
Community-Based Research Commons, Health Services Administration Commons, Health Services Research Commons, Medical Humanities Commons, Medicine and Health Commons, Other Medicine and Health Sciences Commons, Place and Environment Commons, Quality Improvement Commons, Quantitative, Qualitative, Comparative, and Historical Methodologies Commons, Regional Sociology Commons, Surgery Commons
Comments
This article was originally published in Annals of Surgery, volume 2, issue 1, in 2021. https://doi.org/10.1097/AS9.0000000000000037