Relationship Between Hospital Performance on a Patient Satisfaction Survey and Surgical Quality

作者：Greg D. Sacks, Elise H. Lawson, Aaron J. Dawes, Marcia M. Russell, Melinda Maggard‐Gibbons, David S. Zingmond, Clifford Y. Ko · 发表于：JAMA Surgery · 年份：2015 · DOI：10.1001/jamasurg.2015.1108 · 被引用次数：186 · 研究领域：Patient Satisfaction in Healthcare、Nausea and vomiting management、Primary Care and Health Outcomes

IMPORTANCE: The Centers for Medicare and Medicaid Services include patient experience as a core component of its Value-Based Purchasing program, which ties financial incentives to hospital performance on a range of quality measures. However, it remains unclear whether patient satisfaction is an accurate marker of high-quality surgical care. OBJECTIVE: To determine whether hospital performance on a patient satisfaction survey is associated with objective measures of surgical quality. DESIGN, SETTING, AND PARTICIPANTS: Retrospective observational study of participating American College of Surgeons National Surgical Quality Improvement Project (ACS NSQIP) hospitals. We used data from a linked database of Medicare inpatient claims, ACS NSQIP, the American Hospital Association annual survey, and Hospital Compare from December 2, 2004, through December 31, 2008. A total of 103 866 patients older than 65 years undergoing inpatient surgery were included. Hospitals were grouped by quartile based on their performance on the Hospital Consumer Assessment of Healthcare Providers and Systems survey. Controlling for preoperative risk factors, we created hierarchical logistic regression models to predict the occurrence of adverse postoperative outcomes based on a hospital's patient satisfaction scores. MAIN OUTCOMES AND MEASURES: Thirty-day postoperative mortality, major and minor complications, failure to rescue, and hospital readmission. RESULTS: Of the 180 hospitals, the overall mean pati...