Using Discrete Choice Methodology to Explore the Impact of Patient Room Window Design on Hospital Choice

Evidence-based design has been fundamental to designing healthcare environments for patient outcomes and experience, yet few studies have studied how design factors drive patient choice. 652 patients who recently received care at hospitals across the United States were administered an online discret...

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Main Authors: May Woo MS, Roxana Jafarifiroozabadi PhD, Piers MacNaughton ScD, Sahar Mihandoust PhD, Sara Kennedy MS, Anjali Joseph PhD, EDAC
Format: Article
Language:English
Published: SAGE Publishing 2022-06-01
Series:Journal of Patient Experience
Online Access:https://doi.org/10.1177/23743735221107240
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author May Woo MS
Roxana Jafarifiroozabadi PhD
Piers MacNaughton ScD
Sahar Mihandoust PhD
Sara Kennedy MS
Anjali Joseph PhD, EDAC
author_facet May Woo MS
Roxana Jafarifiroozabadi PhD
Piers MacNaughton ScD
Sahar Mihandoust PhD
Sara Kennedy MS
Anjali Joseph PhD, EDAC
author_sort May Woo MS
collection DOAJ
description Evidence-based design has been fundamental to designing healthcare environments for patient outcomes and experience, yet few studies have studied how design factors drive patient choice. 652 patients who recently received care at hospitals across the United States were administered an online discrete choice survey to investigate the factors playing into their choice between hypothetical hospitals. Discrete choice models are widely used to model patient preferences among treatment alternatives, but few studies have utilized this approach to investigate healthcare design alternatives. In the current study, respondents were asked to choose between hypothetical hospitals that differed in patient room design, window features of the room, appointment availability, distance from home, insurance coverage, and HCAHPS ratings. The results demonstrate that patient room design that allowed unobscured access to daylight and views through windows, in-network insurance coverage, closer distance from home, and one-star higher patient experience rating increased the likelihood of a patient's hospital choice. The study broadly explores discrete choice model's applicability to healthcare design and its ability to quantify patient perceptions with a metric meaningful for hospital administrators.
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spelling doaj.art-239c263ea64441f1b88d58d047a3fb9a2022-12-22T02:36:21ZengSAGE PublishingJournal of Patient Experience2374-37432022-06-01910.1177/23743735221107240Using Discrete Choice Methodology to Explore the Impact of Patient Room Window Design on Hospital ChoiceMay Woo MS0Roxana Jafarifiroozabadi PhD1Piers MacNaughton ScD2Sahar Mihandoust PhD3Sara Kennedy MS4Anjali Joseph PhD, EDAC5 View Inc., Milpitas, CA, USA , Clemson, SC, USA , Boston, MA, USA , Clemson, SC, USA , Clemson, SC, USA , Clemson, SC, USAEvidence-based design has been fundamental to designing healthcare environments for patient outcomes and experience, yet few studies have studied how design factors drive patient choice. 652 patients who recently received care at hospitals across the United States were administered an online discrete choice survey to investigate the factors playing into their choice between hypothetical hospitals. Discrete choice models are widely used to model patient preferences among treatment alternatives, but few studies have utilized this approach to investigate healthcare design alternatives. In the current study, respondents were asked to choose between hypothetical hospitals that differed in patient room design, window features of the room, appointment availability, distance from home, insurance coverage, and HCAHPS ratings. The results demonstrate that patient room design that allowed unobscured access to daylight and views through windows, in-network insurance coverage, closer distance from home, and one-star higher patient experience rating increased the likelihood of a patient's hospital choice. The study broadly explores discrete choice model's applicability to healthcare design and its ability to quantify patient perceptions with a metric meaningful for hospital administrators.https://doi.org/10.1177/23743735221107240
spellingShingle May Woo MS
Roxana Jafarifiroozabadi PhD
Piers MacNaughton ScD
Sahar Mihandoust PhD
Sara Kennedy MS
Anjali Joseph PhD, EDAC
Using Discrete Choice Methodology to Explore the Impact of Patient Room Window Design on Hospital Choice
Journal of Patient Experience
title Using Discrete Choice Methodology to Explore the Impact of Patient Room Window Design on Hospital Choice
title_full Using Discrete Choice Methodology to Explore the Impact of Patient Room Window Design on Hospital Choice
title_fullStr Using Discrete Choice Methodology to Explore the Impact of Patient Room Window Design on Hospital Choice
title_full_unstemmed Using Discrete Choice Methodology to Explore the Impact of Patient Room Window Design on Hospital Choice
title_short Using Discrete Choice Methodology to Explore the Impact of Patient Room Window Design on Hospital Choice
title_sort using discrete choice methodology to explore the impact of patient room window design on hospital choice
url https://doi.org/10.1177/23743735221107240
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