Hemodialysis patient characteristics associated with better experience as measured by the In-center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) survey
Abstract Background Patient experience in hemodialysis (HD) is measured twice yearly in all in-center HD patients in the United States using the In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) survey. Survey scores are publically available and incorporated...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-11-01
|
| Series: | BMC Nephrology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12882-018-1147-3 |
| _version_ | 1818900302660632576 |
|---|---|
| author | Taimur Dad Hocine Tighiouart Eduardo Lacson Klemens B. Meyer Daniel E. Weiner Michelle M. Richardson |
| author_facet | Taimur Dad Hocine Tighiouart Eduardo Lacson Klemens B. Meyer Daniel E. Weiner Michelle M. Richardson |
| author_sort | Taimur Dad |
| collection | DOAJ |
| description | Abstract Background Patient experience in hemodialysis (HD) is measured twice yearly in all in-center HD patients in the United States using the In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) survey. Survey scores are publically available and incorporated into the dialysis payment system. Despite its importance, little is known about factors associated with better experience scores. We studied the association between patient-level characteristics and experience scores in a large real-world cohort of HD patients. Methods This is a cross-sectional analysis of ICH CAHPS administration in 2012. All in-center HD patients in Dialysis Clinic, Incorporated facilities nationally over 18 years old and receiving HD at their facility for at least 3 months were eligible. Predictors include patient demographic, clinical, and treatment-related characteristics. Outcomes include high global rating scores across three domains (Nephrologist, Dialysis Staff, Dialysis Center) and high composite scores across three domains (Nephrologists’ Communication and Caring, Quality of Dialysis Center Care and Operations, and Providing Information to Patients). Results Among 3369 respondents, older age and telephone (vs. mail) administration of the survey were associated with higher global ratings, while shortened HD treatments were associated with lower global ratings. Lower education and telephone administration were associated with higher composite scores, while older age, and shortened HD treatments were associated with lower composite scores. Conclusions Several patient characteristics and mode of survey administration are associated with higher experience scores. Future research should assess HD facility characteristics associated with higher scores and interventions that might improve experience accounting for these associations. |
| first_indexed | 2024-12-19T20:01:42Z |
| format | Article |
| id | doaj.art-98e7cc92626c4c42abdce95c84cba97a |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-12-19T20:01:42Z |
| publishDate | 2018-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-98e7cc92626c4c42abdce95c84cba97a2022-12-21T20:07:40ZengBMCBMC Nephrology1471-23692018-11-0119111010.1186/s12882-018-1147-3Hemodialysis patient characteristics associated with better experience as measured by the In-center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) surveyTaimur Dad0Hocine Tighiouart1Eduardo Lacson2Klemens B. Meyer3Daniel E. Weiner4Michelle M. Richardson5Tufts Medical CenterTufts Medical CenterTufts Medical CenterTufts Medical CenterTufts Medical CenterTufts Medical CenterAbstract Background Patient experience in hemodialysis (HD) is measured twice yearly in all in-center HD patients in the United States using the In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) survey. Survey scores are publically available and incorporated into the dialysis payment system. Despite its importance, little is known about factors associated with better experience scores. We studied the association between patient-level characteristics and experience scores in a large real-world cohort of HD patients. Methods This is a cross-sectional analysis of ICH CAHPS administration in 2012. All in-center HD patients in Dialysis Clinic, Incorporated facilities nationally over 18 years old and receiving HD at their facility for at least 3 months were eligible. Predictors include patient demographic, clinical, and treatment-related characteristics. Outcomes include high global rating scores across three domains (Nephrologist, Dialysis Staff, Dialysis Center) and high composite scores across three domains (Nephrologists’ Communication and Caring, Quality of Dialysis Center Care and Operations, and Providing Information to Patients). Results Among 3369 respondents, older age and telephone (vs. mail) administration of the survey were associated with higher global ratings, while shortened HD treatments were associated with lower global ratings. Lower education and telephone administration were associated with higher composite scores, while older age, and shortened HD treatments were associated with lower composite scores. Conclusions Several patient characteristics and mode of survey administration are associated with higher experience scores. Future research should assess HD facility characteristics associated with higher scores and interventions that might improve experience accounting for these associations.http://link.springer.com/article/10.1186/s12882-018-1147-3ICH CAHPSCAHPSDialysisPatient experience |
| spellingShingle | Taimur Dad Hocine Tighiouart Eduardo Lacson Klemens B. Meyer Daniel E. Weiner Michelle M. Richardson Hemodialysis patient characteristics associated with better experience as measured by the In-center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) survey BMC Nephrology ICH CAHPS CAHPS Dialysis Patient experience |
| title | Hemodialysis patient characteristics associated with better experience as measured by the In-center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) survey |
| title_full | Hemodialysis patient characteristics associated with better experience as measured by the In-center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) survey |
| title_fullStr | Hemodialysis patient characteristics associated with better experience as measured by the In-center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) survey |
| title_full_unstemmed | Hemodialysis patient characteristics associated with better experience as measured by the In-center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) survey |
| title_short | Hemodialysis patient characteristics associated with better experience as measured by the In-center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) survey |
| title_sort | hemodialysis patient characteristics associated with better experience as measured by the in center hemodialysis consumer assessment of healthcare providers and systems ich cahps survey |
| topic | ICH CAHPS CAHPS Dialysis Patient experience |
| url | http://link.springer.com/article/10.1186/s12882-018-1147-3 |
| work_keys_str_mv | AT taimurdad hemodialysispatientcharacteristicsassociatedwithbetterexperienceasmeasuredbytheincenterhemodialysisconsumerassessmentofhealthcareprovidersandsystemsichcahpssurvey AT hocinetighiouart hemodialysispatientcharacteristicsassociatedwithbetterexperienceasmeasuredbytheincenterhemodialysisconsumerassessmentofhealthcareprovidersandsystemsichcahpssurvey AT eduardolacson hemodialysispatientcharacteristicsassociatedwithbetterexperienceasmeasuredbytheincenterhemodialysisconsumerassessmentofhealthcareprovidersandsystemsichcahpssurvey AT klemensbmeyer hemodialysispatientcharacteristicsassociatedwithbetterexperienceasmeasuredbytheincenterhemodialysisconsumerassessmentofhealthcareprovidersandsystemsichcahpssurvey AT danieleweiner hemodialysispatientcharacteristicsassociatedwithbetterexperienceasmeasuredbytheincenterhemodialysisconsumerassessmentofhealthcareprovidersandsystemsichcahpssurvey AT michellemrichardson hemodialysispatientcharacteristicsassociatedwithbetterexperienceasmeasuredbytheincenterhemodialysisconsumerassessmentofhealthcareprovidersandsystemsichcahpssurvey |