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Association of Demographics and Hospital Stay Characteristics With Patient Experience in Hospitalized Pediatric

Jerome Gene Chen1,2,3, Stacey Lee3, Bertha Ben Khallouq1,3,4

  • 1Pediatric Critical Care Medicine, Arnold Palmer Hospital for Children, Orlando, FL, USA.

Journal of Patient Experience
|January 18, 2021
PubMed

Insights

Pediatric patient experience in hospitals is linked to age and insurance type, not length of stay. Younger children and those with private insurance reported lower overall satisfaction.

Area of Science:

  • Pediatric Healthcare
  • Patient Experience Research
  • Hospital Administration

Background:

  • Limited research exists on hospitalized pediatric patient experiences.
  • Understanding factors influencing patient experience is crucial for quality improvement in children's hospitals.

Purpose of the Study:

  • To investigate the association between patient demographics and hospital stay characteristics with patient experience in a tertiary-care children's hospital.

Main Methods:

  • Retrospective cross-sectional study analyzing 4602 patient experience surveys.
  • Examined 8 domains of patient experience, including overall assessment (OA), using top-box ratings.
  • Assessed associations between demographics, hospital stay characteristics, and OA.

Main Results:

  • Top-box percentages for OA were lower in younger age groups (0-<1 year: 57.6% to ≥12 years: 70.2%) and for patients with private insurance (63.2%) compared to public (68.9%).
  • No significant association found between OA and gender, race/ethnicity, primary language, length of stay, or number of consulting services.
  • Personal issues, including staff concern, sensitivity, and communication, were the strongest predictor of OA (OR=4.79).

Conclusions:

  • Pediatric patient experience is significantly associated with patient age and insurance status.
  • Hospital stay characteristics like length of stay and number of consultations did not impact overall patient assessment.
  • Improving staff communication and sensitivity to personal issues is key to enhancing pediatric patient experience.

Keywords:
HCAHPScommunicationpatient feedbackpatient satisfactionpediatricssurvey data

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