Characteristics of Hospitals Demonstrating Superior Performance in Patient Experience and Clinical Process Measures of Care

Published In: Medical Care Research and Review, v. 67, no. 1, Feb. 2010, p. 38-55

Posted on RAND.org on January 01, 2010

by William Lehrman, Marc N. Elliott, Elizabeth Goldstein, Megan K. Beckett, David J. Klein, Laura Giordano

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Prior research suggests hospital quality of care is multidimensional. In this study, the authors jointly examine patient experience of care and clinical care measures from 2,583 hospitals based on inpatients discharged in 2006 and 2007. The authors use multinomial logistic regression to identify key characteristics of hospitals that perform in the top quartile on both, either, and neither dimension of quality. Top performers on both quality measures tend to be small (<100 beds), large (>200 beds) and rural, located in the New England or West North Central Census divisions, and nonprofit. Top performers in patient experience only are most often small and rural, located in the East South Central division, and government owned. Top performers in clinical care only are most often medium to large and urban, located in the West North Central division, and non-government owned. These findings provide an overview of how these dimensions of quality vary across hospitals.

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