Supplemental Items Reduce HCAHPS Response Rates, but Response Rates Do Not Affect HCAHPS Scores: A Randomized Experiment
Longer surveys can reduce response rates (RRs). Observational data suggest a positive hospital-level association between RRs and HCAHPS scores, but a negative patient-level relationship. There is no experimental evidence of whether a hospital's RR affects its HCAHPS scores. Estimate the effect...
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| Vydáno v: | Medical care Ročník 63; číslo 10; s. 764 |
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| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
01.10.2025
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| ISSN: | 1537-1948, 1537-1948 |
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| Abstract | Longer surveys can reduce response rates (RRs). Observational data suggest a positive hospital-level association between RRs and HCAHPS scores, but a negative patient-level relationship. There is no experimental evidence of whether a hospital's RR affects its HCAHPS scores.
Estimate the effect of the 59-item versus 32-item survey on RR by survey mode; assess whether any reductions in RR change HCAHPS scores.
Patients randomized within hospitals to 4 survey protocols [mail-only, mixed mode (MM; mail with telephone follow-up of nonrespondents)] and survey length [32-item or 59-item (32 core + 27 supplemental items)]. Regression models predicted (1) whether a patient responded to a survey and (2) responses to patient experience measures within hospital and survey mode from survey length, controlling for patient characteristics.
A total of 10,099 adult patients from 51 nationally representative US hospitals participating in a randomized HCAHPS mode experiment.
Adjusted MM RRs were 21.9 percentage points higher than mail-only RR for the 32-item survey. The adjusted RR for the 59-item survey was 5.6 percentage points lower than the 32-item survey in MM and 2.9 percentage points lower in mail-only mode. The lower RR caused by greater length had no effect on standard adjusted HCAHPS scores in either mode.
A longer survey reduced RRs, especially by telephone follow-up after a mail survey. HCAHPS hospitals and vendors may want to consider trade-offs when adding many supplemental items and the RR advantage of MM. Reducing RRs within a hospital does not change standard adjusted HCAHPS scores. |
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| AbstractList | Longer surveys can reduce response rates (RRs). Observational data suggest a positive hospital-level association between RRs and HCAHPS scores, but a negative patient-level relationship. There is no experimental evidence of whether a hospital's RR affects its HCAHPS scores.
Estimate the effect of the 59-item versus 32-item survey on RR by survey mode; assess whether any reductions in RR change HCAHPS scores.
Patients randomized within hospitals to 4 survey protocols [mail-only, mixed mode (MM; mail with telephone follow-up of nonrespondents)] and survey length [32-item or 59-item (32 core + 27 supplemental items)]. Regression models predicted (1) whether a patient responded to a survey and (2) responses to patient experience measures within hospital and survey mode from survey length, controlling for patient characteristics.
A total of 10,099 adult patients from 51 nationally representative US hospitals participating in a randomized HCAHPS mode experiment.
Adjusted MM RRs were 21.9 percentage points higher than mail-only RR for the 32-item survey. The adjusted RR for the 59-item survey was 5.6 percentage points lower than the 32-item survey in MM and 2.9 percentage points lower in mail-only mode. The lower RR caused by greater length had no effect on standard adjusted HCAHPS scores in either mode.
A longer survey reduced RRs, especially by telephone follow-up after a mail survey. HCAHPS hospitals and vendors may want to consider trade-offs when adding many supplemental items and the RR advantage of MM. Reducing RRs within a hospital does not change standard adjusted HCAHPS scores. Longer surveys can reduce response rates (RRs). Observational data suggest a positive hospital-level association between RRs and HCAHPS scores, but a negative patient-level relationship. There is no experimental evidence of whether a hospital's RR affects its HCAHPS scores.BACKGROUNDLonger surveys can reduce response rates (RRs). Observational data suggest a positive hospital-level association between RRs and HCAHPS scores, but a negative patient-level relationship. There is no experimental evidence of whether a hospital's RR affects its HCAHPS scores.Estimate the effect of the 59-item versus 32-item survey on RR by survey mode; assess whether any reductions in RR change HCAHPS scores.OBJECTIVESEstimate the effect of the 59-item versus 32-item survey on RR by survey mode; assess whether any reductions in RR change HCAHPS scores.Patients randomized within hospitals to 4 survey protocols [mail-only, mixed mode (MM; mail with telephone follow-up of nonrespondents)] and survey length [32-item or 59-item (32 core + 27 supplemental items)]. Regression models predicted (1) whether a patient responded to a survey and (2) responses to patient experience measures within hospital and survey mode from survey length, controlling for patient characteristics.RESEARCH DESIGNPatients randomized within hospitals to 4 survey protocols [mail-only, mixed mode (MM; mail with telephone follow-up of nonrespondents)] and survey length [32-item or 59-item (32 core + 27 supplemental items)]. Regression models predicted (1) whether a patient responded to a survey and (2) responses to patient experience measures within hospital and survey mode from survey length, controlling for patient characteristics.A total of 10,099 adult patients from 51 nationally representative US hospitals participating in a randomized HCAHPS mode experiment.SUBJECTSA total of 10,099 adult patients from 51 nationally representative US hospitals participating in a randomized HCAHPS mode experiment.Adjusted MM RRs were 21.9 percentage points higher than mail-only RR for the 32-item survey. The adjusted RR for the 59-item survey was 5.6 percentage points lower than the 32-item survey in MM and 2.9 percentage points lower in mail-only mode. The lower RR caused by greater length had no effect on standard adjusted HCAHPS scores in either mode.PRINCIPAL FINDINGSAdjusted MM RRs were 21.9 percentage points higher than mail-only RR for the 32-item survey. The adjusted RR for the 59-item survey was 5.6 percentage points lower than the 32-item survey in MM and 2.9 percentage points lower in mail-only mode. The lower RR caused by greater length had no effect on standard adjusted HCAHPS scores in either mode.A longer survey reduced RRs, especially by telephone follow-up after a mail survey. HCAHPS hospitals and vendors may want to consider trade-offs when adding many supplemental items and the RR advantage of MM. Reducing RRs within a hospital does not change standard adjusted HCAHPS scores.CONCLUSIONSA longer survey reduced RRs, especially by telephone follow-up after a mail survey. HCAHPS hospitals and vendors may want to consider trade-offs when adding many supplemental items and the RR advantage of MM. Reducing RRs within a hospital does not change standard adjusted HCAHPS scores. |
| Author | Abel, Gary A Hambarsoomian, Katrin Cleary, Paul D Elliott, Marc N Beckett, Megan K Brown, Julie Giordano, Laura A |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40846638$$D View this record in MEDLINE/PubMed |
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| Title | Supplemental Items Reduce HCAHPS Response Rates, but Response Rates Do Not Affect HCAHPS Scores: A Randomized Experiment |
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