Trends in patient perceptions of care toward rural and urban hospitals in the United States: 2014‐2019

Purpose Understanding rural‐urban disparities in patient satisfaction is critical to identify gaps for improvement in patient‐centered care and tailor interventions to specific patient needs, especially those in the Frontier and Remote areas (FAR). This study aimed to examine disparities in patient...

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Vydáno v:The Journal of rural health Ročník 40; číslo 3; s. 565 - 573
Hlavní autoři: Li, Zhong, Ho, Vivian, Merrell, Melinda A., Hung, Peiyin
Médium: Journal Article
Jazyk:angličtina
Vydáno: England Wiley Subscription Services, Inc 01.06.2024
Témata:
Adult
Aged
Communication
Drugs
Female
frontier and remote areas
Health care industry
Health services
Hospitals
Hospitals, Rural - organization & administration
Hospitals, Rural - statistics & numerical data
Hospitals, Rural - trends
Hospitals, Urban - statistics & numerical data
Humans
Longitudinal Studies
Male
Medical personnel
Middle Aged
Nurses
Patient satisfaction
Patient Satisfaction - statistics & numerical data
Patient-centered care
Patients
Perception
perception of care
Perceptions
Physicians
Quality of care
Regression analysis
Regression models
Remote areas
Responsiveness
Retrospective Studies
Rural areas
Rural communities
rural health
rural hospital care
Rural urban differences
Rurality
Satisfaction
surveys
Surveys and Questionnaires
Trends
United States
Urban health care
Willingness
United States
United States > US
patient satisfaction
perception of care
rural hospital care
quality of care
rural health
frontier and remote areas
ISSN:0890-765X, 1748-0361, 1748-0361
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Shrnutí:Purpose Understanding rural‐urban disparities in patient satisfaction is critical to identify gaps for improvement in patient‐centered care and tailor interventions to specific patient needs, especially those in the Frontier and Remote areas (FAR). This study aimed to examine disparities in patient perceptions of care between urban, rural non‐FAR, and FAR hospitals between 2014 and 2019. Methods This is a retrospective longitudinal study using 2014‐2019 Hospital Consumer Assessment of Healthcare Providers and Systems data linked to American Hospital Annual Survey data (3,524 hospitals in 2014 and 3,440 hospitals in 2019). Multivariable linear regression models were used to identify differential trends in patient perceptions of care by hospital rurality over 2014‐2019, adjusting hospital‐ and county‐level characteristics. Findings In 2014, patients at rural non‐FAR and FAR hospitals had lower percentages of willingness to definitely recommend these hospitals than urban hospitals (average percentage difference, 95% CI: −4.0% [−4.5%, −3.5%]; −2.0% [−2.8%, −1.2%]); yet, over the study period, rural hospitals experienced steeper increases in patient willingness to recommend (0.2% [0.07%, 0.4%]; 0.4% [0.08%, 0.7%]). FAR hospitals also showed improvements in patient experience in a clean environment, communication with nurses, communication about medicines, and responsiveness of staff. Communication with doctors showed slight decreases across hospital locations. Conclusions Patient perceptions of care were generally improved in all US hospitals from 2014 to 2019, except communications with doctors. These findings highlight the potential for enhancing patient satisfaction and experience in urban hospitals and suggest the need to improve patient willingness to recommend in rural FAR hospitals.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0890-765X
1748-0361
1748-0361
DOI:10.1111/jrh.12813