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Less “Respect”
S318 Abstracts
J ALLERGY CLIN IMMUNOL FEBRUARY 2004
1176
Less “Respect”: Ratings of Inpatient Care by HIV/AIDS Patients
TUESDAY
R. J. Wolosin; Research and Development, Press Ganey Associates, Inc, South Bend, IN. RATIONALE: To investigate the “Patient Centeredness” of inpatient care of HIV/AIDS patients, in comparison with patients hospitalized for chemotherapy or treatment of non-HIV infectious diseases. METHODS: Retrospective database analysis of patient survey records collected in 2002. Participants were 1,633 patients of 68 US hospitals who returned a survey to a national patient satisfaction measurement company. A reliable and valid survey, using a mail-out, mail-back data collection method, provided the data. Survey questions were mapped onto the IOM dimensions of patient-centered care, and dimension scores were analyzed according to patient diagnosis. Potential confounding variables were either kept constant (i.e., only patients from the same set of hospitals were included) or controlled for statistically.
J ALLERGY CLIN IMMUNOL VOLUME 113, NUMBER 2
Abstracts S319
TUESDAY
RESULTS: HIV/AIDS patients rated their care lower than patients with other diagnoses on every IOM dimension. For the IOM dimension, “Respect for patients’ values, preferences, and expressed needs,” (“Respect”) analysis of variance including diagnosis, differing patient demographics, and hospitalization characteristics yielded a significant overall effect of diagnosis (p<.05). Specific items from this dimension that showed significant differences by diagnosis were Nurses’ attention to special or personal needs (p<.032) and Staff effort to include you in decisions about your treatment (p<.033). CONCLUSIONS: Quality of inpatient care, as indexed by patient satisfaction ratings along the IOM dimensions of patient-centered care, differed among patients with different diagnoses; HIV/AIDS patients rated their care experiences worse than other patients. The IOM “Respect” dimension and two of its constituent items showed significant variation by diagnosis. Funding: Press Ganey Associates, Inc.
J ALLERGY CLIN IMMUNOL FEBRUARY 2004
1176
Less “Respect”: Ratings of Inpatient Care by HIV/AIDS Patients
TUESDAY
R. J. Wolosin; Research and Development, Press Ganey Associates, Inc, South Bend, IN. RATIONALE: To investigate the “Patient Centeredness” of inpatient care of HIV/AIDS patients, in comparison with patients hospitalized for chemotherapy or treatment of non-HIV infectious diseases. METHODS: Retrospective database analysis of patient survey records collected in 2002. Participants were 1,633 patients of 68 US hospitals who returned a survey to a national patient satisfaction measurement company. A reliable and valid survey, using a mail-out, mail-back data collection method, provided the data. Survey questions were mapped onto the IOM dimensions of patient-centered care, and dimension scores were analyzed according to patient diagnosis. Potential confounding variables were either kept constant (i.e., only patients from the same set of hospitals were included) or controlled for statistically.
J ALLERGY CLIN IMMUNOL VOLUME 113, NUMBER 2
Abstracts S319
TUESDAY
RESULTS: HIV/AIDS patients rated their care lower than patients with other diagnoses on every IOM dimension. For the IOM dimension, “Respect for patients’ values, preferences, and expressed needs,” (“Respect”) analysis of variance including diagnosis, differing patient demographics, and hospitalization characteristics yielded a significant overall effect of diagnosis (p<.05). Specific items from this dimension that showed significant differences by diagnosis were Nurses’ attention to special or personal needs (p<.032) and Staff effort to include you in decisions about your treatment (p<.033). CONCLUSIONS: Quality of inpatient care, as indexed by patient satisfaction ratings along the IOM dimensions of patient-centered care, differed among patients with different diagnoses; HIV/AIDS patients rated their care experiences worse than other patients. The IOM “Respect” dimension and two of its constituent items showed significant variation by diagnosis. Funding: Press Ganey Associates, Inc.