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FOTO Rehab Outcomes Blog

Does Patient Experience Affect Clinical Outcome?

I have mixed feelings about hospitalized patients and the experiences created for them.  Take for example creating an environment that includes flat screen smart televisions. Sure, it would be a great experience to have that kind of technology to allow for "entertainment." If the patient perceives this as a positive experience, does it affect clinical outcomes? Will they rate their care as better?

The abstract I found perked my interest because it found that patient experience was associated with clinical outcome. I'm curious what kind of experiences were described that improved clinical outcomes.

Below you will find a quick view of the abstract. 


Hospital Value-Based Purchasing: The Association Between Patient Experience and Clinical Outcome.



The Affordable Care Act of 2010 introduced a Hospital Value-Based Purchasing Total Performance Score for payment purposes and to evaluate hospital quality of care. In fiscal year 2016, Total Performance Score was composed of (1) Clinical Processes of Care, (2) Patient Experience of Care, (3) Outcome, and (4) Efficiency domains. The objective of this study was to examine the association between the Patient Experience of Care and Outcome domains. The Donabedian model of structure, process, and outcome was used as a conceptual framework for this study. Data from the 2015-2016 Area Health Resource File, the 2016 American Hospital Association database, and the 2016 Hospital Value-Based Purchasing were used. Univariate, bivariate, and multivariate analyses were conducted to examine the impact of patient experience on outcome of care and hospitals. From a sample of 1866 hospitals across the United States, patient experience was significantly and positively associated with patient outcome. In addition, for-profit hospitals, hospitals with more beds, nonteaching hospitals, and hospitals located in less competitive markets were found to have a significant association with better outcomes. The study's findings are important as policy makers consider additional or alternative indicators that may better represent and encourage higher quality of care within acutecare hospitals.

 2017 Oct/Dec;36(4):312-319. doi: 10.1097/HCM.0000000000000183.

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