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BMC Nephrol. 2018 Nov 28;19(1):340. doi: 10.1186/s12882-018-1147-3.

Hemodialysis patient characteristics associated with better experience as measured by the In-center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) survey.

Author information

1
Tufts Medical Center, 800 Washington Street Box 391, Boston, MA, 02111, USA. tdad@tuftsmedicalcenter.org.
2
Sackler School of Graduate Biomedical Sciences, Tufts University, Boston, USA. tdad@tuftsmedicalcenter.org.
3
Tufts Medical Center, 800 Washington Street Box 391, Boston, MA, 02111, USA.
4
Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA.
5
Biostatistics, Epidemiology and Research Design (BERD) Center, Tufts Clinical and Translational Science Institute, Tufts University, Boston, MA, USA.
6
Dialysis Clinic Incorporated, Nashville, TN, USA.

Abstract

BACKGROUND:

Patient experience in hemodialysis (HD) is measured twice yearly in all in-center HD patients in the United States using the In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) survey. Survey scores are publically available and incorporated into the dialysis payment system. Despite its importance, little is known about factors associated with better experience scores. We studied the association between patient-level characteristics and experience scores in a large real-world cohort of HD patients.

METHODS:

This is a cross-sectional analysis of ICH CAHPS administration in 2012. All in-center HD patients in Dialysis Clinic, Incorporated facilities nationally over 18 years old and receiving HD at their facility for at least 3 months were eligible. Predictors include patient demographic, clinical, and treatment-related characteristics. Outcomes include high global rating scores across three domains (Nephrologist, Dialysis Staff, Dialysis Center) and high composite scores across three domains (Nephrologists' Communication and Caring, Quality of Dialysis Center Care and Operations, and Providing Information to Patients).

RESULTS:

Among 3369 respondents, older age and telephone (vs. mail) administration of the survey were associated with higher global ratings, while shortened HD treatments were associated with lower global ratings. Lower education and telephone administration were associated with higher composite scores, while older age, and shortened HD treatments were associated with lower composite scores.

CONCLUSIONS:

Several patient characteristics and mode of survey administration are associated with higher experience scores. Future research should assess HD facility characteristics associated with higher scores and interventions that might improve experience accounting for these associations.

KEYWORDS:

CAHPS; Dialysis; ICH CAHPS; Patient experience

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