Nonresponse Bias on Inpatient Rehabilitation Hospitals’ Experience of Care Quality Measure Scores
Objective: To describe the magnitude of nonresponse bias on inpatient rehabilitation facility (IRF) experience of care survey data in patients with neurologic disorders. Design: Cohort study of patients at 2 IRFs. Patients reported experience of care via an IRF-administered survey as part of routine...
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Elsevier
2024-12-01
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| Series: | Archives of Rehabilitation Research and Clinical Translation |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590109524000612 |
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| author | Allen Walter Heinemann, PhD Anne Deutsch, RN, PhD, CRRN Dave Brewington, PhD Linda Foster, PT Karon Frances Cook, PhD Ana Miskovic, BA David Cella, PhD |
| author_facet | Allen Walter Heinemann, PhD Anne Deutsch, RN, PhD, CRRN Dave Brewington, PhD Linda Foster, PT Karon Frances Cook, PhD Ana Miskovic, BA David Cella, PhD |
| author_sort | Allen Walter Heinemann, PhD |
| collection | DOAJ |
| description | Objective: To describe the magnitude of nonresponse bias on inpatient rehabilitation facility (IRF) experience of care survey data in patients with neurologic disorders. Design: Cohort study of patients at 2 IRFs. Patients reported experience of care via an IRF-administered survey as part of routine operations approximately 2 weeks after discharge. A partially overlapping sample of research participants completed a similar survey approximately 2 weeks and 30 days after discharge. Setting: Two inpatient rehabilitation facilities. Participants: Patients aged ≥18 years with neurologic disorders who were discharged from 2 IRFs. Interventions: None. Main Outcome Measures: Experience of care data collected via an IRF Survey (self-report or proxy responses) and a Research Survey (self-report only). Results: Of the 1055 patients admitted during the study period who met the age and diagnosis criteria, 490 (46.4%) completed one or both of the surveys. Of the 325 IRF Survey respondents, 202 were self-report, 99 were proxy respondents, and 24 were unknown respondents. Only patients completed the Research Survey (N=285). One hundred twenty patients completed both surveys, of which 7 were proxy IRF Survey respondents. IRF Survey respondents had higher cognitive function than nonrespondents; patients with spinal cord injuries were more likely to complete the IRF Survey than other patients. There were no differences in the proportions of patients answering favorably on the IRF Survey (all respondents) compared with the Research Survey, except for physician communication and discharge information. Mutual information analysis revealed agreement between the scores produced by the 2 data sources. Conclusions: There were subtle, potentially important differences in quality measure results across surveys, reflecting the extent to which patients are encouraged to complete experience of care surveys. There was higher agreement on questions about global hospital perceptions than specific aspects of patients’ experience. |
| format | Article |
| id | doaj-art-c2db649d112c4f0b9dea0e8a47b2f712 |
| institution | Kabale University |
| issn | 2590-1095 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Rehabilitation Research and Clinical Translation |
| spelling | doaj-art-c2db649d112c4f0b9dea0e8a47b2f7122024-12-10T04:14:30ZengElsevierArchives of Rehabilitation Research and Clinical Translation2590-10952024-12-0164100363Nonresponse Bias on Inpatient Rehabilitation Hospitals’ Experience of Care Quality Measure ScoresAllen Walter Heinemann, PhD0Anne Deutsch, RN, PhD, CRRN1Dave Brewington, PhD2Linda Foster, PT3Karon Frances Cook, PhD4Ana Miskovic, BA5David Cella, PhD6Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab and Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL; Corresponding author Allen Walter Heinemann, PhD, Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab and Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, 355 E Erie St, Chicago, IL 60611.Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab and Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL; RTI International, Chicago, ILCenter for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab and Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, ILRehabilitation Services, Endeavor Health, Rolling Meadows, ILDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, ILCenter for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab and Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, ILDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, ILObjective: To describe the magnitude of nonresponse bias on inpatient rehabilitation facility (IRF) experience of care survey data in patients with neurologic disorders. Design: Cohort study of patients at 2 IRFs. Patients reported experience of care via an IRF-administered survey as part of routine operations approximately 2 weeks after discharge. A partially overlapping sample of research participants completed a similar survey approximately 2 weeks and 30 days after discharge. Setting: Two inpatient rehabilitation facilities. Participants: Patients aged ≥18 years with neurologic disorders who were discharged from 2 IRFs. Interventions: None. Main Outcome Measures: Experience of care data collected via an IRF Survey (self-report or proxy responses) and a Research Survey (self-report only). Results: Of the 1055 patients admitted during the study period who met the age and diagnosis criteria, 490 (46.4%) completed one or both of the surveys. Of the 325 IRF Survey respondents, 202 were self-report, 99 were proxy respondents, and 24 were unknown respondents. Only patients completed the Research Survey (N=285). One hundred twenty patients completed both surveys, of which 7 were proxy IRF Survey respondents. IRF Survey respondents had higher cognitive function than nonrespondents; patients with spinal cord injuries were more likely to complete the IRF Survey than other patients. There were no differences in the proportions of patients answering favorably on the IRF Survey (all respondents) compared with the Research Survey, except for physician communication and discharge information. Mutual information analysis revealed agreement between the scores produced by the 2 data sources. Conclusions: There were subtle, potentially important differences in quality measure results across surveys, reflecting the extent to which patients are encouraged to complete experience of care surveys. There was higher agreement on questions about global hospital perceptions than specific aspects of patients’ experience.http://www.sciencedirect.com/science/article/pii/S2590109524000612Neurological rehabilitationNonresponse biasOutcome assessment (health care)Patient reported outcomesQuality indicatorsRehabilitation |
| spellingShingle | Allen Walter Heinemann, PhD Anne Deutsch, RN, PhD, CRRN Dave Brewington, PhD Linda Foster, PT Karon Frances Cook, PhD Ana Miskovic, BA David Cella, PhD Nonresponse Bias on Inpatient Rehabilitation Hospitals’ Experience of Care Quality Measure Scores Archives of Rehabilitation Research and Clinical Translation Neurological rehabilitation Nonresponse bias Outcome assessment (health care) Patient reported outcomes Quality indicators Rehabilitation |
| title | Nonresponse Bias on Inpatient Rehabilitation Hospitals’ Experience of Care Quality Measure Scores |
| title_full | Nonresponse Bias on Inpatient Rehabilitation Hospitals’ Experience of Care Quality Measure Scores |
| title_fullStr | Nonresponse Bias on Inpatient Rehabilitation Hospitals’ Experience of Care Quality Measure Scores |
| title_full_unstemmed | Nonresponse Bias on Inpatient Rehabilitation Hospitals’ Experience of Care Quality Measure Scores |
| title_short | Nonresponse Bias on Inpatient Rehabilitation Hospitals’ Experience of Care Quality Measure Scores |
| title_sort | nonresponse bias on inpatient rehabilitation hospitals experience of care quality measure scores |
| topic | Neurological rehabilitation Nonresponse bias Outcome assessment (health care) Patient reported outcomes Quality indicators Rehabilitation |
| url | http://www.sciencedirect.com/science/article/pii/S2590109524000612 |
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