Abstract
Objectives
To (1) estimate the relative value of older adults’ healthcare experiences based on
the Canadian Patient Experience Survey for Inpatient Care (CPES-IC) using an economic
valuation technique, and (2) compare the results with those of a conventional key-driver
analysis of healthcare experiences based on bivariate correlations.
Study Design and Setting
An online survey of 1,074 Canadians aged 60 and older who had been hospitalized within
five years. Participants completed the CPES-IC and a best-worst scaling (BWS) valuation
task. BWS data were analyzed using a conditional logit model. These results were compared
to a conventional key-driver analysis that estimates importance through Spearman's
correlations between experiences and a global rating of overall experience.
Results
The valuation approach found that the three experiences most valued by patients were:
that staff seemed informed and up-to-date about their hospital care, doctors explained
things in a way that they could understand, and that they got all the information
they needed about their care and treatment. Three of the top five most valued experiences
from the valuation approach were among the top five in the key driver analysis. However,
there were noteworthy differences in rank order.
Conclusion
The results of the valuation exercise can inform local and/or system level quality
improvement efforts by identifying priorities from an economic evaluation point of
view, which are different than those based on a conventional key-driver analysis.
Given the degree of uncertainty in estimates both the rank order and confidence intervals
should be used to guide decision-making.
Keywords
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Article info
Publication history
Published online: June 25, 2021
Accepted:
June 22,
2021
Footnotes
Conflict of interest: None.
Identification
Copyright
© 2021 Published by Elsevier Inc.
