Nonresponse Bias on Inpatient Rehabilitation Hospitals' Experience of Care Quality Measure Scores.
Allen Walter Heinemann, Anne Deutsch, Dave Brewington and 4 others
PMID 39822198WHAT IT FOUND
Routine inpatient rehabilitation experience surveys underrepresented patients with lower cognition, stroke or brain injury, and proxy answers differed from patient answers.
These scores may not represent all patients.
Key findings
01Patients who completed the routine survey were more likely to have higher cognitive scores and spinal cord injury, while patients with traumatic brain injury or stroke were more likely to be nonrespondents.
02Proxy respondents were more likely to answer for patients with lower self-care, mobility, and cognition scores, and for patients discharged to acute care hospitals or skilled nursing facilities.
03When patients answered both surveys, favorable doctor communication ratings were 42% on the routine survey and 61% on the research survey.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The data came from only two inpatient rehabilitation hospitals in the Midwestern United States, so they may not represent all inpatient rehabilitation facilities. The routine survey response rate was 30.8%, and respondents had higher cognitive scores and different diagnoses and discharge locations than nonrespondents. Some routine survey respondents' source was unknown, and proxy answers were included for the routine survey but not the research survey. The two surveys used similar but not identical questions and different rating scales, which could affect responses. It is unknown how much proxy respondents obtained patient input before answering. Not all respondents answered every question, so the number of responses used for each score varied. The patients' rehabilitation stays ended 8 years before publication, and health policy changes and the COVID-19 public health emergency may limit current relevance.
Declared interests
The two inpatient rehabilitation hospitals contracted with Press Ganey, a national vendor, to gather routine patient experience data. One author reported financial relationships with Clinical Outcome Solutions, Serano Merck, AVR, and Stanford (CERSI#63-FDA), outside the submitted work. The other authors reported nothing to disclose.