SHM Converge Scientific Abstract ePoster Gallery-Room for Improvement: Room Type Impacts Patient Experience

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This study examined whether hospital room type affects patient experience at Stanford Health Care using HCAHPS survey data from medicine patients treated between January 2018 and May 2021 (n=1,259). Patients were cared for either in semi-private rooms at the original hospital (300P) or in private rooms at the newer hospital (500P), which has only private rooms.<br /><br />Using chi-squared tests and multivariate regression, the authors found that patients in private rooms were significantly more likely to give top-box survey scores than those in semi-private rooms (adjusted OR 1.28, p<0.001). Private-room patients rated 11 of 18 survey sections higher overall. The largest differences were in areas directly related to room accommodations, such as the room itself, hospital environment, and interactions involving visitors/family.<br /><br />Importantly, private rooms also scored better in several areas that are not directly tied to room layout, including admission, discharge, tests/treatments, physician care, and nursing care. Patients in private rooms at the newer hospital also rated 7 of 18 sections higher than patients in private rooms at the original hospital, suggesting that hospital design and environment may contribute beyond room type alone.<br /><br />The study also found that patient characteristics influenced survey responses. Gender, marital status, religion, language, ethnic group, and insurance type were all associated with likelihood of giving a top-box score.<br /><br />Overall, the findings suggest a “halo effect”: a positive impression of a patient’s room may improve perceptions of the entire hospital experience. Private rooms appear to enhance patient satisfaction, though semi-private rooms may still be useful in settings where social interaction or bed capacity is important.

Asset Subtitle

Ella Atsavapranee

Meta Tag

Author List Ella Atsavapranee, Lisa Shieh, Paul A. Heidenreich

Category Research

Concept Hospital Room Type

Concept HCAHPS

Concept Top-box Score

Concept Patient Experience

Concept Halo Sign

Distinguished Non-Finalist

Presenter Organization University of Pennsylvania

Presenting Author Ella Atsavapranee

Track Quality Improvement

Keywords

hospital room type

patient experience

HCAHPS survey

private rooms

semi-private rooms

patient satisfaction

Stanford Health Care

halo effect

hospital design

multivariate regression

Hospital Room Type

HCAHPS

Top-box Score

Patient Experience

Halo Sign