Imperial College London
Alternate

Emeritus ProfessorDerekBell

Faculty of Medicine, School of Public Health

Emeritus Professor in Acute Medicine
 
 
 
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Contact

 

+44 (0)7886 725 212d.bell

 
 
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Assistant

 

Miss Heather Barnes +44 (0)20 3315 8144

 
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Location

 

Chelsea and Westminster HospitalChelsea and Westminster Campus

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Summary

 

Publications

Citation

BibTex format

@article{Sullivan:2017:10.1136/bmjopen-2016-012133,
author = {Sullivan, PJ and Bell, D},
doi = {10.1136/bmjopen-2016-012133},
journal = {BMJ Open},
title = {An investigation of the degree of organisational influence on patient experience scores in Acute Medical Admission Units in all acute hospitals in England using multilevel hierarchical regression modelling},
url = {http://dx.doi.org/10.1136/bmjopen-2016-012133},
volume = {7},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objectives: Previous studies found that hospital and specialty have limited influence on patient experience scores, and  patient level factors are more important. This could be due to heterogeneity of experience delivery across sub-units within organisations.  We aimed to determine whether organisation level factors have greater impact  if  scores for the same sub-specialty microsystem are analysed in each hospital.  Setting: Acute medical admission units in all NHS Acute Trusts in England.  Participants: We analysed patient experience  data from the English Adult In-Patient Survey which is administered to  850 patients annually in each acute NHS Trusts in England.   We selected all 8753 patients who returned the survey and  who were emergency medical admissions and  stayed in their admission unit for 1-2 nights, so as to isolate the experience delivered during the acute admission process.  Primary and secondary outcome measures: We used multilevel logistic regression to determine the apportioned  influence of  host organisation  and of organisation level factors (size and teaching status), and patient level factors, (demographics, presence of long term conditions and  disabilities). We selected ‘being treated with respect and dignity’ and ‘pain control’ as primary outcome parameters. Other Picker Domain question scores were analysed as secondary parameters. Results: The proportion of overall variance attributable at organisational level was small; 0.5% (NS) for respect and dignity, 0.4% (NS) for pain control. Longstanding conditions, and consequent disabilities were associated with low scores. Other item scores also showed that most influence was from patient level factors.  Conclusion: “Conclusion: When a single microsystem, the acute medical admission process, is isolated, variance in experience scores is mainly explainable by patient level factors with limited organisational level influence. This has implications for use of generic
AU  - Sullivan,PJ
AU  - Bell,D
DO  - 10.1136/bmjopen-2016-012133
PY  - 2017///
SN  - 2044-6055
TI  - An investigation of the degree of organisational influence on patient experience scores in Acute Medical Admission Units in all acute hospitals in England using multilevel hierarchical regression modelling
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2016-012133
UR  - http://hdl.handle.net/10044/1/42072
VL  - 7
ER  -
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