Gender Differences in Patients' Perceptions of Inpatient Care

RAND Corporation, Santa Monica, CA 90407, USA.
Health Services Research (Impact Factor: 2.78). 02/2012; 47(4):1482-501. DOI: 10.1111/j.1475-6773.2012.01389.x
Source: PubMed


To examine gender differences in inpatient experiences and how they vary by dimensions of care and other patient characteristics.
A total of 1,971,632 patients (medical and surgical service lines) discharged from 3,830 hospitals, July 2007-June 2008, and completing the HCAHPS survey.
We compare the experiences of male and female inpatients on 10 HCAHPS dimensions using multiple linear regression, adjusting for survey mode and patient mix. Additional models add additional patient characteristics and their interactions with patient gender.
We find generally less positive experiences for women than men, especially for Communication about Medicines, Discharge Information, and Cleanliness. Gender differences are similar in magnitude to previously reported HCAHPS differences by race/ethnicity. The gender gap is generally larger for older patients and for patients with worse self-reported health status. Gender disparities are largest in for-profit hospitals.
Targeting the experiences of women may be a promising means of improving overall patient experience scores (because women comprise a majority of all inpatients); the experiences of older and sicker women, and those in for-profit hospitals, may merit additional examination.

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    • "McNair et al., 2009). Previous studies have noted lower satisfaction scores in women across and within hospitals (Elliott et al., 2012), leading authors to conclude that targeting a gender experience may lead to improved satisfaction in women. Racial minorities also rate their care lower. "
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