Exploring the preferences of frail elderly Canadians for aspects of inpatient care: A best-worst scaling experiment
Approximately 400 participants from across British Columbia from two populations were recruited and administered a stated preference technique called best-worst scaling. This was used to help understand what matters most to patients, their family members, friends and carers. By having a number of individuals complete the survey, we were able to understand which aspects of hospital care matter most, and to which patients.
Possible Research Results
Anticipated findings: Through this project, we anticipate that we will be able to identify aspects of hospital care that are most important to elderly patients, both frail and non-frail.
Impact of findings: The results of this study will provide evidence on the relative importance of aspects of hospital care. Administrators may use this evidence, along with currently collected data, to inform efforts on which parts of hospital care should be prioritized for improvement as they deemed most important by patients. By surveying elderly frail and non-frail patients, administrators will have evidence of the unique needs for each of these populations. This may enable hospital care to take into account the needs of frail elderly patients and their caregivers, and may lead to changes that improve their hospital experience.
About the Project
In Canada, a new effort is being made to involve patients in their own health care, and to help improve their experiences with care. Part of this effort means asking patients about their experiences in the hospital. Some important types of questions involve asking the patients what was most important to them in the hospital and some good or bad experiences they had there. To ask these types of questions, researchers are using a questionnaire called the Canadian Patient Experience Survey.
The survey covered 48 different aspects about hospital care. Researchers think some aspects will matter a lot to some patients, while others will be less important to other patients. This study focused on elderly Canadians, and helped health care administrators understand which parts of hospital care experiences are most and least important to patients.
Nick Bansback, PhD — University of British Columbia
Stirling Bryan, PhD — University of British Columbia
Lena Cuthbertson, BHScOT — B.C. Ministry of Health
Rick Sawatzky, RN, PhD — Trinity Western University
Dawn Stacey, MScN, PhD — University of Ottawa
Knowledge Users and Partners:
Kira Leeb — Canadian Institute for Health Information
Project Contact: Nick Bansback — firstname.lastname@example.org
Key words: frail elderly; inpatients; patient preference; patient satisfaction; stated preferences; best worst scaling; discrete choice experiment
Rationale: This study will focus on elderly Canadians, and help health care administrators understand which parts of hospital care experiences are most and least important to patients.
Hypothesis: We hypothesize that frail elderly patients will care about different aspects of hospital care than the non-frail elderly.
Objectives: Our primary objective is to understand which aspects of hospital care are most important to frail elderly patients and secondly to determine whether these preferences differ from their family members, friends, and caregivers and non-frail elderly patients.
Research plan: We will use a stated preference technique called best worst scaling to help understand what matters most to patients, and their family members, friends and carers. We will recruit approximately 400 participants from across British Columbia composed of frail elderly individuals aged 65+, who will be recruited by sampling those who complete a Ministry of Health Long-term Care Survey that is being administered in 2016. The second group within the 400 participants will be non-frail elderly, and they will be recruited through IPSOS-Reid. By having a number of individuals complete the survey, we will be able to understand which aspects of hospital care matter most, and to which patients.
CFN Webinar (December 6, 2017): Which inpatient care experiences matter most to patients? Valuing items from the Canadian Patient Experience Survey