Evidence map›Paper›PMID 35984089›Full record

ArticleJournal of the American Geriatrics Society2022

The hospital care experiences of older patients compared to younger patients.

Marc N Elliott, Megan K Beckett, Christopher Cohea, William G Lehrman, Chelsea Russ, Paul D Cleary, Laura A Giordano, Elizabeth Goldstein, Debra Saliba

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Factors Influencing Patient Satisfaction with Healthcare Services in Poland.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Marc N ElliottRAND Corporation, Santa Monica, California, USA.ORCID 0000-0002-7147-5535
Megan K BeckettRAND Corporation, Santa Monica, California, USA.
Christopher CoheaHealth Services Advisory Group, Phoenix, Arizona, USA.
William G LehrmanCenters for Medicare & Medicaid Services, Baltimore, Maryland, USA.
Chelsea RussHealth Services Advisory Group, Phoenix, Arizona, USA.
Paul D ClearyYale School of Public Health, Yale University, New Haven, Connecticut, USA.
Laura A GiordanoHealth Services Advisory Group, Phoenix, Arizona, USA.
Elizabeth GoldsteinCenters for Medicare & Medicaid Services, Baltimore, Maryland, USA.
Debra SalibaRAND Corporation, Santa Monica, California, USA.

Funding

Centers for Medicare and Medicaid Services contract GS-10F-0166R /HHSM-500-2017-00077G
6 · The paper itself

Abstract

backgroundHospitals may provide less positive patient experiences for older than younger patients.

methodsWe used 2019 HCAHPS data from 4358 hospitals to compare patient-mix adjusted HCAHPS Survey scores for 19 experience of care items for patients ages 75+ versus 55-74 years and tested for interactions of age group with patient and hospital characteristics. We contrasted the age patterns observed for inpatient experiences with those among respondents to the 2019 Medicare CAHPS (MCAHPS) Survey of overall experience.

resultsPatients 75+ years (31% of all HCAHPS respondents) reported less-positive experiences than those 55-74 (46% of respondents) for 18 of 19 substantive HCAHPS items (mean difference -3.3% points). Age differences in HCAHPS top-box scores were large (>5 points) for 1 of 3 Nurse Communication items, 1 of 3 Doctor Communication, 2 of 2 Communication about Medication items, 1 of 2 Discharge Information items, and 2 of 3 Care Transition items. In contrast, for MCAHPS, those 75+ reported similar experiences to younger adults. The magnitude of age differences varied considerably across hospitals; some hospitals had very large age disparities for older patients (age 75+ vs. ages 55-74), while others had none. These age differences were generally smaller for patients in government and non-profit than in for-profit hospitals, and in the Pacific region than in other parts of the United States. This variation in age disparities across hospitals may help to identify best practices.

conclusionsPatients ages 75+ reported less-positive experiences than patients ages 55-74, especially for measures of communication. These differences may be specific to inpatient care. Further study should investigate the effectiveness of hospital staffs' communication with older patients. Hospital protocols designed for younger patients may need to be adjusted to meet the needs of older patients. There may also be opportunities to learn from outpatient interactions with older patients.

Indexed as

MedicarePatient SatisfactionAgedHospitalizationHospitalsHumansInpatientsUnited Statesage-friendlyHCAHPSmedication communicationpatient experiences

Identifiers

PMID35984089
PMCPMC10087850

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.