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Impact of Patients’ Perception of Hospital Experience on Organ Donation Rates

A. Azim1, A. Friedman2, S. Nishida1, K. Okumura1, G. Veillette1, T. Diflo1, R. Latifi1, H. Sogawa1

1Surgery, Westchester Medical Center, Valhalla, NY, 2Transplant, Live On NY, New York, NY

Meeting: 2020 American Transplant Congress

Abstract number: C-231

Keywords: Donation, N/A

Session Information

Session Name: Poster Session C: Quality Assurance Process Improvement & Regulatory Issues

Session Type: Poster Session

Date: Saturday, May 30, 2020

Session Time: 3:15pm-4:00pm

 Presentation Time: 3:30pm-4:00pm

Location: Virtual

*Purpose: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is a validated data collection methodology for measuring a patient’s perception of his/her hospital experience with publically available results. The aim of this study was to analyze the impact of patient perception of hospital care on organ donation rates.

*Methods: Retrospective analyses of the latest publicly available HCAHPS and SRTR data (2018) were performed. Hospitals with more than 10 procurements performed in 2018 were included. HCAHPS linear mean scores regarding the cleanliness of the hospital, doctor and nurse communication with the patient, staff responsiveness, overall hospital rating, and patient willingness to recommend the hospital were extracted. Our outcome measure was observed Organ donation rate, which was calculated as the number of eligible donors who underwent organ procurement divided by the number of eligible deaths. Spearman correlation analysis was performed.

*Results: A total of 8275 organ procurements were performed in 2018 in 1829 hospitals across the US. The mean organ donation rate was 68.3%. 255 hospitals performed 10 or more procurements in 2018. The Spearman correlation analysis showed that patients’ satisfaction with doctor communication (correlation coefficient = 0.56 p=0.003), nursing communication (correlation coefficient = 0.41 p=0.02), and patients’ willingness to recommend the hospital to others (correlation coefficient = 0.43 p=0.009), were positively correlated with organ donation rates. There was no significant correlation between the cleanliness of the hospital, staff responsiveness and overall rating of the hospital.

*Conclusions: Our data analysis shows that organ donation rates are positively correlated with the degree of patient satisfaction especially the quality of doctors and nursing communication. Improving patients’ hospital experience in particular doctor and nursing communication and providing patient-centered care may result in improved organ donation rates and so can help in overcoming current organ shortage in the United States.

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To cite this abstract in AMA style:

Azim A, Friedman A, Nishida S, Okumura K, Veillette G, Diflo T, Latifi R, Sogawa H. Impact of Patients’ Perception of Hospital Experience on Organ Donation Rates [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/impact-of-patients-perception-of-hospital-experience-on-organ-donation-rates/. Accessed May 10, 2025.

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