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To the Editor Lyu and colleagues1 could not find significant associations between patients’ overall ratings of hospitals and those hospitals’ performance on surgical process measures. Their study of 31 hospitals had insufficient power to establish moderately strong associations such as those previously shown in a similar but larger study.2 However, even if their findings were confirmed in a larger sample, they should be neither surprising nor concerning.
Anhang Price R, Elliott MN, Zaslavsky AM. Valuing Patient Experience as a Unique and Intrinsically Important Aspect of Health Care Quality. JAMA Surg. 2013;148(10):985-986. doi:10.1001/jamasurg.2013.3414