Fenton and colleagues1 find associations between higher patient experience scores and greater hospitalization rates, total expenditures, and mortality. Their results are puzzling because they conflict with a large literature demonstrating associations between higher patient experience ratings and a variety of favorable outcomes including better medication adherence, better performance on most clinical process measures, reduced hospital use, and lower inpatient mortality rates.2- 5
Friedberg MW, Gelb Safran D, Schneider EC. Satisfied to Death: A Spurious Result?. Arch Intern Med. 2012;172(14):1110–1114. doi:10.1001/archinternmed.2012.2060
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