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Receipt of opioids and patient care experiences among nonsurgical hospitalized adults.

Mazurenko O, Blackburn J, Bair MJ, Kara AY, Harle CA. Receipt of opioids and patient care experiences among nonsurgical hospitalized adults. Health services research. 2020 Oct 1; 55(5):651-659.

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Abstract:

OBJECTIVE: To examine the association between receipt of opioids and patient care experiences among nonsurgical hospitalized adults. DATA SOURCES: A total of 17 691 patient-level responses to the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient care experience survey linked to medical records from nonsurgical hospitalizations in an 11-hospital health care system in a Midwestern state, years 2011-2016. STUDY DESIGN: We conducted a pooled cross-sectional study that used propensity score matching analyses and logistic regression to estimate the relationship between patients' care experience measures (overall and pain-specific) and their receipt of opioids while hospitalized. In supplementary analyses, we used the same propensity score matching methods to estimate the relationship between patient care experience measures and receipt of opioids in four patient subgroups based on average patient-reported pain during hospitalization (no pain; mild pain; moderate pain; and severe pain). PRINCIPAL FINDINGS: Receipt of opioids was not associated with patient care experience measures in our main analysis. In our supplementary analysis, we found lower ratings for pain control among hospitalizations for patients who reported moderate pain (Marginal Effects  =  -4.5 percent; P value  =  .015). CONCLUSIONS: Counter to some previous studies, we observed that receipt of opioids was not associated with patient care experience measures for nonsurgical hospitalized adults. These findings may be due to different pain experiences of adults hospitalized for nonsurgical versus surgical reasons.




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