Using HCAHPS data to model correlates of medication understanding at hospital discharge

Figures & data

Table 1 Patient characteristics

Variable	Overall	Strongly agree	Not strongly agree	p-Value
Age				0.3245
N	154	104	50
Mean ± SD	66.0±14.6	65.2±15.0	67.7±13.6
Median	69.0	68.0	69.5
(min, max)	(21.0, 95.0)	(21.0, 93.0)	(37.0, 95.0)
Gender				0.7493
Male	68 (44.2)	45 (43.3)	23 (46.0)
Female	86 (55.8)	59 (56.7)	27 (54.0)
Race				0.7189
Not Caucasian	9 (5.8)	7 (6.7)	2 (4.0)
Caucasian	145 (94.2)	97 (93.3)	48 (96.0)
Hispanic
Puerto Rican	1 (0.8)	1 (1.2)	0 (0.0)
Education				0.0773
≤8th grade	5 (3.4)	1 (1.0)	4 (8.5)
Some high	14 (9.7)	7 (7.1)	7 (14.9)
school
High school grad	79 (54.5)	59 (60.2)	20 (42.6)
Some college	37 (25.5)	24 (24.5)	13 (27.7)
4-year college grad	5 (3.4)	3 (3.1)	2 (4.3)
4+ years college	5 (3.4)	4 (4.1)	1 (2.1)
Missing	9	6	3
Education as dichotomous				0.7717
High school or less	98 (67.6)	67 (68.4)	31 (66.0)
Some college	47 (32.4)	31 (31.6)	16 (34.0)
Mental health				0.0272
Poor	6 (4.0)	3 (3.0)	3 (6.1)
Fair	15 (10.0)	9 (8.9)	6 (12.2)
Good	49 (32.7)	27 (26.7)	22 (44.9)
Very good	50 (33.3)	36 (35.6)	14 (28.6)
Excellent	30 (20.0)	26 (25.7)	4 (8.2)
Missing	4	3	1
Mental health as dichotomous				0.0045
Good or worse	70 (46.7)	39 (38.6)	31 (63.3)
Very good or better	80 (53.3)	62 (61.4)	18 (36.7)
Missing	4	3	1
Overall health				0.4536
Poor	15 (10.0)	10 (9.9)	5 (10.2)
Fair	35 (23.3)	19 (18.8)	16 (32.7)
Good	63 (42.0)	45 (44.6)	18 (36.7)
Very good	32 (21.3)	23 (22.8)	9 (18.4)
Excellent	5 (3.3)	4 (4.0)	1 (2.0)
Missing	4	3	1
Overall health as dichotomous				0.3994
Good or worse	113 (75.3)	74 (73.3)	39 (79.6)
Very good or better	37 (24.7)	27 (26.7)	10 (20.4)
New medication				0.5162
No	53 (34.4)	34 (32.7)	19 (38.0)
Yes	101 (65.6)	70 (67.3)	31 (62.0)
Nurse always communicated well				<0.0001
No	39 (25.3)	16 (15.4)	23 (46.0)
Yes	115 (74.7)	88 (84.6)	27 (54.0)
Physician always communicated well				0.0002
No	29 (18.8)	11 (10.6)	18 (36.0)
Yes	125 (81.2)	93 (89.4)	32 (64.0)

Note: Bold figures represent p≤0.05.

Abbreviation: SD, standard deviation.

Table 2 Regression coefficients for model variables in classifying understanding of medications at hospital discharge

Variable	β (standard error)	Wald χ^Citation2	DF	p-Value	Odds ratio (95% confidence interval)
Intercept	–1.38 (0.55)	6.37	1	0.0116
Nurse always communicates well	1.13 (0.46)	5.97	1	0.0145	3.10 (1.25, 7.66)
Physician always communicates well	0.89 (0.51)	3.04	1	0.0813	2.44 (0.90, 6.68)
New medication	0.34 (0.40)	0.71	1	0.4009	1.40 (0.64, 3.08)
Mental health: very good or better vs good or worse	0.77 (0.39)	3.99	1	0.0456	2.17 (1.02, 4.64)

U.S. Department of Health and Human Services. Medication Error Reports. Washington, DC; 2016. Available from: http://www.fda.gov/Drugs/DrugSafety/MedicationErrors/ucm080629.htm. Accessed November 10, 2016.

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