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. 2005 Dec;40(6 Pt 2):2140–2161. doi: 10.1111/j.1475-6773.2005.00469.x

Table 2.

Item and Composite Characteristics for English and Spanish H-CAHPS

Mean (Standard Deviation) Ceiling Effects—Proportion at the Highest Response Category (%)


Composite/Items t-Statistic (p) English Spanish χ2 (p) English Spanish
Nurse communications −0.52 (.60) 3.52 (0.63) 3.53 (0.56)
 Nurse respect (Q4) 1.54 (.12) 3.63 (0.63) 3.59 (0.65) 3.35 (.07) 70.70 67.18
 Nurse listen (Q5) −4.36 (<.01) 3.46 (0.73) 3.58 (0.65) 14.31 (<.01) 58.82 66.67
 Nurse explain (Q6) 1.14 (.25) 3.48 (0.76) 3.44 (0.75) 2.84 (.09) 61.76 58.30
Doctor communications −0.23 (.82) 3.59 (0.62) 3.60 (0.54)
 Doctor respect (Q11) 0.56 (.58) 3.68 (0.61) 3.67 (0.59) 3.24 (.07) 75.06 71.77
 Doctor listen (Q12) −1.59 (.11) 3.55 (0.72) 3.59 (0.64) 0.00 (.98) 66.49 66.44
 Doctor explain (Q13) 0.60 (.55) 3.55 (0.72) 3.53 (0.68) 3.80 (.05) 66.26 62.37
Communication about meds −1.83 (.07) 3.20 (0.90) 3.32 (0.89)
 Allergies to Rx (Q40) −0.05 (.96) 3.54 (0.86) 3.54 (0.87) 0.01 (.91) 73.17 72.78
 Rx side effects (Q41) −2.54 (.01) 2.86 (1.17) 3.09 (1.12) 5.54 (.02) 41.74 50.57
Nursing services −3.42 (<.01) 3.22 (0.80) 3.34 (0.74)
 Call button response (Q9) −3.95 (<0.01) 3.16 (0.85) 3.31 (0.79) 9.78 (<.01) 40.92 48.65
 How often bathroom (Q22) −1.24 (.22) 3.29 (0.87) 3.35 (0.79) 0.00 (.98) 52.18 52.28
Discharge information −1.71 (.08) 1.82 (0.34) 1.84 (0.30)
 Help after discharge (Q48) −1.62 (.11) 1.83 (0.38) 1.79 (0.41) 2.98 (.08) 82.67 79.27
 Symptoms in writing (Q49) 2.81 (.01) 1.82 (0.38) 1.87 (0.34) 6.44 (.01) 82.39 86.54
Pain control −1.43 (.15) 3.46 (0.70) 3.50 (0.59)
 Pain controlled (Q32) −1.57 (.12) 3.39 (0.76) 3.44 (0.67) 0.06 (.81) 53.78 54.36
 MD pain help (Q33) −0.82 (.41) 3.53 (0.74) 3.56 (0.64) 1.35 (.25) 65.52 62.84
Physical environment −7.93 (<.01) 3.35 (0.68) 3.55 (0.59)
 Room clean (Q17) −3.62 (<.01) 3.49 (0.77) 3.60 (0.70) 9.44 (<.01) 63.42 69.67
 Room quiet (Q18) −8.96 (<.01) 3.21 (0.87) 3.50 (0.76) 75.71 (<.01) 45.52 63.84
Global nurses rating −8.61 (<.01) 8.35 (2.03) 8.97 (1.70) 63.56 (<.01) 37.39 53.71
Global doctors rating −8.57 (<.01) 8.67 (1.92) 9.19 (1.43) 40.70 (<.01) 47.33 60.76
Global hospital rating −10.99 (<.01) 8.36 (2.01) 9.07 (1.51) 72.97 (<.01) 35.30 52.60
Recommend hospital −3.07 (<.01) 3.52 (0.75) 3.60 (0.67) 7.62 (.05) 63.67 68.35

Note: Composites, composite items, and the recommend hospital item are on a 1–4 scale; rating items are on a 0–10 scale.

H-CAHPS, Hospital Survey-Consumer Assessments of Healthcare Providers and Systems; Rx, prescription medicines.