How Organizational Inclusion Shapes Patient Satisfaction in Magnet Hospitals

Bibliographic Data

ID9101710
AuthorsHyunmin Yu (0000-0002-6770-0808, University of Pennsylvania, corresponding author), Heather Brom (0000-0002-4295-6372, University of Pennsylvania, corresponding author), Jose A Bauermeister (Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania), Jose Bauermeister (0000-0002-9276-2306, Community Initiatives), Jessie Reich (0000-0001-5068-8243, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania), Matthew D McHugh (0000-0002-1263-0697, University of Pennsylvania, corresponding author), Tari Hanneman (Human Rights Campaign Foundation, Washington, DC), Linda H Aiken (0000-0001-8004-3630, University of Pennsylvania, corresponding author)
Year2025
Volume63
Issue11
Pages798-805
Publication date2025-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000002201
PMID40853206
OpenAlexW4413441174
LanguageEN
References cited23

OBJECTIVE: Magnet hospitals exhibit higher patient satisfaction than non-Magnet hospitals, yet the underlying mechanisms driving these differences remain underexplored. This study examined the associations between Magnet status, hospitals' inclusion efforts for diverse populations, and patient satisfaction, and whether inclusion efforts explain Magnet hospitals' higher satisfaction. METHODS: This cross-sectional study analyzed 2023 secondary data from 4 sources: the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), the Healthcare Equality Index (HEI), the American Hospital Association Annual Survey, and the list of Magnet-recognized organizations. The sample included 708 hospitals (216 Magnet, 492 non-Magnet) participating in both HCAHPS and HEI. HEI scores, which assess hospitals' inclusion efforts for lesbian, gay, bisexual, transgender, queer, and other sexual and gender diverse (LGBTQ+) populations, were used as a proxy for overall inclusion. Patient satisfaction was measured using 8 HCAHPS indicators. Mediation analyses tested whether HEI scores explained the association between Magnet designation and patient satisfaction. RESULTS: Magnet hospitals had higher HEI scores (M=92.0, SD=12.2) compared with non-Magnet hospitals (M=88.5, SD=13.3). They also had higher hospital ratings (M=88.4, SD=2.4 vs. M=87.6, SD=3.3) and patient recommendations (M=88.4, SD=3.2 vs. M=86.8, SD=4.1). Magnet status had direct effects on hospital ratings (b=1.75, P <0.001) and recommendations (b=2.37, P <0.001), as well as indirect effects through HEI performance on hospital ratings (b=0.07, P =0.022) and recommendations (b=0.10, P =0.026), resulting in total effects on hospital ratings (b=1.82, P <0.001) and recommendations (b=2.47, P <0.001). CONCLUSIONS: The findings underscore the importance of organizational priorities and policies that promote patient-centeredness and inclusion for the satisfaction of all patients

Inclusion (mineral) · Magnet · MEDLINE · Patient satisfaction · Political science · Engineering · Healthcare Policy and Management · Healthcare Quality and Management · Mechanical Engineering · Medicine · Nursing · Patient Satisfaction in Healthcare · Psychology · Social Psychology

Tools

Open DOIOpen Access