Patient Satisfaction Is Associated With Dialysis Facility Quality and Star Ratings

Abhijit V. Kshirsagar, Amir Alishahi Tabriz, Heejung Bang, Shoou Yih D. Lee

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


The Dialysis Facility Compare Star Rating and the Quality Incentive Program (QIP) generate separate performance scores from clinical measures, and the In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH-CAHPS) survey evaluates patient satisfaction across 6 separate domains related to nephrologists, dialysis facility, and information transmission. This study examined the relationship of the 3 measures for US clinics, modeling the 6 ICH-CAHPS domains as independent variables and QIP and star ratings as dependent variables. Among 3176 dialysis clinics, domains assessing dialysis facility and information transmission had a consistently stronger relationship with QIP and star ratings than the domains assessing nephrologists: QIP, β (95% CI) = 1.62 (1.26-1.97) for dialysis facility staff rating, 0.70 (0.35-1.05) for nephrologists; star rating, odds ratio (95% CI) = 1.38 (1.29-1.49) for dialysis facility staff rating, 1.17 (1.09-1.25) for nephrologists. Patient satisfaction is associated with dialysis care quality, with surprising differences between nephrologists and dialysis facilities.

Original languageEnglish (US)
JournalAmerican Journal of Medical Quality
StateAccepted/In press - Jan 1 2018
Externally publishedYes


  • dialysis
  • quality
  • star ratings

ASJC Scopus subject areas

  • Health Policy


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