The Child and Family Hospital Experience: Is It Influenced by Family Accommodation?

Med Care Res Rev. 2015 Aug;72(4):419-37. doi: 10.1177/1077558715579667. Epub 2015 Apr 8.


Patient and family experiences are important indicators of quality of care and little is known about how family accommodation affects hospital experience. We added questions about accommodation to standardized inpatient pediatric and neonatal intensive care unit family experience surveys at 10 U.S. hospitals to determine the accommodation types used by families, compare characteristics across accommodation types and explore accommodation-type influences on overall hospital experience outcomes. Parents of inpatient children (n = 5,105; 93.4%) most often stayed in the child's room (76.8%). Parents of neonatal intensive care unit infants (n = 362; 6.6%) most often stayed overnight in their own home or with relatives/friends (47.2%). Accommodation varied based on hospital, parent, and child factors. Accommodation type was a significant predictor for most hospital experience outcomes, with families who stayed at a Ronald McDonald House reporting more positive overall hospital experiences (odds ratios: ranging from 1.83 to 4.86 for contrasted accommodation types and three experience outcomes).

Keywords: CAHPS; accommodation; child hospitalization; health care surveys; patient and family experience.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Child, Hospitalized*
  • Child, Preschool
  • Female
  • Housing*
  • Humans
  • Infant
  • Infant, Newborn
  • Intensive Care Units, Neonatal / organization & administration*
  • Intensive Care Units, Pediatric / organization & administration*
  • Male
  • Patients' Rooms*
  • Surveys and Questionnaires
  • United States