‘Halo effect’: room impacts patient perception of overall hospital experience

Private hospital rooms offer potential advantages over semiprivate rooms, but the impact of room type on patient experience across multiple dimensions of care remains understudied. A retrospective study was conducted to investigate how room type influenced patients’ perception of their experience at...

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Main Authors: Lisa Shieh, Paul A Heidenreich, Ella Atsavapranee, Mystique Smith-Bentley, Alpa Vyas
Format: Article
Language:English
Published: BMJ Publishing Group 2025-05-01
Series:BMJ Open Quality
Online Access:https://bmjopenquality.bmj.com/content/14/2/e003096.full
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author Lisa Shieh
Paul A Heidenreich
Ella Atsavapranee
Mystique Smith-Bentley
Alpa Vyas
author_facet Lisa Shieh
Paul A Heidenreich
Ella Atsavapranee
Mystique Smith-Bentley
Alpa Vyas
author_sort Lisa Shieh
collection DOAJ
description Private hospital rooms offer potential advantages over semiprivate rooms, but the impact of room type on patient experience across multiple dimensions of care remains understudied. A retrospective study was conducted to investigate how room type influenced patients’ perception of their experience at Stanford Health Care, a large university medical centre in California, USA. Hospital Consumer Assessment of Healthcare Providers and Systems survey data from medicine patients discharged from January 2018 to January 2020 (n=891) was analysed. The percentage of top responses was calculated for 18 survey sections including overall assessment. Patients in private rooms were more likely to give a top response (aOR, 1.30; 95% CI, 1.24 to 1.36), rating overall assessment and 10 other sections significantly higher than patients in semiprivate rooms. The greatest differences were in survey sections related to the room (room, hospital environment and visitors/family). However, private rooms also performed better on sections not directly related to room type (tests/treatments, care transitions and discharge). These widespread improvements suggest a ‘halo effect’, in which a patient’s positive impression of their room may enhance their perception of overall care. These findings underscore the substantial influence of the care environment on patients’ perceptions of their overall hospital experience.
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institution Kabale University
issn 2399-6641
language English
publishDate 2025-05-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open Quality
spelling doaj-art-e2b44b8cba0b4a51a76fff13192e0d762025-08-20T03:48:47ZengBMJ Publishing GroupBMJ Open Quality2399-66412025-05-0114210.1136/bmjoq-2024-003096‘Halo effect’: room impacts patient perception of overall hospital experienceLisa Shieh0Paul A Heidenreich1Ella Atsavapranee2Mystique Smith-Bentley3Alpa Vyas4Stanford University School of Medicine, Stanford, California, USAStanford University School of Medicine, Stanford, California, USAStanford University School of Medicine, Stanford, California, USAStanford Health Care, Stanford, California, USAStanford Health Care, Stanford, California, USAPrivate hospital rooms offer potential advantages over semiprivate rooms, but the impact of room type on patient experience across multiple dimensions of care remains understudied. A retrospective study was conducted to investigate how room type influenced patients’ perception of their experience at Stanford Health Care, a large university medical centre in California, USA. Hospital Consumer Assessment of Healthcare Providers and Systems survey data from medicine patients discharged from January 2018 to January 2020 (n=891) was analysed. The percentage of top responses was calculated for 18 survey sections including overall assessment. Patients in private rooms were more likely to give a top response (aOR, 1.30; 95% CI, 1.24 to 1.36), rating overall assessment and 10 other sections significantly higher than patients in semiprivate rooms. The greatest differences were in survey sections related to the room (room, hospital environment and visitors/family). However, private rooms also performed better on sections not directly related to room type (tests/treatments, care transitions and discharge). These widespread improvements suggest a ‘halo effect’, in which a patient’s positive impression of their room may enhance their perception of overall care. These findings underscore the substantial influence of the care environment on patients’ perceptions of their overall hospital experience.https://bmjopenquality.bmj.com/content/14/2/e003096.full
spellingShingle Lisa Shieh
Paul A Heidenreich
Ella Atsavapranee
Mystique Smith-Bentley
Alpa Vyas
‘Halo effect’: room impacts patient perception of overall hospital experience
BMJ Open Quality
title ‘Halo effect’: room impacts patient perception of overall hospital experience
title_full ‘Halo effect’: room impacts patient perception of overall hospital experience
title_fullStr ‘Halo effect’: room impacts patient perception of overall hospital experience
title_full_unstemmed ‘Halo effect’: room impacts patient perception of overall hospital experience
title_short ‘Halo effect’: room impacts patient perception of overall hospital experience
title_sort halo effect room impacts patient perception of overall hospital experience
url https://bmjopenquality.bmj.com/content/14/2/e003096.full
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AT ellaatsavapranee haloeffectroomimpactspatientperceptionofoverallhospitalexperience
AT mystiquesmithbentley haloeffectroomimpactspatientperceptionofoverallhospitalexperience
AT alpavyas haloeffectroomimpactspatientperceptionofoverallhospitalexperience