Involvement in Decision-Making and Treatment Options
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
This measure describes whether patients and family/friends were involved in care decisions. Results show the percentage of patients who responded most favourably in the Canadian Patient Experiences Survey - Inpatient Care (CPES-IC) survey. Participants are asked to respond to the following questions: Q35. Were you involved as much as you wanted to be in decisions about your care and treatment?; Q36. Were your family or friends involved as much as you wanted in decisions about your care and treatment?
Numerator
A subset of the denominator that represents patients age 18 and older who chose the most positive responses to the questions about involvement in decision-making and treatment options in the CPES-IC survey (questions 35 and 36). Participants are asked to respond to the following questions: Q35. Were you involved as much as you wanted to be in decisions about your care and treatment?; Q36. Were your family or friends involved as much as you wanted in decisions about your care and treatment?
Denominator
Patients age 18 and older who responded to questions regarding involvement in decision-making and treatment options in the CPES-IC survey (questions 35 and 36).
Exclusions
Non-response categories (refusal, don't know, not stated). Records with invalid health card number. Records with missing or invalid discharge date. Newborn, stillbirth or cadaveric donor records. Records with discharge as death, self sign-out or patient not returning from a pass. Patients receiving care primarily for a psychiatric condition or mental health disorder. Patients who were in an alternate level of care. Patients with a substance-use disorder. Patients discharged to another facility such as residential care, group/supportive living or a correctional facility. Patients excluded for sensitive or compassionate reasons. Patients who have duplicate submissions.
Use of Risk Adjustment
Risk Adjustments
Sample weighted, non-response weighted, age–sex standardised to the hospital Discharge Abstract Database (DAD) population, adjusted for survey mode (mail, telephone, online) and adjusted for service line (medical, surgical, maternity).
Stratifications
By hospital, peer group and reporting level: National, Province/Territory, Region, Facility.
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Canadian Patient Experiences Reporting System (CPERS)
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Online tool: Your Health System