OBJECTIVE: To evaluate patient-reported experiences after interhospital transfer (IHT) within an integrated health system and identify communication and coordination domains associated with overall satisfaction. METHODS: This retrospective study included adults admitted to Mayo Clinic Health System hospitals between July 1, 2024, and June 12, 2025. Patients were categorized as transferred or nontransferred during their index admission. Propensity score matching (1:1) using demographic, clinical, and hospital characteristics compared patient experience survey responses. Logistic regression identified factors associated with a "very good" overall hospital rating. Open-ended comments from transferred patients were summarized by Copilot for recurring themes. RESULTS: Among 3,138 nontransfer and 163 transfer patients, 3,301 provided experience data. After matching, 163 pairs were analyzed. Overall hospital ratings did not differ significantly between groups (p = .40). No individual communication or coordination domain differed after matching. Environmental cleanliness was independently associated with higher odds of a "very good" rating (odds ratio 1.76; 95% confidence intervals: 1.04-2.98; p = .036). Qualitative feedback emphasized clear communication and coordinated care as key drivers of satisfaction, whereas discharge instructions and intersite communication remained areas for improvement. CONCLUSION: Within an integrated health system, IHT did not adversely affect patient satisfaction. Cleanliness, communication, and coordination most strongly influenced overall experience.
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