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Tytuł:
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Inpatient Rehabilitation Quality of Care From the Patient's Perspective: Effect of Data Collection Timing and Patient Characteristics.
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Autorzy:
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Deutsch A; Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL; Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL; Quality Measurement and Health Policy Program, RTI International, Chicago, IL. Electronic address: .
Heinemann AW; Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL; Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Cook KF; Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Foster L; Alexian Brothers Rehabilitation Hospital, Elk Grove Village, IL.
Miskovic A; Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL.
Goldsmith A; Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL.
Cella D; Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL.
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Źródło:
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Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2019 Jun; Vol. 100 (6), pp. 1032-1041. Date of Electronic Publication: 2018 Nov 23.
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Typ publikacji:
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Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: Philadelphia, PA : W.B. Saunders
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MeSH Terms:
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Quality of Health Care*
Hospitals, Rehabilitation/*standards
Inpatients/*psychology
Nervous System Diseases/*rehabilitation
Patient Satisfaction/*statistics & numerical data
Adult ; Age Factors ; Aged ; Cognition Disorders/etiology ; Cognition Disorders/psychology ; Educational Status ; Female ; Humans ; Male ; Middle Aged ; Motor Skills Disorders/etiology ; Motor Skills Disorders/psychology ; Patient Discharge ; Patient Satisfaction/ethnology ; Personnel, Hospital/standards ; Quality Indicators, Health Care ; Surveys and Questionnaires ; Time Factors
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Contributed Indexing:
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Keywords: Health care; Nervous system diseases; Neurological rehabilitation; Pain measurement; Patient-centered care; Quality indicators; Rehabilitation; Rehabilitation centers
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Entry Date(s):
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Date Created: 20181127 Date Completed: 20200106 Latest Revision: 20200106
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Update Code:
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20240105
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DOI:
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10.1016/j.apmr.2018.10.019
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PMID:
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30476488
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Objective: To compare, by collection time and patient characteristics, inpatient rehabilitation quality measure scores calculated using patient-reported data.
Design: Cohort study of rehabilitation inpatients with neurologic conditions who reported their experience of care and pain status at discharge and 1month after discharge.
Setting: Two inpatient rehabilitation facilities (IRFs).
Participants: Patients with neurologic conditions (N=391).
Interventions: Not applicable.
Main Outcome Measures: We calculated 18 quality measure scores using participants' responses to 55 experience of care and health status questions addressing communication, support and encouragement, care coordination, discharge information, goals, new medications, responsiveness of staff, cleanliness, quietness, pain management, care transitions, overall hospital rating, willingness to recommend, and pain.
Results: Of the 391 participants reporting at discharge, 277 (71%) also reported postdischarge after multiple attempts by e-mail, mail, and telephone. Discharge experience of care quality scores ranged from 25% (responsiveness of hospital staff) to 75% (willingness to recommend hospital); corresponding postdischarge scores were 32% to 87%, respectively. Five of the 16 experience of care quality scores increased significantly between discharge and postdischarge. The percentage of participants reporting high pain levels at discharge did not change across time periods. Patients with less education, older age, higher motor and cognitive function, and those who were not Hispanic or black had more favorable quality measure scores.
Conclusion: Patients' experience of care responses tended to be more favorable after discharge compared to discharge, suggesting that survey timing is important. Responses were more favorable for patients with selected characteristics, suggesting the possible need for risk adjustment if patient-reported quality measure scores are compared across IRFs.
(Copyright © 2018 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.)
