Cargando…

Discharge care quality in hospitalised elderly patients: Extended validation of the Discharge Care Experiences Survey

BACKGROUND: The Discharge Care Experiences Survey (DICARES) was previously developed to measure quality of discharge care in elderly patients (≥ 65 years). The objective of this study was to test the factorial validity of responses of the DICARES, and to investigate its association with existing qua...

Descripción completa

Detalles Bibliográficos
Autores principales: Boge, Ranveig Marie, Haugen, Arvid Steinar, Nilsen, Roy Miodini, Bruvik, Frøydis, Harthug, Stig
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6762102/
https://www.ncbi.nlm.nih.gov/pubmed/31557232
http://dx.doi.org/10.1371/journal.pone.0223150
_version_ 1783454150497927168
author Boge, Ranveig Marie
Haugen, Arvid Steinar
Nilsen, Roy Miodini
Bruvik, Frøydis
Harthug, Stig
author_facet Boge, Ranveig Marie
Haugen, Arvid Steinar
Nilsen, Roy Miodini
Bruvik, Frøydis
Harthug, Stig
author_sort Boge, Ranveig Marie
collection PubMed
description BACKGROUND: The Discharge Care Experiences Survey (DICARES) was previously developed to measure quality of discharge care in elderly patients (≥ 65 years). The objective of this study was to test the factorial validity of responses of the DICARES, and to investigate its association with existing quality indicators. METHODS: We conducted a cross-sectional study at two hospitals in Bergen, Western Norway. A survey, including DICARES, was sent by postal mail to 1,418 patients 30 days after discharge from hospital. To test the previously identified three-factor structure of the DICARES we applied a first order confirmatory factor analysis with corresponding fit indices and reliability measures. Spearman’s correlation coefficients, and linear regression, was used to investigate the association of DICARES scores with the quality indicators Nordic Patient Experiences Questionnaire and emergency readmission within 30 days. RESULTS: A total of 493 (35%) patients completed the survey. The mean age of the respondents was 79 years (SD = 8) and 52% were women. The confirmatory factor analysis showed acceptable fit. Cronbach’s α between items within factors was 0.82 (Coping after discharge), 0.71 (Adherence to treatment), and 0.66 (Participation in discharge planning). DICARES was moderately correlated with the Nordic Patient Experiences Questionnaire (rho = 0.49, P < 0.001). DICARES overall score was higher in patients with no readmissions compared to those who were emergency readmitted within 30 days (P < 0.001), indicating that more positive experiences were associated with fewer readmissions. CONCLUSIONS: DICARES appears to be a feasible instrument for measuring quality of discharge care in elderly patients (≥ 65 years). This brief questionnaire seems to be sensitive with regard to readmission, and independent of comorbidity. Further studies of patients’ experiences are warranted to identify elements that impact on discharge care in other patient groups.
format Online
Article
Text
id pubmed-6762102
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-67621022019-10-13 Discharge care quality in hospitalised elderly patients: Extended validation of the Discharge Care Experiences Survey Boge, Ranveig Marie Haugen, Arvid Steinar Nilsen, Roy Miodini Bruvik, Frøydis Harthug, Stig PLoS One Research Article BACKGROUND: The Discharge Care Experiences Survey (DICARES) was previously developed to measure quality of discharge care in elderly patients (≥ 65 years). The objective of this study was to test the factorial validity of responses of the DICARES, and to investigate its association with existing quality indicators. METHODS: We conducted a cross-sectional study at two hospitals in Bergen, Western Norway. A survey, including DICARES, was sent by postal mail to 1,418 patients 30 days after discharge from hospital. To test the previously identified three-factor structure of the DICARES we applied a first order confirmatory factor analysis with corresponding fit indices and reliability measures. Spearman’s correlation coefficients, and linear regression, was used to investigate the association of DICARES scores with the quality indicators Nordic Patient Experiences Questionnaire and emergency readmission within 30 days. RESULTS: A total of 493 (35%) patients completed the survey. The mean age of the respondents was 79 years (SD = 8) and 52% were women. The confirmatory factor analysis showed acceptable fit. Cronbach’s α between items within factors was 0.82 (Coping after discharge), 0.71 (Adherence to treatment), and 0.66 (Participation in discharge planning). DICARES was moderately correlated with the Nordic Patient Experiences Questionnaire (rho = 0.49, P < 0.001). DICARES overall score was higher in patients with no readmissions compared to those who were emergency readmitted within 30 days (P < 0.001), indicating that more positive experiences were associated with fewer readmissions. CONCLUSIONS: DICARES appears to be a feasible instrument for measuring quality of discharge care in elderly patients (≥ 65 years). This brief questionnaire seems to be sensitive with regard to readmission, and independent of comorbidity. Further studies of patients’ experiences are warranted to identify elements that impact on discharge care in other patient groups. Public Library of Science 2019-09-26 /pmc/articles/PMC6762102/ /pubmed/31557232 http://dx.doi.org/10.1371/journal.pone.0223150 Text en © 2019 Boge et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Boge, Ranveig Marie
Haugen, Arvid Steinar
Nilsen, Roy Miodini
Bruvik, Frøydis
Harthug, Stig
Discharge care quality in hospitalised elderly patients: Extended validation of the Discharge Care Experiences Survey
title Discharge care quality in hospitalised elderly patients: Extended validation of the Discharge Care Experiences Survey
title_full Discharge care quality in hospitalised elderly patients: Extended validation of the Discharge Care Experiences Survey
title_fullStr Discharge care quality in hospitalised elderly patients: Extended validation of the Discharge Care Experiences Survey
title_full_unstemmed Discharge care quality in hospitalised elderly patients: Extended validation of the Discharge Care Experiences Survey
title_short Discharge care quality in hospitalised elderly patients: Extended validation of the Discharge Care Experiences Survey
title_sort discharge care quality in hospitalised elderly patients: extended validation of the discharge care experiences survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6762102/
https://www.ncbi.nlm.nih.gov/pubmed/31557232
http://dx.doi.org/10.1371/journal.pone.0223150
work_keys_str_mv AT bogeranveigmarie dischargecarequalityinhospitalisedelderlypatientsextendedvalidationofthedischargecareexperiencessurvey
AT haugenarvidsteinar dischargecarequalityinhospitalisedelderlypatientsextendedvalidationofthedischargecareexperiencessurvey
AT nilsenroymiodini dischargecarequalityinhospitalisedelderlypatientsextendedvalidationofthedischargecareexperiencessurvey
AT bruvikfrøydis dischargecarequalityinhospitalisedelderlypatientsextendedvalidationofthedischargecareexperiencessurvey
AT harthugstig dischargecarequalityinhospitalisedelderlypatientsextendedvalidationofthedischargecareexperiencessurvey