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Measuring discharge quality based on elderly patients’ experiences with discharge conversation: a cross-sectional study
BACKGROUND: Discharge conversation is an essential part of preparing patients for the period after hospitalisation. Successful communication during such conversations is associated with improved health outcomes for patients. OBJECTIVE: To investigate the association between discharge conversation an...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937014/ https://www.ncbi.nlm.nih.gov/pubmed/31909210 http://dx.doi.org/10.1136/bmjoq-2019-000728 |
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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: Discharge conversation is an essential part of preparing patients for the period after hospitalisation. Successful communication during such conversations is associated with improved health outcomes for patients. OBJECTIVE: To investigate the association between discharge conversation and discharge quality assessed by measuring elderly patients’ experiences. METHODS: In this cross-sectional study, we surveyed all patients ≥65 years who had been discharged from two medical units in two hospitals in Western Norway 30 days prior. We measured patient experiences using two previously validated instruments: The Discharge Care Experiences Survey Modified (DICARES-M) and The Nordic Patient Experiences Questionnaire (NORPEQ). We examined differences in characteristics between patients who reported having a discharge conversation with those who did not, and used regression analyses to examine the associations of the DICARES-M and NORPEQ with the usefulness of discharge conversation. RESULTS: Of the 1418 invited patients, 487 (34%) returned the survey. Their mean age was 78.5 years (SD=8.3) and 52% were women. The total sample mean scores for the DICARES-M and NORPEQ were 3.9 (SD=0.7, range: 1.5–5.0) and 4.0 (SD=0.7, range: 2.2–5.0), respectively. Higher DICARES-M and NORPEQ scores were found for patients who reported having a discharge conversation (74%) compared with those who did not (15%), or were unsure (11%) whether they had a conversation (p<0.001). Patients who considered the conversation more useful had significantly higher scores on both the DICARES-M and NORPEQ (p<0.001). CONCLUSIONS: Reported discharge conversation at the hospital was correlated with positive patient experiences measurements indicating the increased quality of hospital discharge care. The reported usefulness of the conversation had a significant association with discharge care quality. |
format | Online Article Text |
id | pubmed-6937014 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-69370142020-01-06 Measuring discharge quality based on elderly patients’ experiences with discharge conversation: a cross-sectional study Boge, Ranveig Marie Haugen, Arvid Steinar Nilsen, Roy Miodini Bruvik, Frøydis Harthug, Stig BMJ Open Qual Original Research BACKGROUND: Discharge conversation is an essential part of preparing patients for the period after hospitalisation. Successful communication during such conversations is associated with improved health outcomes for patients. OBJECTIVE: To investigate the association between discharge conversation and discharge quality assessed by measuring elderly patients’ experiences. METHODS: In this cross-sectional study, we surveyed all patients ≥65 years who had been discharged from two medical units in two hospitals in Western Norway 30 days prior. We measured patient experiences using two previously validated instruments: The Discharge Care Experiences Survey Modified (DICARES-M) and The Nordic Patient Experiences Questionnaire (NORPEQ). We examined differences in characteristics between patients who reported having a discharge conversation with those who did not, and used regression analyses to examine the associations of the DICARES-M and NORPEQ with the usefulness of discharge conversation. RESULTS: Of the 1418 invited patients, 487 (34%) returned the survey. Their mean age was 78.5 years (SD=8.3) and 52% were women. The total sample mean scores for the DICARES-M and NORPEQ were 3.9 (SD=0.7, range: 1.5–5.0) and 4.0 (SD=0.7, range: 2.2–5.0), respectively. Higher DICARES-M and NORPEQ scores were found for patients who reported having a discharge conversation (74%) compared with those who did not (15%), or were unsure (11%) whether they had a conversation (p<0.001). Patients who considered the conversation more useful had significantly higher scores on both the DICARES-M and NORPEQ (p<0.001). CONCLUSIONS: Reported discharge conversation at the hospital was correlated with positive patient experiences measurements indicating the increased quality of hospital discharge care. The reported usefulness of the conversation had a significant association with discharge care quality. BMJ Publishing Group 2019-12-16 /pmc/articles/PMC6937014/ /pubmed/31909210 http://dx.doi.org/10.1136/bmjoq-2019-000728 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Original Research Boge, Ranveig Marie Haugen, Arvid Steinar Nilsen, Roy Miodini Bruvik, Frøydis Harthug, Stig Measuring discharge quality based on elderly patients’ experiences with discharge conversation: a cross-sectional study |
title | Measuring discharge quality based on elderly patients’ experiences with discharge conversation: a cross-sectional study |
title_full | Measuring discharge quality based on elderly patients’ experiences with discharge conversation: a cross-sectional study |
title_fullStr | Measuring discharge quality based on elderly patients’ experiences with discharge conversation: a cross-sectional study |
title_full_unstemmed | Measuring discharge quality based on elderly patients’ experiences with discharge conversation: a cross-sectional study |
title_short | Measuring discharge quality based on elderly patients’ experiences with discharge conversation: a cross-sectional study |
title_sort | measuring discharge quality based on elderly patients’ experiences with discharge conversation: a cross-sectional study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937014/ https://www.ncbi.nlm.nih.gov/pubmed/31909210 http://dx.doi.org/10.1136/bmjoq-2019-000728 |
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