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Goals and outcomes of hospitalised older people: does the current hospital care match the needs of older people?

BACKGROUND: Due to the rising number of acutely hospitalised older people in the coming years, there is increased interest in tailoring care to the individual goals and preferences of patients in order to reach patient‐centred care. AIMS: To investigate the goals of older hospitalised patients and t...

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Autores principales: van Munster, Barbara C., Boot, Gerdine G., Festen, Suzanne, de Rooij, Sophia E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314846/
https://www.ncbi.nlm.nih.gov/pubmed/34490694
http://dx.doi.org/10.1111/imj.15508
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author van Munster, Barbara C.
Boot, Gerdine G.
Festen, Suzanne
de Rooij, Sophia E.
author_facet van Munster, Barbara C.
Boot, Gerdine G.
Festen, Suzanne
de Rooij, Sophia E.
author_sort van Munster, Barbara C.
collection PubMed
description BACKGROUND: Due to the rising number of acutely hospitalised older people in the coming years, there is increased interest in tailoring care to the individual goals and preferences of patients in order to reach patient‐centred care. AIMS: To investigate the goals of older hospitalised patients and the extent to which these goals were reached during hospitalisation. METHODS: A single‐centre prospective cohort study was performed in The Netherlands between December 2017 and January 2018. Participants aged 70 years or older were included. In the first 3 days of hospitalisation, a semi‐structured interview was conducted to assess the patient goals regarding the hospital admission. At 1−2 weeks after discharge, patients were asked to what extent the recent hospitalisation had contributed to reaching their goals. RESULTS: One hundred and four patients were included and follow up was completed for 86 patients. The main goals reported at hospital admission were ‘remaining alive’ (72.1%), ‘feeling better’ (71.2%) and ‘improving condition’ (65.4%). Hospitalisation seemed to have a positive contribution to reaching the goals ‘remaining alive’, ‘knowing what is wrong’, ‘feeling better’, ‘reducing pain’ and ‘controlling disease’. Hospitalisation seemed to contribute little to reaching the goals in the categories ‘enjoying life’, ‘independency and freedom’, ‘improving daily functioning’, ‘hobbies and work’ and ‘social functioning’. CONCLUSIONS: It is important for healthcare professionals to know the goals of their patients. The majority of these goals were not achieved at hospital discharge. It is important to be aware of this, so sufficient aftercare can be arranged and patients can be prepared.
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spelling pubmed-93148462022-07-30 Goals and outcomes of hospitalised older people: does the current hospital care match the needs of older people? van Munster, Barbara C. Boot, Gerdine G. Festen, Suzanne de Rooij, Sophia E. Intern Med J Original Articles BACKGROUND: Due to the rising number of acutely hospitalised older people in the coming years, there is increased interest in tailoring care to the individual goals and preferences of patients in order to reach patient‐centred care. AIMS: To investigate the goals of older hospitalised patients and the extent to which these goals were reached during hospitalisation. METHODS: A single‐centre prospective cohort study was performed in The Netherlands between December 2017 and January 2018. Participants aged 70 years or older were included. In the first 3 days of hospitalisation, a semi‐structured interview was conducted to assess the patient goals regarding the hospital admission. At 1−2 weeks after discharge, patients were asked to what extent the recent hospitalisation had contributed to reaching their goals. RESULTS: One hundred and four patients were included and follow up was completed for 86 patients. The main goals reported at hospital admission were ‘remaining alive’ (72.1%), ‘feeling better’ (71.2%) and ‘improving condition’ (65.4%). Hospitalisation seemed to have a positive contribution to reaching the goals ‘remaining alive’, ‘knowing what is wrong’, ‘feeling better’, ‘reducing pain’ and ‘controlling disease’. Hospitalisation seemed to contribute little to reaching the goals in the categories ‘enjoying life’, ‘independency and freedom’, ‘improving daily functioning’, ‘hobbies and work’ and ‘social functioning’. CONCLUSIONS: It is important for healthcare professionals to know the goals of their patients. The majority of these goals were not achieved at hospital discharge. It is important to be aware of this, so sufficient aftercare can be arranged and patients can be prepared. John Wiley & Sons Australia, Ltd 2022-03-10 2022-05 /pmc/articles/PMC9314846/ /pubmed/34490694 http://dx.doi.org/10.1111/imj.15508 Text en © 2021 The Authors. Internal Medicine Journal published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Physicians. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Articles
van Munster, Barbara C.
Boot, Gerdine G.
Festen, Suzanne
de Rooij, Sophia E.
Goals and outcomes of hospitalised older people: does the current hospital care match the needs of older people?
title Goals and outcomes of hospitalised older people: does the current hospital care match the needs of older people?
title_full Goals and outcomes of hospitalised older people: does the current hospital care match the needs of older people?
title_fullStr Goals and outcomes of hospitalised older people: does the current hospital care match the needs of older people?
title_full_unstemmed Goals and outcomes of hospitalised older people: does the current hospital care match the needs of older people?
title_short Goals and outcomes of hospitalised older people: does the current hospital care match the needs of older people?
title_sort goals and outcomes of hospitalised older people: does the current hospital care match the needs of older people?
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314846/
https://www.ncbi.nlm.nih.gov/pubmed/34490694
http://dx.doi.org/10.1111/imj.15508
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