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Säfström, Emma, Lena Nasstrom, Maria Liljeroos, et al. "Patient Continuity of Care Questionnaire in a cardiac sample: A Confirmatory Factor Analysis." BMJ Open 10, no. 7 (2020): e037129. http://dx.doi.org/10.1136/bmjopen-2020-037129.
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ObjectiveEven though continuity is essential after discharge, there is a lack of reliable questionnaires to measure and assess patients’ perceptions of continuity of care. The Patient Continuity of Care Questionnaire (PCCQ) addresses the period before and after discharge from hospital. However, previous studies show that the factor structure needs to be confirmed and validated in larger samples, and the aim of this study was to evaluate the psychometric properties of the PCCQ with focus on factor structure, internal consistency and stability.DesignA psychometric evaluation study. The questionnaire was translated into Swedish using a forward–backward technique and culturally adapted through cognitive interviews (n=12) and reviewed by researchers (n=8).SettingData were collected in four healthcare settings in two Swedish counties.ParticipantsA consecutive sampling procedure included 725 patients discharged after hospitalisation due to angina, acute myocardial infarction, heart failure or atrial fibrillation.MeasurementTo evaluate the factor structure, confirmatory factor analyses based on polychoric correlations were performed (n=721). Internal consistency was evaluated by ordinal alpha. Test–retest reliability (n=289) was assessed with intraclass correlation coefficient (ICC).ResultsThe original six-factor structure was overall confirmed, but minor refinements were required to reach satisfactory model fit. The standardised factor loadings ranged between 0.68 and 0.94, and ordinal alpha ranged between 0.82 and 0.95. All subscales demonstrated satisfactory test–retest reliability (ICC=0.76–0.94).ConclusionThe revised version of the PCCQ showed sound psychometric properties and is ready to be used to measure perceptions of continuity of care. High ordinal alpha in some subscales indicates that a shorter version of the questionnaire can be developed.
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Sisler, Jeffrey James, Zoann Nugent, Tara Carpenter-Kellett, and Joel Roger Gingerich. "Comparative study of the perceptions of continuity of care of CRC survivors transitioned to primary care." Journal of Clinical Oncology 35, no. 5_suppl (2017): 96. http://dx.doi.org/10.1200/jco.2017.35.5_suppl.96.
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96 Background: Colorectal cancer (CRC) patients are increasingly being discharged to a primary care provider (PCP) for follow-up care. This study used a pre-post design to evaluate the impact of the Moving Forward After Cancer(MFAC) program at CancerCare Manitoba on patient perceptions of continuity of care. Methods: The MFAC program was introduced in 2010 to support transfer of care to primary care and includes transitional appointments (TAs) and survivorship care plans. The pre-implementation (PRE) group was a random sample of patients on the provincial cancer registry diagnosed in 2008/09 with Stage II / III CRC. The post-implementation (POST) group was recruited in oncology clinics after their TA over four years starting in 2010. Both groups completed the same mailed survey. Respondents were asked to identify the main provider(s) of their follow-up care. Those indicating a PCP completed the Patient Continuity of Care Questionnaire (PCCQ) which assesses continuity upon discharge with scoring between 5 and 25. Quality of life, disease, treatment, and demographic data were collected. Results: There were 246 responses in the PRE group (rate of 68.3%) and 83 (66%) in the POST. The POST group was significantly younger, more urban and further from diagnosis. It included more Stage III and rectal cancer patients who received more treatment. Comparing the subset of both groups (106 vs 65) who described a PCP as a main provider, the POST group demonstrated higher scores on the PCCQ (24.0 v 22.8, p=0.0065) and on two of its subscales. This finding persisted when tested for the impact of differences between the two groups in stage, site, age and treatment. The most common pattern of provider involvement in follow-up was the “FP alone,” which rose from 19% in the PRE group to 54% in the POST (p<0.0001). The proportion of participants who felt “adequately prepared” for their transfer of care was significantly increased (71 vs 91%, p=0.003). Conclusions: A formal information sharing process with CRC patients at time of transition to primary care follow-up improved their evaluation of continuity of care. Significant shifts were seen in the locus of care from oncology to primary care settings consistent with the intent of the MFAC program.
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Buzzone, Claudia, Monica Petralito, Francesco Fanari, and Antonio Villa. "Evaluating patient perceptions of discharge information in a Milan hospital: An observational descriptive study." Advances in Medicine, Psychology, and Public Health 1, no. 4 (2024): 212–24. https://doi.org/10.5281/zenodo.11075479.
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Natuhwera, Germans, Martha Rabwoni, Peter Ellis, and Anne Merriman. "Clinicians' and nurses' documentation practices in palliative and hospice care." International Journal of Palliative Nursing 27, no. 5 (2021): 227–34. http://dx.doi.org/10.12968/ijpn.2021.27.5.227.
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Background: Health workers are likely to document patients' care inaccurately, especially when using new and revised case tools, and this could negatively impact patient care. Aim: To assess nurses' and clinicians' documentation practices when using a new patients' continuation case sheet (PCCS) and explore nurses' and clinicians' experiences regarding the documentation of patients' information in the new PCCS. The purpose of introducing the PCCS was to improve the continuity of care for patients attending clinics at which they were unlikely to consistently see the same clinician or nurse. Method: This was a mixed-methods study. The cross-sectional inquiry retrospectively reviewed 100 case notes of active patients in a hospice and palliative care programme. Data were collected using a structured questionnaire with constructs formulated from the new PCCS under study. The qualitative element was face-to-face, audio-recorded, open-ended interviews with a purposive sample of one palliative care clinician and four palliative care nurse specialists. Thematic analysis was used. Results: Patients' biogeographic information was missing in 5% to 10% case notes. Spiritual and psychosocial issues were not documented in 42.6% of patients' case notes and vital signs, in 49.2%. The poorest documentation practices were observed in the past medical history part of the PCCS, noted in 40%–63% of the 100 case notes included in this study. Four themes emerged from interviews with clinicians and nurses: (1) what remains unclear and challenges; (2) comparing the past with the present; (3) experiential thoughts, and; (4) transition and adapting to change. Conclusion: The PCCS seems to be a comprehensive and simple tool that can be used to document patients' information at subsequent visits. To increase its reliability and validity, clinicians and nurses need training on how to use it. Clinicians and nurses need to prioritise accurate and complete documentation of patient care in the PCCS to ensure quality care provision. This study should be extended to other sites using similar tools to ensure representative and generalisable findings.
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Kenis, Ilyse. "How Patient-Centered is Education and Counseling of Patients on Oral Anticancer Therapy? A Multicenter Cross-sectional study." International Journal of Integrated Care 23, S1 (2023): 199. http://dx.doi.org/10.5334/ijic.icic23395.
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Background: In the last years, there has been an exponential increase in the number of oral anticancer therapies (OACT). However, no research has yet been conducted on the current quality of patient-centered care (PCC) for patients on OACT in Belgium. Moreover, there was no valid and reliable instrument available to assess PCC tailored to the context of OACT. Therefore, we developed and validated a new patient-reported experience measure (PREM), named the CONTACT-Patient-Centered Care Questionnaire (CONTACT-PCCQ).
 Aim: The aim of this study was to gain insight in the quality of PCC for patients on OACT using the CONTACT-PCCQ. It was examined which areas of patient-centered education and counseling are currently being performed adequately, according to patients, and which areas require improvement.
 Methods: This was a multicenter cross-sectional study. Patients were recruited in 11 hospitals in Belgium. They completed the CONTACT-PCCQ online or on paper. The CONTACT-PCCQ consists of 86 items, which all represent a key element (KE) in patient-centered education and counseling for patients on OACT. The items are divided into seven subscales: A1) medication counselling at the start of OACT, A2) follow-up of OACT, B) communication style, C) counseling by hospital treatment team, D) counseling by primary care healthcare professionals, E) psychosocial support, and F) involvement of family and friends. Patients were asked to indicate how they experienced the performance of each KE on a 5-point Likert rating scale. The answer options were dichotomized into ‘performed’ and ‘not performed’. Subsequently, the degree of performance of each item was defined by calculating the proportion of patients that indicated that the item was performed. On subscale-level, mean total scores were calculated.
 Findings: In total, 266 patients completed the CONTACT-PCCQ. Subscale C ‘Commitment and cooperation between healthcare professionals’, concerning care coordination in the hospital, had the highest mean subscale score. The lowest score was obtained on subscale D ‘Involvement of primary care’. The degree of performance of all items ranged from 22% to 95%. Items regarding specific topics in patient education (e.g., what do to in case of vomiting, which food to avoid during treatment) and adherence monitoring scored low. Low scores were also obtained on the items about the involvement of the community pharmacist and homecare nurse - in contrast to the items regarding the general practitioner. Some other items, e.g., regarding information about vaccinations and palliative care, were also scored low by patients. In general, KEs on communication style (e.g. HCPs left enough opportunity to ask questions, HCPs took sufficient time for a proper conversation) received high scores.
 Discussion and conclusion: This study gave insight in the overall quality of patient-centered education and counselling for patients on OACT. Three gaps in PCC were uncovered: unmet patient information needs due to shortcomings in patient education, inadequate adherence monitoring, and lacking collaboration with community pharmacists and home care nurses. These results enable hospitals and policy makers to set priorities in care quality improvement for patients on OACT.
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Scrymgeour, Gill, Rachel Forrest, and Bob Marshall. "Implementing a Continuity of Cancer Care nursing role into a New Zealand primary health organisation the patients perspective." Journal of Primary Health Care 5, no. 4 (2013): 322. http://dx.doi.org/10.1071/hc13322.
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INTRODUCTION: A Continuity of Cancer Care pilot project was established in two urban general practices, with the goal of improving cancer care and patient access to services. Practice nurses were engaged as coordinators to implement a model of care and patient navigation to offer continued and consistent care, and to assist the patient to navigate their cancer experience. AIM: The aim was to evaluate the effectiveness of the Continuity of Cancer Care pilot project. METHODS: Patients enrolled in the pilot project were invited to participate. Each participant completed a Patient Satisfaction Questionnaire and SF-12 Health Survey, and was then invited to take part in an interview. The evaluation framework utilised concepts of informational, management and relational continuity. RESULTS: The SF-12 subcategories of physical functioning, role physical, bodily pain and role emotional were lower than other results from cancer patients in the literature. The Patient Satisfaction Questionnaire and interviews indicated patients were satisfied with the relational continuity components of the project, but that gaps existed within the management and informational continuity aspects of care. DISCUSSION: Overall, the participants were satisfied with the Continuity of Cancer Care programme and valued the support, clarification and listening aspects of the programme. However, when evaluated in relation to a more comprehensive definition of continuity of care, there were distinct gaps. While the relational aspects of continuity of care were mostly achieved, the management and informational aspects appeared to be limited primarily to nurses acting to interpret hospital and general practitioner comments for patients. KEYWORDS: Cancer; continuity of patient care; general practice; nurses; nursing evaluation research; primary health care
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Raivio, Risto, Eija Paavilainen, and Kari J. Mattila. "Continuity of nursing care in Finnish primary health care settings: A 15-year follow-up." Clinical Nursing Studies 7, no. 1 (2018): 11. http://dx.doi.org/10.5430/cns.v7n1p11.
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Objective: Continuity is an essential part of high-quality nursing care. This study is the first systematic follow-up of Finnish primary health care patients assessing continuity of health centre nursing staff. The aim was to ascertain how longitudinal interpersonal continuity of care is related to patients’ characteristics, their consultation experiences, and how continuity had changed over the 15-year study period.Methods: A questionnaire survey was conducted among patients attending the health centres in the Tampere University Hospital catchment area from 1998 to 2013. A total of 157,549 patients responded out of 363,464 in almost 60 health centres. We analysed the opinions of patients (n = 47,470) who had visited a nurse during the survey weeks. Opinions on the continuity of care were assessed with the question: “When visiting the health centre, do you usually see the same nurse”, the alternatives being “yes” or “no”. A binary logistic regression model was used.Results: Almost two thirds of the respondents had met the same nurse when visiting their health care centre. Longitudinal interpersonal continuity of care decreased by 15 percentage (67%-52%) during the study years. Continuity was connected to patient-related items such as a visit in the preceding 12 months (OR 1.32, 95% CI 1.17-1.49) and non-urgency of the visit (OR 1.44, 95% CI 1.27-1.63). The most prominent factor contributing to the sense of continuity of care was how attentively nurses had listened to their patients’ problems and shown an interest in them and a willingness to answer their questions (OR 1.31, 95% CI 1.120-1.43).Conclusions: In the past 15 years patient-reported longitudinal interpersonal continuity of nursing care has declined. However continuity of care proved to enhance the experienced quality of primary health care. Continuity was best realized in nursing care when nurses had listened to their patients’ problems, showed interest toward them and a willingness to answer their questions.
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Swinnen, Katja, and Leia Vrancken. "Enhancing transmural continuity of care for vulnerable patients with kidney problems. A mixed-methods multi-stakeholder needs-assessment." International Journal of Integrated Care 23, S1 (2023): 130. http://dx.doi.org/10.5334/ijic.icic23051.
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Summary: Research on supporting the (in)formal caregiver, in enabling autonomy and empowering of persons with a chronic kidney disorder and creating a bridge between primary care and specialized care in hospital settings. 
 Background: Almost half (48%) of hospital readmissions is due to a lack of continuity of care ,e.g. no discharge conversation, poor communication at discharge, lack of patient education and no patient empowerment, a lack of information flow between the hospital setting and primary care, … Especially vulnerable patients with e.g. low health literacy suffer from a not optimally organized transition from the hospital setting to home. More attention is needed for: patient and informal care giver engagement and education, person-centered support, coordination of the transmural care process in order to deliver continuous and responsible care.
 Target group: Vulnerable patients with kidney problems in the province of Flemish Brabant (Belgium).
 Involved and engaged stakeholders: Patients, informal care givers, hospital kidney department (doctors, nurses, physiotherapists, social workers, …), primary care professionals (GPs, nurses, physiotherapists, social workers, …).
 Intervention: A needs-assessment is performed regarding the continuity of care of vulnerable patients with kidney problems. Patients, informal care givers, primary care as well as hospital professionals are surveyed and interviewed.
 Results: Preliminary results show the need for optimized transmural care from the patient, informal caregiver and professional perspectives. Continuity of care is mainly lacking regarding its informational and therapeutic dimensions. The minimal or even absent information flow (informational continuity) results in therapeutic differences between the services offered by hospital and primary care professionals (therapeutic continuity). Special attention is needed for patient education and empowerment. Relational continuity between the patient and professionals is more fixed, but professionals often do not have fixed partnerships with each other, both within primary care as well as across the primary and hospital care settings.
 Lessons for international audience: 
 - A multi-perspective needs-assessment uncovers the, sometimes hidden, needs with regard to continuity of care.
 - Transmural care is often still quite discontinuous, especially from the perspective of the vulnerable patient, informal care giver and primary care professional.
 - System-wide change is needed in terms of vision, goals, adapting to local health needs, using people as partners, redefining professional responsibilities and (re)training care professionals, and reconfiguring care delivery.
 Next steps: The information gathered through the needs-assessment is used to co-develop a continuity-enhancing intervention that optimizes the transmural care process with relevant stakeholders (patients and informal care givers or their representatives, primary care professionals, hospital professionals). The intervention is implemented and evaluated through a patient and professionals questionnaire and interviews.
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Khan, S., M. Kashif, L. Wilson, M. McCauley, and E. Roche. "Patients prefer a continuity model of inpatient psychiatric consultant care: a patient survey in the Louth Mental Health Service." Irish Journal of Psychological Medicine 37, no. 1 (2018): 39–42. http://dx.doi.org/10.1017/ipm.2017.81.
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ObjectivesThe objective of the paper was to survey patients’ preference in relation to a continuity, or split, model of inpatient consultant care in the Louth Mental Health Service.MethodsA written survey was administered to all patients attending the Louth Mental Health Service over a 2-week period. Participants were asked for their preferred model of care and clinical information was obtained from their clinical notes.ResultsIn total, 149 patients completed the survey questionnaire and 103 respondents (69%) indicated a preference for a continuity model of inpatient consultant psychiatric care. There was a trend for those who reported a past experience of inpatient hospitalisation to indicate a preference for the continuity model (76% v. 61%, respectively, χ2 3.67, p=0.056).ConclusionsPatients indicate a preference for a continuity model of inpatient psychiatric care and this is important to consider in service planning. More research is needed to evaluate if any model of consultant care is associated with better patient outcomes.
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Hadjistavropoulos, Heather, Henry Biem, Donald Sharpe, Michelle Bourgault-Fagnou, and Jennifer Janzen. "Patient perceptions of hospital discharge: reliability and validity of a Patient Continuity of Care Questionnaire." International Journal for Quality in Health Care 20, no. 5 (2008): 314–23. http://dx.doi.org/10.1093/intqhc/mzn030.
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Petrovic, Bojana, Jim A. Julian, Clare Liddy, et al. "Web-Based Asynchronous Tool to Facilitate Communication Between Primary Care Providers and Cancer Specialists: Pragmatic Randomized Controlled Trial." Journal of Medical Internet Research 25 (January 18, 2023): e40725. http://dx.doi.org/10.2196/40725.
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Background Cancer poses a significant global health burden. With advances in screening and treatment, there are now a growing number of cancer survivors with complex needs, requiring the involvement of multiple health care providers. Previous studies have identified problems related to communication and care coordination between primary care providers (PCPs) and cancer specialists. Objective This study aimed to examine whether a web- and text-based asynchronous system (eOncoNote) could facilitate communication between PCPs and cancer specialists (oncologists and oncology nurses) to improve patient-reported continuity of care among patients receiving treatment or posttreatment survivorship care. Methods In this pragmatic randomized controlled trial, a total of 173 patients were randomly assigned to either the intervention group (eOncoNote plus usual methods of communication between PCPs and cancer specialists) or a control group (usual communication only), including 104 (60.1%) patients in the survivorship phase (breast and colorectal cancer) and 69 (39.9%) patients in the treatment phase (breast and prostate cancer). The primary outcome was patient-reported team and cross-boundary continuity (Nijmegen Continuity Questionnaire). Secondary outcome measures included the Generalized Anxiety Disorder Screener (GAD-7), Patient Health Questionnaire on Major Depression, and Picker Patient Experience Questionnaire. Patients completed the questionnaires at baseline and at 2 points following randomization. Patients in the treatment phase completed follow-up questionnaires at 1 month and at either 4 months (patients with prostate cancer) or 6 months following randomization (patients with breast cancer). Patients in the survivorship phase completed follow-up questionnaires at 6 months and at 12 months following randomization. Results The results did not show an intervention effect on the primary outcome of team and cross-boundary continuity of care or on the secondary outcomes of depression and patient experience with their health care. However, there was an intervention effect on anxiety. In the treatment phase, there was a statistically significant difference in the change score from baseline to the 1-month follow-up for GAD-7 (mean difference −2.3; P=.03). In the survivorship phase, there was a statistically significant difference in the change score for GAD-7 between baseline and the 6-month follow-up (mean difference −1.7; P=.03) and between baseline and the 12-month follow-up (mean difference −2.4; P=.004). Conclusions PCPs’ and cancer specialists’ access to eOncoNote is not significantly associated with patient-reported continuity of care. However, PCPs’ and cancer specialists’ access to the eOncoNote intervention may be a factor in reducing patient anxiety. Trial Registration ClinicalTrials.gov NCT03333785; https://clinicaltrials.gov/ct2/show/NCT03333785
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Zubaidah, Siti, Zulfendri Zulfendri, and Deli Theo. "Hubungan Implementasi Patient-Centered Care (PCC) dengan Kepuasaan Pasien Rawat Inap di RSU Martha Friska Brayan Medan." MAHESA : Malahayati Health Student Journal 4, no. 11 (2024): 4940–49. http://dx.doi.org/10.33024/mahesa.v4i11.15927.
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ABSTRACT The preliminary survey revealed that 60% of patients still feel that they are not fully involved in the care process, possibly due to factors such as lack of information provided to the patients, limited time available for healthcare providers, and insufficient therapeutic communication. Moreover, 70% of patients feel that their care is not smoothly coordinated, possibly due to lack of coordination among healthcare providers, inadequate documentation (medical records), and insufficient patient information. The research utilized a quantitative research design, based on the positivist philosophy, to examine a specific population at Martha Friska Hospital in Medan. The population size was unknown, and the sample size was determined using the Lemeshow formula, resulting in 96 individuals. Data collection involved distributing questionnaires to inpatients to assess the impact of patient-centered care on satisfaction levels. Bivariate analysis, specifically the Chi Square test. The study conducted at RSU Martha Friska Brayan Medan in 2024 assessed the implementation of patient-centered care and its impact on inpatient satisfaction. The analysis revealed significant relationships between various aspects of patient-centered care and patient satisfaction. These findings highlight the importance of specific elements of patient-centered care in enhancing overall patient satisfaction. The research findings show that the aspects of patient-centered care (PCC) related to inpatient satisfaction at RSU Martha Friska Brayan Medan are respecting patient choices and judgment, emotional support, physical comfort, and information and education. However, factors such as continuity and transition, service coordination, and involvement of family and friends are not associated with patient satisfaction. Recommendations for RSU Martha Friska Brayan Medan to improve inpatient services include respecting patients' choices, providing physical comfort, emotional support, and health education to patients. Keywords: Implementation, PCC, Patient Satisfaction, Hospital ABSTRAK Survei pendahuluan mengungkapkan bahwa 60% pasien masih merasa bahwa mereka tidak sepenuhnya terlibat dalam proses perawatan, mungkin karena faktor-faktor seperti kurangnya informasi yang diberikan kepada pasien, terbatasnya waktu yang tersedia untuk penyedia layanan kesehatan, dan komunikasi terapeutik yang tidak memadai. Selain itu, 70% pasien merasa bahwa perawatan mereka tidak terkoordinasi dengan lancar, mungkin karena kurangnya koordinasi di antara penyedia layanan kesehatan, dokumentasi (rekam medis) yang tidak memadai, dan informasi pasien yang tidak memadai. Penelitian ini menggunakan desain penelitian kuantitatif, berdasarkan filosofi positivis, untuk memeriksa populasi tertentu di Rumah Sakit Martha Friska di Medan. Ukuran populasi tidak diketahui, dan ukuran sampel ditentukan menggunakan rumus Lemeshow, menghasilkan 96 individu. Pengumpulan data melibatkan penyebaran kuesioner kepada pasien rawat inap untuk menilai dampak perawatan yang berpusat pada pasien pada tingkat kepuasan. Analisis bivariat, khususnya uji Chi Square. Studi yang dilakukan di RSU Martha Friska Brayan Medan pada tahun 2024 menilai implementasi perawatan yang berpusat pada pasien dan dampaknya terhadap kepuasan rawat inap. Hasil penelitian menunjukkan bahwa aspek patient-centered care (PCC) terkait kepuasan rawat inap di RSU Martha Friska Brayan Medan adalah menghargai pilihan dan penilaian pasien, dukungan emosional, kenyamanan fisik, serta informasi dan edukasi. Namun, faktor-faktor seperti kontinuitas dan transisi, koordinasi layanan, dan keterlibatan keluarga dan teman-teman tidak terkait dengan kepuasan pasien. Rekomendasi RSU Martha Friska Brayan Medan untuk meningkatkan pelayanan rawat inap antara lain menghormati pilihan pasien, memberikan kenyamanan fisik, dukungan emosional, dan edukasi kesehatan kepada pasien. Kata Kunci: Implementasi, PCC, Kepuasaan Pasien, Rumah Sakit.
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Reig-Garcia, Gloria, Rosa Suñer-Soler, Susana Mantas-Jiménez, et al. "Assessing Nurses’ Satisfaction with Continuity of Care and the Case Management Model as an Indicator of Quality of Care in Spain." International Journal of Environmental Research and Public Health 18, no. 12 (2021): 6609. http://dx.doi.org/10.3390/ijerph18126609.
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Chronic diseases are treated and cared for in different healthcare settings. Continuity of care and the case management model facilitate the integration of processes and care levels. However, there is little evidence regarding the satisfaction of nurses with this model. The purpose of this study was to examine nurses’ satisfaction with continuity of care and the case management model. A cross-sectional study was conducted. An ad hoc questionnaire was administrated to 437 Spanish nurses from the three health care settings that responded. This included items on socio-demographics, employment relationship, and satisfaction with continuity of care and case management. Descriptive analysis and linear regression models were performed. In total, 96.1% of the nurses expressed a high level of satisfaction with continuity of care and 80.7% with the case management model. Nurses in a primary care setting reported the greatest satisfaction with the case management model (B = 0.146, 95% CI = 0.139–0.694, p = 0.003). The nurses’ higher perception of patient satisfaction was associated with greater satisfaction with continuity of care (B = 0.466, 95% CI = −0.367–0.533, p < 0.000). Nurses identified the case management model as an optimal facilitator of continuity of care. While satisfaction with continuity is high, strategies are needed to improve it in primary care centers and aged care homes.
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Zhang, Tao, and Xiaohe Wang. "Association of Continuity of General Practitioner Care with Utilisation of General Practitioner and Specialist Services in China: A Mixed-Method Study." Healthcare 9, no. 9 (2021): 1206. http://dx.doi.org/10.3390/healthcare9091206.
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Background: Continuity of general practitioner (GP) care, widely known as the core value of high-quality patient care, has a positive association with health outcomes. Evidence about the relationship between continuity and health service utilisation has so far been lacking in China. This study aimed to analyse the association of continuity of GP care with utilisation of general practitioner and specialist services in China. Method: A cross-sectional mixed methods study was conducted in 10 urban communities in Hangzhou. Quantitative data were collected from a random sample of 624 residents adopting the self-developed questionnaire. Measurement of continuity of GP care included informational continuity (IC), managerial continuity (MC) and relational continuity (RC). With adjustment for characteristics of residents, multivariate regression models were established to examine the association of continuity of GP care with the intention to visit GP, frequency of GP and specialist visitations. Qualitative data were collected from 26 respondents using an in-depth interview, and thematic content analysis for qualitative data was conducted. Results: Quantitative analysis showed that the IC was positively associated with the intention to visit GP and frequency of GP visitations. Those people who gave a high rating for RC also used GP services more frequently than their counterparts. MC was negatively associated with frequency of specialist visitations. Qualitative analysis indicated that service capabilities, doctor–patient interaction and time provision were regarded as three important reasons why patients chose GPs or specialists. Conclusions: Overall, high IC and RC are independently associated with more GP service utilisation, but a high MC might reduce specialist visitations. Continuity of GP care should be highlighted in designing a Chinese GP system.
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Serrano Aldaz, Joselin Elizabeth, and Grace Pamela López Pérez. "Perceived quality of care in patients with high blood pressure in primary health care." Sapienza: International Journal of Interdisciplinary Studies 5, SI1 (2024): e24S01. http://dx.doi.org/10.51798/sijis.v5isi1.761.
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Background: the study analyzed the quality of care perceived by patients with high blood pressure in a health center in Ecuador, considering dimensions such as accessibility, opportunity, continuity, comprehensiveness, and cultural competence of the services. Hypertension in older adults represents a public health problem in the region. Objective: To analyze the quality of care perceived in patients with Arterial Hypertension in Primary Health Care. Methods: quantitative, transversal, and descriptive design. The sample was 40 patients over 65 years of age with HTN. A validated 10-item questionnaire was applied to perceived quality in several dimensions: accessibility, opportunity, continuity, comprehensiveness, and cultural competence. Results: limitations were evident in the capacity to respond to urgent needs, lack of continuity in care by the same professional, deficiencies in mental health counseling, and moderate dissatisfaction with services. Conclusions: there are significant gaps in the quality of primary care for hypertensive patients regarding accessibility, opportunity, comprehensiveness, and cultural competence. Improvements are required in these areas to ensure more responsive and patient-centered care.
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Oliveira Sousa, Silvana L., Francesc Medina-Mirapeix, Pilar Escolar-Reina, Sean M. Collins, and M. Carmen Lillo-Navarro. "Development and validation of continuity measures for inpatients receiving rehabilitation care." Journal of Hospital Administration 7, no. 4 (2018): 1. http://dx.doi.org/10.5430/jha.v7n4p1.
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Objective: The main goal of this study was to exemplify the development of a measure of continuity of care (COC) from inpatients’ perspective. This measure is focused on several aspects related to physiotherapy.Methods: A cross-sectional self-report based psychometric study was carried out in a public hospital in southeast Spain. One hundred and fifty two patients with neurological and orthopaedic disorders who received rehabilitation care during stay at hospital were included in the study. A self-report questionnaire was used to examine experiences of patients related to the three types of COC, relational, management and informational continuity. The questionnaire also includes questions about sociodemographic characteristics, patient/therapist affiliation and trust with therapist. To examine reliability were used test-retest and internal consistency. For validation analysis, there were used convergent and known group strategies.Results: Of the 19 indicators included, 13 were selected to demonstrate adequate reliability and validity. From these indicators were generated three composite measures (Relational, management and COC index) and one individual measure (Informational continuity). Test-retest reliability indicated excellent agreement (intraclass correlation coefficient [ICC] > 0.75) for the three indexes. The range of Cronbach’s value was from 0.60 to 0.73. Total scores of all the indexes were moderately correlated with the satisfaction scale (r > 0.30). Regarding the known groups, all indexes scores were similar for men and woman. However, significant differences were found for management index and for relational index, based on trust with therapist and patient/therapist affiliation, respectively.Conclusions: The continuity self-reported measures is a valid and reliable method to assessing the COC in hospitalized patients receiving physiotherapy.
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Chen, Hsiao-Mei, and Ching-Min Chen. "A Chinese version of the Patient Continuity of Care Questionnaire: reliability and validity assessment." Journal of Clinical Nursing 26, no. 9-10 (2017): 1338–50. http://dx.doi.org/10.1111/jocn.13679.
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Le Bas, James, Robert King, and Michael Block. "The Impact of Mental Health Service Integration on Systemic Function: A Staff Perspective." Australian & New Zealand Journal of Psychiatry 32, no. 5 (1998): 666–72. http://dx.doi.org/10.3109/00048679809113121.
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Objective: The purpose of this study was to investigate the perceptions of community staff regarding service process and quality, while a public mental health service integrated acute inpatient and continuing care components. Methods: The study employed a naturalistic successive measures design in which community mental health staff completed a questionnaire on three occasions during the integration process. Results: Staff perceived overall service quality to improve during the integration process with continuity of care being the area subject to greatest improvement. Conclusions: The integration of acute inpatient and continuing care services resulted in changes to service process and outcome, which were judged by staff to be beneficial, especially with respect to continuity of patient care.
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Hansen, Anne Helen, and May-Lill Johansen. "Personal continuity of GP care and outpatient specialist visits in people with type 2 diabetes: A cross-sectional survey." PLOS ONE 17, no. 10 (2022): e0276054. http://dx.doi.org/10.1371/journal.pone.0276054.
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Background Continuity of care is particularly important for patients with chronic conditions, such as type 2 diabetes (T2D). Continuity is shown to reduce overall health service utilization among people with diabetes, however, evidence about how it relates to the utilization of outpatient specialist services in Norway is lacking. The aim of this study was to investigate continuity of GP care for people with T2D, and its association with the use of outpatient specialist health care services. Methods We used e-mail questionnaire data obtained from members of The Norwegian Diabetes Association in 2018. Eligible for analyses were 494 respondents with T2D and at least one GP visit during the previous year. By descriptive statistics and logistic regressions, we studied usual provider continuity (UPC) and duration of the patient-GP relationship and associations of these measures with somatic outpatient specialist visits. Analyses were adjusted for gender, age, education, self-rated health, and diabetes duration. Results Mean age was 62.6 years and mean UPC was 0.85 (CI 0.83–0.87). Two thirds of the sample (66.0%) had made all visits to the regular GP during the previous year (full continuity). Among these, 48.1% had made one or more specialist visits during the previous year, compared to 65.2% among those without full continuity. The probability of outpatient specialist visits was significantly lower among participants with full continuity, compared to those without full continuity (Odds Ratio 0.53, Confidence Interval 0.35–0.80). The probability of visiting outpatient specialist services was not associated with duration of the patient-GP relationship. Conclusions We conclude that continuity of care, as measured by Usual Provider Continuity, is high and associated with reduced use of somatic outpatient specialist services in people with T2D in Norway. Continuity and its benefits will become increasingly important as the number of older people with diabetes and other chronic diseases increases.
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Dolovich, Lisa R., Kalpana M. Nair, Donna K. Ciliska, et al. "The Diabetes Continuity of Care Scale: the development and initial evaluation of a questionnaire that measures continuity of care from the patient perspective*." Health and Social Care in the Community 12, no. 6 (2004): 475–87. http://dx.doi.org/10.1111/j.1365-2524.2004.00517.x.
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Režić, Slađana. "Nurse perception of nursing handover at the University Clinical Hospital in Zagreb." Croatian nursing journal 3, no. 1 (2019): 37–47. http://dx.doi.org/10.24141/2/3/1/3.
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Introduction. Nursing handover refers to communication occurring between two shifts of nurses with the specific purpose of handing over information about patients under the nurses’ care. Several styles of nursing handover exist, whereas in Croatia written handover is legally required. Aim. The aim of the study was to examine nurses’ perception of the nursing handover: whether nursing handover improves patient safety, whether the content of the handover influences the quality of nursing care and whether the handover is important for continuity of nursing care. The aim was also to determine how the nursing handover is performed, how long it takes and whether written instructions are necessary for the nursing handover. Methods. The study was conducted between 1 October 2017 and 30 October 2017. The study was conducted on the basis of a questionnaire made specifically for this purpose. The questionnaire consisted of 14 questions. The first part of the questionnaire referred to the participants’ demographic data: years of service, age, gender, education level, workplace; the second part of the questionnaire referred to nurses’ perception of the nursing handover. Results. The questionnaire was filled in by 295 nurses. Out of this number, 40 were male and 255 female nurses. The majority of participants finished secondary education and have been working between 11 and 20 years. In most cases, nursing handover is recorded in electronic written form and also at the patient’s bedside. Over 90% of participants feel that the handover contributes to improved patient safety and quality of care. Conclusion. Nursing handover is recorded in electronic written form, as well as at the patient’s bedside on all wards that participated in the study. This form of handover ensures better continuity of care, improves patient safety and reduces loss of vital information. The need to draw up written instructions for the nursing handover was determined.
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van Roij, Janneke, Natasja Raijmakers, Laurien Ham, et al. "Experienced quality of care and emotional functioning of patients with advanced cancer and their relatives: Results of a multicenter observational cohort study (eQuiPe)." Journal of Clinical Oncology 39, no. 28_suppl (2021): 3. http://dx.doi.org/10.1200/jco.2020.39.28_suppl.3.
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3 Background: Previous studies on experienced quality of care and quality of life have not addressed the reciprocal relation between patients and their relatives. For the first time we were able to include almost 700 couples (patient – relative) in a palliative oncological care context. This study aims to assess the experienced quality of care and emotional functioning (EF) of patients with advanced cancer and their relatives, including their reciprocal relation by using a dyadic approach. Methods: A prospective multicentre observational study among patients with advanced cancer and their relatives, recruited from 40 hospitals in the Netherlands or self-enrolled between November 2017 and January 2020 (eQuiPe study). Patients with metastatic cancer and their relatives were eligible to participate. Respondents completed a questionnaire and clinical data of the patient were obtained by linking the information to the Netherlands Cancer Registry (NCR). Logistic regression analyses were performed on baseline data of 1,103 patients and 831 relatives to assess the association between experienced quality of care and EF of patients and relatives separately and across dyads. Results: In total, 1,103 (65%) patients and 831 (71%) relatives completed the baseline questionnaire, including 699 unique patient-relative couples. Patients experienced lower levels of quality of life, including EF, and more symptoms compared to the normative population ( p<.001). Relatives reported even clinically relevantly lower EF compared to patients (69 vs. 78, p<.001) and were less satisfied with care (59 vs. 74; p<.001). Being more satisfied with care in general ( p<.05) and clarity about who their central health care professional ( p<.05) were positively associated with high EF in patients. For relatives, perceived continuity of care ( p<.01) and continuity of information for the patient ( p<.05) were positively associated with high EF. Dyadic analyses showed that EF of patients ( p<.001) and relatives ( p<.001) was positively associated with EF of the other person and perceived continuity of care by relatives was positively associated with high EF in patients ( p<.01). Conclusions: Experienced integral organisation and satisfaction with care in patients and relatives are related to their EF. The additional reciprocal relation between patients’ and their relatives’ EF and the experienced continuity of care suggests the opportunity for a family‐centered approach to optimize advanced cancer care.
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Tonkikh, Orly, Anna Zisberg, and Efrat Shadmi. "IN-HOSPITAL NURSE CARE CONTINUITY: DOES IT MATTER?" Innovation in Aging 3, Supplement_1 (2019): S740. http://dx.doi.org/10.1093/geroni/igz038.2711.
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Abstract In-hospital cognitive decline affects up to 40% of hospitalized older adults and is associated with post-hospitalization worsening of medical and functional status. Studies pointed to the substantial role of the interpersonal relationship between older adults with cognitive impairment and the nurses who care for them. We investigated the association between nursing interpersonal continuity and cognitive outcomes in a cohort of 646 older adults aged 70 or older admitted to internal units for non-disabling conditions. Cognitive decline was defined as at least one point decline in the Short Portable Mental Status Questionnaire from at admission to discharge assessments. Nursing interpersonal continuity was measured using continuity of care index (CoC). CoC assesses the extent of different nurses assigned to take care of each patient during the hospital stay (2 shifts per day) and ranges from 0 (none of the nurses is the same) to 0.4 (highest feasible score according to full time standard shift plan and length of stay (LOS)). Multivariate logistic regression showed that achieving 25% of the highest feasible in-hospital nursing CoC was associated with lower odds of cognitive decline (OR=0.67, 95% CI=0.47-0.97), controlling for age, sex, premorbid activities of daily living status, at admission cognitive status, comorbidities, severity of illness and LOS. This study shows that in-hospital nursing continuity is negatively associated with older adults’ cognitive decline, even in low-continuity levels. Future studies should investigate in-hospital continuity patterns and interventions maintaining continuity in larger and more heterogenic samples.
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Afilalo, Marc, Eddy Lang, Ruth Léger, et al. "Impact of a standardized communication system on continuity of care between family physicians and the emergency department." CJEM 9, no. 02 (2007): 79–86. http://dx.doi.org/10.1017/s1481803500014834.
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ABSTRACT Objective: It has been suggested that continuity of care is hampered because of the lack of communication between emergency departments (EDs) and primary care providers. A web-based, standardized communication system (SCS) that enables family physicians (FPs) to visualize information regarding their patients' ED visits was developed. This paper aims to evaluate the impact of this SCS on continuity of care. Methods: We conducted an open, 4-period crossover, cluster-randomized controlled trial of 23 FP practices. During the intervention phase, FPs received detailed reports via SCS, while in the control phase they received mailed copies of the ED notes. Continuity of care was evaluated with a web questionnaire completed by FPs 21 days after the ED visit. The primary measures of continuity of care were knowledge of ED visit (quality and quantity), patient management and follow-up rate. Results: We analyzed a total of 2022 ED visits (1048 intervention and 974 control). The intervention group received information regarding the ED visit more often (odds ratio [OR] 3.14, 95% confidence interval [CI] 2.6–3.79), found the information more useful (OR 5.1, 95% CI 3.49–7.46), possessed a better knowledge of the ED visit (OR 6.28, 95% CI 5.12–7.71), felt they could better manage patients (OR 2.46, 95% CI 2.02–2.99) and initiated actions more often following receipt of information (OR 1.62, 95% CI 1.36–1.93). However, there was no significant difference in the follow-up rate at FPs offices (OR 1.25, 95% CI 0.97–1.61). Conclusion: The use of SCS between an ED and FPs led to significant improvements in continuity of care by increasing the usefulness of transferred information and by improving FPs' perceived patient knowledge and patient management.
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Kameshwar, Yasha V., Gayatri Mishra, R. Sripriya, Jawadh Hussain Basheer, and Murugesan Ravishankar. "Patient satisfaction with anaesthesia care - Development, pilot testing and validation of a survey questionnaire." Indian Journal of Clinical Anaesthesia 11, no. 2 (2024): 195–202. http://dx.doi.org/10.18231/j.ijca.2024.038.
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Patient satisfaction is the single most important “Quality of care” indicator that gives insight into effectiveness of care provided. There is a paucity of specific validated questionnaire for assessment of patient satisfaction with perioperative anaesthesia care for Indian sub-continent. We aimed to develop and validate a questionnaire for assessment of patient satisfaction with anaesthesia care. Through a review of literature, input from expert anaesthesiologists, and patient feedback, we came up with thirty-six preliminary questions, which we then categorised into six categories: Communication, Information provided, Involvement in decision-making, Anaesthesia care provided, Continuity of care, and Addressal of perioperative discomforts. All satisfaction-related responses were graded using a 5-point Likert scale. Questions were corrected to twenty-four based on inputs from six experts. The questionnaire was then translated (forward-backwards translation) to the regional language (Tamil) and subjected to pre-pilot testing. Questions were then modified, and Pilot testing was done for statistical validation.The response rate for pilot test was 70% and we received 60 responses. 93% of patients used Tamil version. We received 50% of responses on postoperative day (POD)-1 and remaining 50% on POD-2. None of our questions showed “Floor” or “Ceiling” response needing elimination. Cronbach’s alpha was estimated as 0.697. Our survey's mean score was 87.29 ± 4.65, showing that it accurately measured patient satisfaction.Ours is thefirst validated questionnaire for assessment of patient satisfaction with anaesthesia care suitable for the Indian population. The questionnaire can further be translated into the appropriate regional languages and utilized.
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Espinel-Flores, Verónica, Ingrid Vargas, Pamela Eguiguren, et al. "Assessing the impact of clinical coordination interventions on the continuity of care for patients with chronic conditions: participatory action research in five Latin American countries." Health Policy and Planning 37, no. 1 (2021): 1–11. http://dx.doi.org/10.1093/heapol/czab130.
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Abstract Although fragmentation in the provision of services is considered an obstacle to effective health care, there is scant evidence on the impact of interventions to improve care coordination between primary care and secondary care in terms of continuity of care—i.e. from the patient perspective—particularly in Latin America (LA). Within the framework of the Equity-LA II project, interventions to improve coordination across care levels were implemented in five Latin American countries (Brazil, Chile, Colombia, Mexico and Uruguay) through a participatory action research (PAR) process. This paper analyses the impact of these PAR interventions on the cross-level continuity of care of chronic patients in public healthcare networks. A quasi-experimental study was performed with measurements based on two surveys of a sample of patients with chronic conditions (392 per network; 800 per country). Both the baseline (2015) and evaluation (2017) surveys were conducted using the CCAENA questionnaire. In each country, two comparable public healthcare networks were selected, one intervention and one control. Outcomes were cross-level continuity of information and clinical management continuity. Descriptive analyses were conducted, and Poisson regression models with robust variance were fitted to estimate changes. With differences between countries, the results showed improvements in cross-level continuity of clinical information (transfer of clinical information) and clinical management continuity (care coherence). These results are consistent with those of previous studies on the effectiveness of the interventions implemented in each country in improving care coordination in Brazil, Chile and Colombia. Differences between countries are probably related to particular contextual factors and events that occurred during the implementation process. This supports the notion that certain context and process factors are needed to improve continuity of care. The results provide evidence that, although the interventions were designed to enhance care coordination and aimed at health professionals, patients report improvements in continuity of care.
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Harley, Clare, Jacqui Adams, Laura Booth, Peter Selby, Julia Brown, and Galina Velikova. "Patient Experiences of Continuity of Cancer Care: Development of a New Medical Care Questionnaire (MCQ) for Oncology Outpatients." Value in Health 12, no. 8 (2009): 1180–86. http://dx.doi.org/10.1111/j.1524-4733.2009.00574.x.
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Rowan, B., S. Narus, M. Smith, et al. "Implementation of an Emergency Medical Card and a Continuity of Care." Methods of Information in Medicine 48, no. 06 (2009): 519–30. http://dx.doi.org/10.3414/me09-01-0003.
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Summary Objectives: To describe the design and implementation procedures for an emergency medical card (EMC) and a continuity of care (CoC) report using the continuity of care record (CCR) standard. We also describe studies to evaluate the effectiveness of these documents in Co C. Methods: We convened weekly planning, design, development, implementation, and evaluation meetings, involving 25 outpatient clinics at Intermountain Healthcare. The CCR standard schema and documentation from American Society for Testing and Materials were used to develop the data model. An outside consultant provided further advice on committee-approved designs. We then developed a functional design document for the CCR application implementation. Healthcare professionals (medical doctors and physician assistants) and fourth-year medical students will simulate the will simulate the EMC and CoC report use and assess their usefulness in Co C. The reviewers will review three randomly selected patient cases, using patient information in the electronic medical record, EMC and CoC report. A structured questionnaire with Likert scale will assess the reviewers’ perceptions of the documents’ usefulness in medical decision making. Other studies will compare patient- and HCP-entered data to evaluate the effect of patient-entered data on the quality of HCP-entered data and assess user-satisfaction with the documents’ usefulness in Co C. Results: An automated CCR application compliant with the CCR standard was developed and integrated in an already implemented patient portal at the Intermountain Healthcare clinics. Patients use the application to view, add, modify their information and use the data plus EMR data to create EMC and CoC report. Conclusions: The CCR standard can be used to implement an application to enable patients to not only view but add or modify personal health records, and create, print and share paper EMC and CoC report with HCPs. The documents can be created using HCP-maintained EMR data, in addition to patient-entered data as is currently the norm.
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Van Camp, Eloïse, Christophe Rault, Quentin Heraud, et al. "Correlation Between Sleep Continuity and Patient-Reported Sleep Quality in Conscious Critically Ill Patients at High Risk of Reintubation: A Pilot Study." Critical Care Explorations 5, no. 12 (2023): e1016. http://dx.doi.org/10.1097/cce.0000000000001016.
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OBJECTIVES: It is well-established that sleep quality of ICU patients is poor, with sleep being highly fragmented by multiple awakenings. These sleep disruptions are associated with poor outcomes such as prolonged weaning duration from mechanical ventilation. Polysomnography can measure sleep continuity, a parameter associated positively with outcomes in patients treated with noninvasive ventilation, but polysomnography is not routinely available in all ICUs, and simple means to assess sleep quality are needed. The Richards-Campbell sleep questionnaire (RCSQ) assesses sleep quality in ICU patients but is difficult to administrate in patients who are not fully awake, and a simpler sleep numeric rating scale (sleep-NRS) has been proposed as an alternative. We here investigated the relationships between sleep continuity and patients-reported sleep quality. DESIGN: Single-center retrospective study. SETTING: Medical ICU of Poitiers University Hospital. PATIENTS: Seventy-two patients were extubated from mechanical ventilation and at high risk of reintubation. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: We analyzed 52 previously recorded polysomnographies in nonsedated and conscious ICU patients. Sleep was recorded the night after extubation. Sleep continuity was measured using an automated scoring algorithm from one electroencephalogram (EEG) channel of the polysomnography. Patient-reported sleep quality was assessed using RCSQ and sleep-NRS. Sleep continuity could be calculated on 45 polysomnographies (age: 68 [58–77], median [25th–75th]) RCSQ (62 [48–72]) and sleep-NRS (6.0 [5.0–7.0]) were obtained in 21 patients and 34 patients, respectively. Our results show a significant correlation between sleep continuity and sleep-NRS (p = 0.0037; ρ = 0.4844; n = 34) but not with RCSQ score (p = 0.6732; ρ = 0.1005; n = 20). CONCLUSION: Sleep continuity correlates with patient-reported sleep quality assessed using sleep-NRS and may capture the refreshing part of sleep. Sleep-NRS can be easily administered in ICU patients. Sleep continuity and sleep-NRS are simple tools that may prove useful to evaluate sleep quality in ICU patients.
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Cardoza, Shyni, and Jyothi Seema Moras. "Improving patient care in the emergency department in a selected hospital: a study on patient centered care." International Journal Of Community Medicine And Public Health 11, no. 10 (2024): 3996–4003. http://dx.doi.org/10.18203/2394-6040.ijcmph20242884.
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Background: Patient-centred care is founded on the principle of active patient and family engagement at all levels of care, enabling them to take ownership of treatment decisions. As patients are best positioned to understand their unique needs and priorities, their involvement is crucial. This study seeks to evaluate the patient centered care delivered by the healthcare providers, specifically doctors and nurses in the emergency department setting. Methods: A Questionnaire-based method was employed to collect data from a sample of 72 patients in the emergency department, assessing patient centered care in the selected tertiary care teaching hospital. The study was conducted between 1st May 2023 to 31st May 2023. Results: The study revealed that patients rated their care experience as very good, achieving high ratings across various dimensions, with the following mean and standard deviation scores: “Patient preference” 4.06±1.13, “Physical comforts” 3.99±1.04, “Coordination of care” 4.03±1.06. “Information and education” 4.08 ±1.06, “Communication” 4.06±1.07, with respect to “Continuity and Transition” 4.13±1.07 and “Family and Friends” 4.24±1.08. These ratings demonstrate a high level of satisfaction with care quality. Conclusions: Patient centered care is a healthcare approach that prioritizes patient needs and values. Its about working together with patients to provide flexible and personalized care. This study found that emergency department staff understand the importance of patient centered care and its benefit for patients and healthcare organisations.
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Kassouf, E., M. Tehfe, M. Florescu, and N. Blais. "Impact of the Continuity of Nursing Care Delivered by a Pivot Nurse in Oncology on Improving Satisfaction and Quality of Life of Patients With Advanced Lung Cancer." Journal of Global Oncology 4, Supplement 2 (2018): 61s. http://dx.doi.org/10.1200/jgo.18.75000.
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Background: Health care organizations around the globe have been implementing different strategies aimed at improving their care systems to obtain better patient–physician interaction and resolve underlying issues leading to patient dissatisfaction. In an effort to improve continuity of care inside a network of interdisciplinary teams, the Ministry of Health and Social Services of Québec has implemented the recruitment of pivot nurses in oncology services. Aim: To determine whether continuous nursing care for lung cancer patients, compared with standard care, yields more improvements in terms of patient satisfaction and quality of life. Methods: This study was conducted at the Notre Dame University Hospital in Montreal. Patients were selected from the outpatient admissions' list, three months after the start of their treatment, and divided into two cohorts: the continuity of care (CC) cohort, where patients were followed by a PNO, and the usual care (UC) cohort, who received standard care from the oncology clinic staff. Participants in both groups completed the Princess Margaret Hospital Patient Satisfaction with Doctor Questionnaire (PMH/PSQ-MD), the FACT-L Scale for quality of life assessment and questions evaluating the understanding of their health status and disease. Another ten questions were dressed specifically to the CC in regards to nursing care and the health care system in Quebec. Results: The current study has shown a significant impact of implicating a PNO in the care of patients with advanced lung cancer. Patients in the CC cohort displayed better quality of life assessment scores and expressed higher levels of satisfaction compared with their peers in the UC cohort. Other variables examined revealed an adequate fulfillment of the PNO role as regarded by the participants, except for matters of an intimate nature. Conclusion: The PNO appears to have an substantial role in the care of patients with advanced lung cancer. Continuity of care seems to improve patients' quality of life and satisfaction by reducing the symptom strain experienced by ambulatory patients.
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Bikmoradi, Ali, Azam Jalalinasab, Mohsen Salvati, Mohamad Ahmadpanah, Farshid Divani, and Ghodratollah Roshanaei. "Impact of continuity of care on quality of life in patients with chronic obstructive pulmonary disease." Journal of Integrated Care 27, no. 1 (2019): 26–36. http://dx.doi.org/10.1108/jica-04-2018-0033.
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PurposePatients with chronic obstructive pulmonary disease (COPD) suffer many physical disabilities which cause many problems in their life. These patients really need to have continuity of care based on cooperation between patient, the family and their care givers in order to achieve an integration of care. The purpose of this paper is to assess the impact of continuous care on quality of life of patients with COPD.Design/methodology/approachA before–after quasi-experimental study was carried out with 72 patients with COPD at Beheshti educational hospital of Hamadan University of Medical Sciences. The patients who met inclusion criteria were randomly allocated into an intervention group (n=36) and a control group (n=36). The patients completed the St George’s Respiratory Questionnaire before and after their care. The intervention comprised continuous care with orientation and sensitization sessions (2 weeks), control and evaluation sessions (45 days) for intervention group and with routine care in the control group. Data were analyzed with SPSS, descriptive and inferential statistics were conducted to measure differences between intervention and control group.FindingsContinuity of care improved significantly the quality of life of COPD patients in general, and in the symptoms, activity and impact domains (P=0.001). In contrast, routine care did not improve quality of life for patients in general, and in the symptoms, activity and impact domains (P=0.05).Originality/valueContinuity of care has a positive impact on quality of life for COPD patients. Health care system should utilize continuity of care models as an overall plan for patients with COPD. Moreover, managers of health care system could reduce burden of chronic diseases by employing continuity of care models in planning patient care.
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Tabrizi, Jafar sadegh, Sahar Farahsa, Ali Taghizadieh, and Madineh Mostafanejad. "190: PATIENT PERSPECTIVES ON CONSISTENCY OF MEDICAL CARE WITH RECOMMENDED CARE IN ASTHMA." BMJ Open 7, Suppl 1 (2017): bmjopen—2016–015415.190. http://dx.doi.org/10.1136/bmjopen-2016-015415.190.
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Background and aims:Technical quality (TQ) in health care refers to clinical or disease-specific aspects of care and largely reflecting issues related to health care providers. In relation to TQ Global Initiative of National Asthma (GINA) introduce guidelines for the Management of Asthma and define a minimal standard of care that can be used to assess health care quality for patients with asthma. This study aimed to assess technical quality for people with asthma from the patients' perspective.Methods:A cross-sectional study was conducted with 180 people with asthma who were received care from specialist clinics of Tabriz University of medical sciences in 2013. Technical Quality was measured using questionnaire. The questionnaire set based on issued guidelines internationally which considered as proxy measure of technical quality. Validity of the study questionnaire was reviewed by 11 experts and its reliability was confirmed according to Cronbach's alpha index (α=0.86), based on a pilot study by participate of 30 patients. Data analyzed using the SPSS-17 statistical package.Results:Technical Quality score for people with asthma from the patient perspective had the range between 0% and 77%. The lowest scores were for the items: Asthma Control Test, written asthma action plan, measuring peak expiratory flow and assessing patient's self-care program. The highest scores belonged to visit by specialist and education about quit smoking. Asthma control status had significant relationship with continuity of care (patients who receives continuous care, expressed better asthma status) (P=0.012) and patients with complications reported higher TQ score than who haven't complications (P<0.001).Conclusion:According to study findings, overall technical quality for people with asthma from the patient perspective was relatively low. The largest gap in medical care, related to self-care program and management standards, suggests that new systems and new ways of improving such aspects of care need to be considered. The importance of multidisciplinary care for asthma and active engagement of the patient in their asthma management have been repeatedly emphasized. Potential changes include wider measurement of asthma Control and peak expiratory flow, having specific written asthma action plan, clinician and patient incentives to increase the relevant activities and a patient reminder system.
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Borg, Sixten, Katarina Eeg-Olofsson, Bo Palaszewski, Maria Svedbo Engström, Ulf-G. Gerdtham, and Soffia Gudbjörnsdottir. "Patient-reported outcome and experience measures for diabetes: development of scale models, differences between patient groups and relationships with cardiovascular and diabetes complication risk factors, in a combined registry and survey study in Sweden." BMJ Open 9, no. 1 (2019): e025033. http://dx.doi.org/10.1136/bmjopen-2018-025033.
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PurposeThe Swedish National Diabetes Register (NDR) has developed a diabetes-specific questionnaire to collect information on individuals' management of their diabetes, collaboration with healthcare providers and the disease’s impact on daily life. Our main objective was to develop measures of well-being, abilities to manage diabetes and judgements of diabetes care, and to detect and quantify differences using the NDR questionnaire.Design, setting and participantsThe questionnaire was analysed with using responses from 3689 participants with type 1 and 2 diabetes, randomly sampled from the NDR population, combined with register data on patient characteristics and cardiovascular and diabetes complication risk factors.MethodsWe used item response theory to develop scales for measuring well-being, abilities to manage diabetes and judgements of diabetes care (scores). Test–retest reliability on the scale level was analysed with intraclass correlation. Associations between scores and risk factor levels were investigated with subgroup analyses and correlations.ResultsWe obtained scales with satisfactory measurement properties, covering patient reported outcome measures such as general well-being and being free of worries, and patient reported experience measure, for example, access and continuity in diabetes care. All scales had acceptable test–retest reliability and could detect differences between diabetes types, age, gender and treatment subgroups. In several aspects, for example, freedom of worries, type 1 patients report lower than type 2, and younger patients lower than older. Associations were found between some scores and glycated haemoglobin, but none with systolic blood pressure or low-density lipoprotein cholesterol. Clinicians report positive experience of using scores, visually presented, in the patient dialogue.ConclusionsThe questionnaire measures and detects differences in patient well-being, abilities and judgements of diabetes care, and identifies areas for improvement. To further improve diabetes care, we conclude that patient-reported measures are important supplements to cardiovascular and diabetes complication risk factors, reflecting patient experiences of living with diabetes and diabetes care.
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Vanalia, Parthvi, Areej Paracha, Jennifer Herdman, and Bachar Zelhof. "Patient satisfaction of specialist nurse-led renal cancer follow-up." British Journal of Nursing 32, no. 19 (2023): 930–35. http://dx.doi.org/10.12968/bjon.2023.32.19.930.
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Background: For many patients with locally advanced renal cancer, management is surgery followed by surveillance imaging for several years. There is no concrete data regarding specialist nurse follow-up for patients after they have had surgery. Aims: The authors' aim was to assess patient satisfaction with specialist nurse follow-up for patients with renal cancer who have undergone surgery. Methods: A questionnaire was used to measure patient satisfaction of the specialist nurse consultation. There were 100 patients invited who had been followed up in the nurse-led clinic between January 2020 and May 2021. These patients were given a phone call to complete the questionnaire. Findings: The audit revealed that in terms of general satisfaction, 97.1% of patients felt totally satisfied with their visit/consultation at the specialist nurse clinic. Furthermore, 94.2% of patients felt that they had good continuity of care with specialist nurse follow-up. Conclusion: Nurse-led follow-up was found to have high levels of patient satisfaction.
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Vidiani, Anak Agung Pradnya Paramitha, Lisa Aditama, and Amelia Lorensia. "Kajian Continuity of Care Pasien Program Rujuk Balik di Puskesmas Kota Surabaya." MPI (Media Pharmaceutica Indonesiana) 5, no. 1 (2023): 9–19. http://dx.doi.org/10.24123/mpi.v5i1.5484.
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 Pasien penyakit kronis menjalani transisi pelayanan kesehatan, sehingga kesinambungan perawatan atau continuity of care (CoC) menjadi komitmen antar tenaga kesehatan. CoC diukur dari perspektif pasien berdasarkan pengalaman dalam pelayanan kesehatan terkait kesinambungan informasi, hubungan dan manajerial. Tujuan penelitian adalah melakukan kajian CoC pasien DM tipe 2 dan hipertensi PRB Puskesmas Kota Surabaya dan menggali pengalaman pasien dalam transisi pelayanan kesehatan. Rancangan penelitian adalah mixed methods. Sampel ditentukan secara purposive dengan memperhatikan kriteria penelitian. Pengumpulan data dilakukan dengan menggunakan kuesioner Cuestionario Continuidad Asistencial Entre Niveles de Atencion (CCAENA) dan wawancara semi-terstruktur. Kesinambungan hubungan berada pada tingkat yang tertinggi, dimana hubungan dengan dokter spesialis lebih tinggi (95%) dibandingkan dokter umum (74%). Ketidaksinambungan hubungan terbesar, yaitu tidak bisa berkonsultasi dengan dokter yang sama di Puskesmas (58%). Kesinambungan manajerial terkait koherensi perawatan (91%) dan aksesibilitas (79%). Ketidaksinambungan manajerial terbesar adalah tidak ada koherensi perawatan antara dokter spesialis dan dokter di Puskesmas (85%) serta aksesibilitas saat antri di rumah rakit (48%). Kesinambungan informasi berada pada tingkat paling rendah (73%). Ketidaksinambungan informasi terbesar adalah diskusi antara pasien dan dokter di Puskesmas terkait pengobatan setelah rujukan (37%). Kesimpulan dari penelitian ini adalah ketidaksinambungan dalam transisi perawatan pasien penyakit kronis terbesar adalah pemberian informasi. Apoteker memiliki peran penting untuk meningkatkan pelayanan informasi dan menjamin keselamatan pasien disetiap rantai perawatan.
 
 
 
 
 
 Transition of healthcare increases the risk of chronic disease patients, therefore continuity of care (CoC) is needed for patient care. CoC measure from the patient's perspective based on experience related to continuity of information, relationships and managerial. The purpose was to study of CoC patients with type 2 diabetes mellitus (T2DM) and hypertension referral program at the Surabaya City Public Health Center and explore patient experiences in transitioning health services. The design is mixed methods. The sample was determined purposively by observe into research criteria. Data collection was using the Cuestionario Continuidad Asistencial Entre Niveles de Atencion (CCAENA) questionnaire and semi-structured interviews. Relation continuity is the highest level, where relationships with specialist are higher (95%) than general prescriber (GP) (74%). The biggest discontinuity is not being able to consult the same GP (58%). Managerial continuity related to coherence of care (91%) and accessibility (79%). The biggest managerial discontinuity is coherence between specialist and GP (85%) and accessibility when queuing at the hospital (48%). Information continuity is the lowest level (73%). The biggest discontinuity is discussion between patients and GP regarding treatment after referral (37%). Conclusion this study is the biggest discontinuity in the transition of care for chronic disease patients is information. Pharmacists have an important role to improve information services and ensure patient safety.
 
 
 
 
 
 
 
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De Freitas Melo, Cynthia, Maria Rannielly de Araujo Lima Magalhães, Liza Maria Studart de Meneses, Railda Sabino Fernandes Alves, Ana Cristina Eberhardt Lins, and Elisa Kern de Castro. "Relationship between doctors and patients in the end of life process in palliative care and dysthanasia." Psicooncología 18, no. 1 (2021): 193–205. http://dx.doi.org/10.5209/psic.74539.
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Introduction: In the course of an illness, when the patient receives a poor prognosis, he can be assisted with dysthanasia or palliative care. The therapeutic choice and the adherence to it are related, among other factors, to the quality of the doctor-patient relationship. The objective of this study was to evaluate the patients’ point of view of the doctor-patient relationship in the end of life process, and compare scores between patients in palliative care and those experiencing dysthanasia. Method: The design was a descriptive survey with a non-probabilistic sample composed of 234 patients with cancer in the end of life process: 117 in palliative care and 117 expriencing dysthanasia. Two instruments were used: a biodemographic questionnaire and the Questionnaire for Assessing the Doctor-Patient Relationship in the End of Life Process, and data were analyzed using descriptive and bivariate statistics in the Statistical Package for the Social Sciences software. Results: The results showed good evaluations of the doctor-patient relationship. Palliative care patients attributed better scores in terms of time dedicated, attention, confidence, understanding and communication; and patients experiencing dysthanasia made better assessments in terms of frequency of visits and continuity of care. Conclusion: It is concluded that this study represents an advance in studies on the subject and indicates that patients in palliative care perceive the doctor-patient relationship more positively than patients undergoing dysthanasia. It stressed that it is necessary to invest in training medical students and professionals to carry out interventions that prioritize the use of their oldest, simplest and most powerful technology: the relationship between professionals and patients.
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Bunston, Terry, Mary Elliott, and Sherry Rapuch. "A Psychosocial Summary Flow Sheet: Facilitating the Coordination of Care, Enhancing the Quality of Care." Journal of Palliative Care 9, no. 1 (1993): 14–22. http://dx.doi.org/10.1177/082585979300900103.
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To improve the continuity of care and to better coordinate psychosocial care, the Psychosocial Oncology Program at the Ontario Cancer Institute/Princess Margaret Hospital developed a psychosocial summary flow sheet. The objectives of the pilot project evaluation were: (a) to examine preparation to use the flow sheet prior to its implementation, (b) to gather information on how staff used the flow sheet, and (c) to determine how its design and implementation could be improved. The charts of all the patients on the units participating in the pilot project were examined and a questionnaire was sent to all staff involved with patient care on these units. The results of the evaluation indicated that the psychosocial summary flow sheet was perceived to be an asset to psychosocial care and could be implemented hospital-wide. Based on the evaluation, a number of changes were made in its design and a strategy for hospital-wide implementation was planned.
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Fernandes Arroteia, Isabel, Florian Ebel, Maria Licci, Raphael Guzman, and Jehuda Soleman. "Assessment of transitional care in pediatric neurosurgery: a single-center analysis and survey of patients and parents." Neurosurgical Focus 57, no. 2 (2024): E15. http://dx.doi.org/10.3171/2024.5.focus24232.
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OBJECTIVE Transitional care in pediatric neurosurgery is challenging for patients and their parents. The specific needs of neurologically affected patients and the unique characteristics of the pathologies affecting pediatric neurosurgical patients compared with adults make a comprehensive, well-organized transition process essential for patient well-being and ensuring continuity of care. Little is known about patients’ preferences and opinions on this topic. This study aimed to assess the patients’ and parents’ expectations and perceptions of the transition process. METHODS The authors retrospectively identified patients aged 16 to 30 years who underwent surgery in their pediatric neurosurgical department. The patients were divided into two groups: those about to transition and those who had already transitioned. Transition models were identified within the latter group. Parents of eligible patients were contacted for a telephone survey, and the patients themselves were included when possible. A modified version of the established Got Transition questionnaire from the National Alliance to Advance Adolescent Health was used. RESULTS Thirty-four patients were included, and 44 telephone surveys were conducted with the patients and their parents. Three transition models were applied, with 7 patients (41.2%) transitioned using the continued caregiver model, 9 patients (52.9%) using the shared caregiver model, and 1 patient (5.9%) using the specialized clinic model. Patient and parent satisfaction was highest among the patients transitioned using the continued caregiver and specialized clinic models. CONCLUSIONS Neurosurgical conditions in children differ significantly from those in adults, creating unique transitional care challenges. The continuing caregiver model has been shown to provide continuity of care and high patient and parent satisfaction. However, there are differences in the perspectives of parents and patients regarding transitional care, with parents typically expressing greater concern and need for detailed information. Implementing a well-structured and individualized transition process is essential to reduce the caregiving burden on families and healthcare institutions.
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de Batlle, Jordi, Mireia Massip, Eloisa Vargiu, et al. "Implementing Mobile Health–Enabled Integrated Care for Complex Chronic Patients: Patients and Professionals’ Acceptability Study." JMIR mHealth and uHealth 8, no. 11 (2020): e22136. http://dx.doi.org/10.2196/22136.
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Background Integrated care (IC) can promote health and social care efficiency through prioritization of preventive patient-centered models and defragmentation of care and collaboration across health tiers, and mobile health (mHealth) can be the cornerstone allowing for the adoption of IC. Objective This study aims to assess the acceptability, usability, and satisfaction of an mHealth-enabled IC model for complex chronic patients in both patients and health professionals. Methods As part of the CONNECARE Horizon 2020 project, a prospective, pragmatic, 2-arm, parallel, hybrid effectiveness-implementation trial was conducted from July 2018 to August 2019 in a rural region of Catalonia, Spain. Home-dwelling patients 55 years and older with chronic conditions and a history of hospitalizations for chronic obstructive pulmonary disease or heart failure (use case [UC] 1), or a scheduled major elective hip or knee arthroplasty (UC2) were recruited. During the 3 months, patients experienced an mHealth-enabled IC model, including a self-management app for patients, a set of integrated sensors, and a web-based platform connecting professionals from different settings or usual care. The Person-Centered Coordinated Care Experience Questionnaire (P3CEQ) and the Nijmegen Continuity Questionnaire (NCQ) assessed person-centeredness and continuity of care. Acceptability was assessed for IC arm patients and staff with the Net Promoter Score (NPS) and the System Usability Scale (SUS). Results The analyses included 77 IC patients, 58 controls who completed the follow-up, and 30 health care professionals. The mean age was 78 (SD 9) years in both study arms. Perception of patient-centeredness was similarly high in both arms (usual care: mean P3CEQ score 16.1, SD 3.3; IC: mean P3CEQ score 16.3, SD 2.4). IC patients reported better continuity of care than controls (usual care: mean NCQ score 3.7, SD 0.9; IC: mean NCQ score 4.0, SD 1; P=.04). The scores for patient acceptability (UC1: NPS +67%; UC2: NPS +45%) and usability (UC1: mean SUS score 79, SD 14; UC2: mean SUS score 68, SD 24) were outstanding. Professionals’ acceptability was low (UC1: NPS −25%; UC2: NPS −35%), whereas usability was average (UC1: mean SUS score 63, SD 20; UC2: mean SUS score 62, SD 19). The actual use of technology was high; 77% (58/75) of patients reported physical activity for at least 60 days, and the ratio of times reported over times prescribed for other sensors ranged from 37% for oxygen saturation to 67% for weight. Conclusions The mHealth-enabled IC model showed outstanding results from the patients’ perspective in 2 different UCs but lacked maturity and integration with legacy systems to be fully accepted by professionals. This paper provides useful lessons learned through the development and assessment process and may be of use to organizations willing to develop or implement mHealth-enabled IC for older adults.
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Leow, Hong Tee, and Su May Liew. "A cross sectional study on patient satisfaction and its association with length of consultation at the University Malaya Medical Centre Primary Care Clinic." Malaysian Family Physician 17, no. 2 (2022): 71–80. http://dx.doi.org/10.51866/oa1339.
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Introduction: Patient satisfaction has been found to be a determinant of patient compliance to medical advice and treatment, medical service utilisation, the doctor–patient relationship, and continuity of care. Assessment of patient satisfaction can be used to evaluate health care services and identify areas to target for quality improvement. Methods: A cross-sectional study was conducted to determine the satisfaction level of patients attending a primary care clinic and its associated factors. Participants’ experience of time at the clinic, socio-demographic data, and personal health information were collected. The 18-Item Patient Satisfaction Questionnaire was used to determine patient satisfaction. Univariate and multivariate analyses were employed to identify the factors associated with patient satisfaction. Results: We recruited 327 participants and 50.46% reported satisfaction. The highest satisfaction was reported in the communication domain (80.80% of the maximum score) and the lowest score was reported in the accessibility and convenience domain (66.40%). The only significant positive correlation with total patient satisfaction score was the difference between perceived and expected length of consultation. Conclusion: The only independently associated factor was the difference between perceived and expected length of consultation; therefore, changing how time is spent during consultations may prove useful in improving patient satisfaction.
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Johnston, Donna, Jacqueline Halton, Mylene Bassal, et al. "Pediatric Oncology Clinic Care Model: How to Care for Patients to Achieve Better Continuity of Care in a Medium Sized Program." Blood 124, no. 21 (2014): 6000. http://dx.doi.org/10.1182/blood.v124.21.6000.6000.
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Abstract Introduction: Providing effective outpatient care to oncology patients is the goal of all programs. There are two potential models of providing this care, a primary physician model which is the model generally employed by large oncology programs, and a team based model which is the model employed by small oncology programs. Medium sized programs (defined as 50-100 newly diagnosed patients per year), face a challenge as to what the best model of oncology outpatient care is to follow given the number of oncologists providing clinical care. We attempted to develop a hybrid model of team based and primary physician model in order to improve care of patients at our medium sized center. Methods: Prior to making any changes from the longstanding team based model of outpatient care, a patient satisfaction survey was conducted. Multiple meetings were held with the physician group to discuss the current model of care (team based model) and the potential ways to change the model given the complexity of patients and protocols. After much discussion it was decided that all patients would have a dedicated oncologist. There would then be two types of weeks of clinical service in the outpatient clinic. The first type was a “Doc of the Day” week where each oncologist would have a specific day in clinic and their assigned patients would be booked to come to clinic on those days. The second type was a “Doc of the Week” week where one physician would be attending in clinic for the week. There would be a 1:1 ratio of the two types of weeks. During vacations or holidays the week would be designated “Doc of the Week”. Results: The patient satisfaction survey done prior to changing the model of care showed that patients were very satisfied with the care they were receiving. A questionnaire to staff 14 months after the change in the model of care showed that the biggest effect was felt to be increased continuity of care to patients, followed by more efficient clinic work flow and increased consistency of care. The responses to what they liked best about the new model of care as members of the health care team, showed that facilitating the planning and delivery of care to patients and having a primary physician assigned to each patient were the most liked, followed by having their patient care questions answered more consistently because they knew which physician to direct the question to and physicians were more aware of their dedicated patients. The patient satisfaction survey post change in model of care showed that patients were still highly satisfied with the care they received. Conclusions: We showed that a model of care with a primary physician for each patient as well as assigned clinic days, alternating with some weeks where one physician covers the outpatient oncology patients for the whole week is a feasible model of care for a medium sized pediatric oncology program. The health care team found this model to be significantly better than a straight team based care model, but in a medium sized program with limited attending physicians, it provided a primary physician model that was felt to be beneficial for patients and other members of the health care team. Disclosures No relevant conflicts of interest to declare.
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Alrasheedi, Khaled Falah, Mohammed AL-Mohaithef, Hanan H. Edrees, and Sriram Chandramohan. "The Association Between Wait Times and Patient Satisfaction: Findings From Primary Health Centers in the Kingdom of Saudi Arabia." Health Services Research and Managerial Epidemiology 6 (January 1, 2019): 233339281986124. http://dx.doi.org/10.1177/2333392819861246.
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Background: It is no doubt that longer wait times can affect patient care and patients’ willingness to seek health-care services. Not only does this disrupt the continuity of treatment and care, but it also negatively impacts patient outcomes. During the past few years, the concept of patient satisfaction has become a vital component in assessing the delivery and efficiency of care. Patient satisfaction is a performance indicator that measures the extent to which patient is content and satisfied with the level of care provided by health-care institutions and providers. Therefore, this research examined association between the wait times and patient satisfaction in selected primary health-care centers in Al Qassim region in the Kingdom of Saudi Arabia. Methodology: A patient satisfaction questionnaire was administered to 850 patients, which collected patient perceptions on the delivery of care at health-care centers in Al Qassim City. Outcome measures included wait times for: registration and payment, seeing the physician, performing radiation and assays, and dispensing the medications. Results: The response rate was 72.94% (n = 620). The study found that 27.90% of the participants stated that the wait time to see the physician ranged between 21 and 30 minutes. Overall patients were mainly dissatisfied for wait times in relation to medication dispensation, vital signs measurement, dental consultations, and radiological investigation. The study found a positive association between the patient satisfaction and their education, marital status, and job. A significant regression equation was established between the patient satisfaction and age-group and literacy. Conclusion: The study advocated the need for recent technology, sufficient staffing, and patient-centered friendly methods to reduce wait times.
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Lionis, Christos, Sophia Papadakis, Chrysanthi Tatsi, et al. "Informing primary care reform in Greece: patient expectations and experiences (the QUALICOPC study)." BMC Health Services Research 17, no. 1 (2017): 255. https://doi.org/10.1186/s12913-017-2189-0.
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<strong>Background: </strong>Primary health care is the cornerstone of a high quality health care system. Greece has been actively attempting to reform health care services in order to improve heath outcomes and reduce health care spending. Patient-centered approaches to health care delivery have been increasingly acknowledged for their value informing quality improvement activities. This paper reports the quality of primary health care services in Greece as perceived by patients and aspects of health care delivery that are valued by patients.<strong>Methods: </strong>This study was conducted as part of the Quality and Costs of Primary Care in Europe (QUALICOPC) study. A cross-sectional sample of patients were recruited from general practitioner's offices in Greece and surveyed. Patients rated five features of person-focused primary care: accessibility; continuity and coordination; comprehensiveness; patient activation; and doctor–patient communication. One tenth of the patients ranked the importance of each feature on a scale of one to four, and nine tenths of patients scored their experiences of care received. Comparisons were made between patients with and without chronic disease.<strong>Results: </strong>The sample included 220 general practitioners from both public and private sector. A total of 1964 patients that completed the experience questionnaire and 219 patients that completed the patient values questionnaire were analyzed. Patients overall report a positive experiences with the general practice they visited. Several gaps were identified in particular in terms of wait times for appointments, general practitioner access to patient medical history, delivery of preventative services, patient involvement in decision-making. Patients with chronic disease report better experience than respondents without a chronic condition, however these patient groups report the same values in terms of qualities of the primary care system that are important to them.<strong>Conclusions: </strong>Data gathered may be used to improve the quality of primary health care services in Greece through an increased focus on patient-centered approaches. Our study has identified several gaps as well as factors within the primary care health system that patient's perceive as most important which can be used to prioritize quality improvement activities, especially within the austerity period. Study findings may also have application to other countries with similar context and infrastructure.
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Aldossary, Nahed Gassem, Dr Azra Fatima, and Zainab Qassim Aldarwish. "The Impact of Accreditation on Patient Safety and Quality of Care as Perceived by Nursing Staff in a Cardiac Care Centre in the Eastern Province, Kingdome of Saudi Arabia." Saudi Journal of Nursing and Health Care 5, no. 8 (2022): 167–75. http://dx.doi.org/10.36348/sjnhc.2022.v05i08.002.
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Accreditation is one of the approaches to evaluate the quality of health care services, and it’s an essential requirement for the continuity of services. Nursing staff play a major role in the accreditation preparation, process and continuity. The study aimed to assess the nursing perception of the impact of accreditation on the quality of care and safety in a tertiary cardiac care center in the Eastern Province, Kingdome of Saudi Arabia. A cross-sectional descriptive research design was used. A convenient sample of 56 nursing staff was included. The study tool was a self-administered online questionnaire. It consisted of four major sections with 20 subscales rated from 1 to 5 on a Likert scale. Nursing documentation, patient medication information, healthcare-associated infection, leadership and support sections are all included. The study findings indicated that nurses have a 94.6% positive perception of the impact of accreditation on the patient’s safety. This perception was measured in accordance with the items related to international patients’ safety goals. Higher agreement was found on the items of nursing clinical documentation and medication safety process. The study findings support the overall positive impact of accreditation. The study further recommends exploring the nursing perception of accreditation impact in different settings.
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Pojala, Ciprian Vasile, and Ionela Maria Bârsan. "Physiotherapist perceptions on rehabilitation services digitalization." Revista Română de Biblioteconomie și Știința Informării = Romanian Journal of Library and Information Science 18, no. 2 (2022): 18–25. http://dx.doi.org/10.26660/rrbsi.2022.18.2.18.
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Digital health solutions have experienced an essential expansion during the COVID-19 pandemic. Digitization contributes to ensuring the continuity of care for people and offers the possibility of more accessible access to information related to the patient, facilitates communication and can be a way to provide medical services through telemedicine. This work aims to identify the potential of the digitization of physiotherapy services. 17 physiotherapists from Romania completed a questionnaire with ten items. The results showed that although physiotherapists consider themselves prepared for computer systems, their use in medical practice mainly relates to communication with colleagues and other medical specialties.
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Yusupkhanov, O. N. "ASSESSMENT OF THE OPINION OF THE POPULATION OF THE CHUI REGION ON THE ORGANIZATION AND QUALITY OF ORTHOPEDIC DENTAL CARE." Vestnik of the Kyrgyz-Russian Slavic University 25, no. 1 (2025): 207–11. https://doi.org/10.36979/1694-500x-2025-25-1-207-211.
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The logical connection between the concepts of "quality of dental care" and "optimization of dental care" is undeniable. In many countries, public opinion remains the main criterion for assessing the quality of dental activities. The use of survey and questionnaire methods are quite subjective methods of objectivity of results under the condition of continuous observation over a long period of time. It is necessary to distinguish between close, but not identical concepts - "quality of medical care" and "quality of organization of medical care". The patient's subjective assessment is significantly influenced by the criteria for the quality of medical care, including accessibility, timeliness, safety, continuity and succession, efficiency and effectiveness, patient focus, scientific and technical level. In our work, we use the method of sociological research of the population. For this study, first of all, public opinion of the population on the organization of orthopedic dental care was studied. Public opinion in medicine is a collective position on problems of particular interest.
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Thise Rasmussen, Marie Louise, Kirsten Lomborg, Kasper Karmark Iversen, and Hanne Konradsen. "Patient Involvement in Decisions regarding Emergency Department Discharge: A Multimethod Study." Emergency Medicine International 2023 (June 6, 2023): 1–7. http://dx.doi.org/10.1155/2023/4997401.
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Background. Unmet care needs and more than one reasonable discharge solution have been identified among patients in the emergency department. Less than half of the patients attending emergency care have reported being involved in decisions to the degree they have wanted. Having a person-centered approach, such as involving patients in decisions regarding their discharge, has been reported as being associated with beneficial outcomes for the patient. Aim. The aim of the study was to explore the extent of patients’ involvement in discharge planning in acute care and how patient involvement in decisions regarding discharge planning is managed in clinical practice. Methods. A multimethod study, including both quantitative and qualitative data, was carried out. The quantitative part included a descriptive and comparative analysis of additional data from the patient’s medical records and patient’s responses to the CollaboRATE questionnaire. The qualitative part included a content analysis of notes from field studies of interactions between healthcare professionals and patients. Results. A total of 615 patients from an emergency department at a medium-sized hospital completed the questionnaire. Roughly, a third gave top-box scores (36%), indicating optimal involvement in decisions. Two factors, being discharged home and not readmitted, were significantly associated with the experience of being involved. In clinical practice, there was a focus on symptoms, and diagnostic tools and choice of treatment were decisive for the further care trajectory of the patients. Speed and low continuity left limited opportunities for dialogue to uncover patients’ preferences. At the same time, the patients did not expect to be involved. Conclusions. Two out of three patients did not experience being involved in decisions regarding emergency department discharge. The interactions reflected an organizational structure in which the conditions for patient involvement were limited. Uncovering opportunities and initiatives to increase the number of patients who experience being involved in decisions is important tasks for the future.
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Didden, David G., John T. Philbrick, and John B. Schorling. "Anxiety and Depression in an Internal Medicine Resident Continuity Clinic: Difficult Diagnoses." International Journal of Psychiatry in Medicine 31, no. 2 (2001): 155–67. http://dx.doi.org/10.2190/c7wy-relt-3u1n-jx9c.
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Objective: To determine the prevalence of anxiety and depression in a residents' clinic and if these diagnoses are associated with patients being perceived as difficult, as well as how often these diagnoses are documented in the patients' charts. Methods: This was a cross-sectional study conducted in a general internal medicine residents' clinic. A total of 135 patients were given the Primary Care Evaluation of Mental Disorders questionnaire (DSM-IIIR version) and their physicians filled out the Difficult Doctor-Patient Relationship Questionnaire after the visit. Charts were reviewed for documentation of a diagnosis of anxiety or depression. Results: Major depression was present in 26 percent, dysthymia 16 percent, major depression in partial remission 9 percent, generalized anxiety disorder 13 percent, and panic disorder 7 percent. Overall, 38 percent had at least one and 21 percent had more than one diagnosis. Of patients with one psychiatric diagnosis, 9 percent were classified as difficult versus 100 percent of patients with four diagnoses. Documentation of depression was noted for 43 percent of patients with major depression but only 9 percent with an anxiety disorder. Conclusions: Anxiety and depression were very common among the patients in this clinic, and increasing numbers of diagnoses were associated with patients being classified as difficult. Residents diagnosed depressive disorders as often as practicing physicians in other studies, but anxiety less well. The high prevalence of mental disorders has implications for resident education in that they need to be prepared to care for these patients, but residents also may benefit from exposure to sites with more typical prevalences of these illnesses.
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Van Den Assem, Barend, and Victor Dulewicz. "Patient satisfaction and GP trustworthiness, practice orientation and performance." Journal of Health Organization and Management 28, no. 4 (2014): 532–47. http://dx.doi.org/10.1108/jhom-12-2012-0238.
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Purpose – The purpose of this paper is to examine the doctor-patient relationship from the patients’ perspective. It tests a number of hypothesized relationships with respect to the interaction inside the doctor-patient relationship including the continuity of care, doctors’ practice orientation and performance, which help enhance the understanding of patient trust and satisfaction. Design/methodology/approach – A quantitative survey using a closed-ended questionnaire provided a useable sample of 372 respondents. Findings – There was an overall high level of patient trust in and satisfaction with GPs as well as good patient rapport with their GPs. Patients who were most satisfied with their doctor perceived them to be more trustworthy, were more satisfied with their performance and perceived them to have greater preference for a sharing orientation than those patients who were least satisfied. Practical implications – The research findings suggest ways of maintaining and enhancing trust through training, continuing professional development, appraisals and assessments and revalidation of doctors. The skill sets and competencies related to trust and practice are presented in light of current practice trends and changing health care agendas, including the recent Department of Health White Paper, “Liberating the NHS” (2010). Since the questionnaire was able to discriminate between those patients who were most and least satisfied with their doctors, it identified what patients appreciate and are concerned about with respect to GPs and their practice. Originality/value – The research provides new insights and understanding of how patient satisfaction in the GP-patient relationship is influenced by GPs’ trustworthiness, practice orientation and performance, for academic and practitioner communities.