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Author(s): Nascimento, G.
Nunes, F. G.
Anderson J.
Date: 2020
Title: From hospital to post-acute care organizations: the relationship between patient experience and health recovery
Volume: 32
Number: 9
Pages: 585 - 590
ISSN: 1353-4505
DOI (Digital Object Identifier): 10.1093/intqhc/mzaa095
Keywords: Patient outcomes
Care pathways
Patient-provider communication/information
Rehabilitation/long-term care
Abstract: Objective: To determine to what extent patient health status and recovery in post-acute care organizations (PACO) is related to patient experience of the discharge process from hospital and to patient experience while staying in these facilities. Design: Longitudinal study of patients discharged from hospitals to post-acute care organizations. Setting: 12 hospitals and 14 PACO Portuguese organizations. Participants: 181 patients participated in the both stages of data gathering. Main Outcome Measures: Patients’ physical and mental health status was measured through the SF-36 scale. The experience of transition from hospital to post-acute care organizations was measured with the Care Transition Measure. The Picker Adult In-Patient Questionnaire was used to measure patients’ experience in these organizations. Results: Patients reporting better physical condition in post-acute care organizations had a better experience on discharge [b = 0.21, 95% CI (0.10, 0.31)] and perceive fewer problems inside facilities [b = -0.19, 95% CI (-0.31, 0.08)]. The experience in post-acute care organizations is significantly related to patients’ mental health status [b = -0.47, 95% CI (-0.59, -0.36)]. Patients showing higher levels of physical recovery had a better experience on discharge [b = -0.18, 95% CI (0.08, 0.28)], while those registering better mental recovery experienced fewer problems during their stay [b = -0.41, 95% CI (-0.52, -0.30)]. Conclusions: PACO play a key role in maintaining and promoting patients’ health and this goal is influenced by their experience both in the transition from hospitals to PACO and while staying in these facilities.
Peerreviewed: yes
Access type: Open Access
Appears in Collections:BRU-RI - Artigos em revistas científicas internacionais com arbitragem científica

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