https://scholars.lib.ntu.edu.tw/handle/123456789/640293
標題: | Association between inpatient experience and patient-centered care outcomes in patients hospitalized with stroke 腦中風病人住院經驗與以病人為中心照護 結果之關係—以某醫學中心為例 |
作者: | Chen, Yi Hsuan JIANN-SHING JENG YU-CHI TUNG |
關鍵字: | health-related quality of life | inpatient experience | patient-centered outcomes | readmission | stroke | 公開日期: | 1-二月-2023 | 出版社: | Taiwan Public Health Association | 卷: | 42 | 期: | 1 | 起(迄)頁: | 88 | 來源出版物: | Taiwan Journal of Public Health | 摘要: | Objectives: Previous studies have not considered the subjective needs of patients when evaluating care outcomes, opting to use functional outcomes instead. This runs counter to the concept of patient-centeredness, which has gradually garnered attention in the medical community. Thus, in this study, we investigated the association between inpatient experience and patientcentered care outcomes in patients hospitalized with stroke. Methods: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCHAPS) survey was conducted among 142 patients (age ≤ 20 years) with stroke who were hospitalized in a medical center in northern Taiwan. Telephonic follow-up was conducted 90 days after discharge. Multivariable linear and logistic regression analyses were performed to investigate the associations between HCHAPS dimensions and patients’ activities of daily living (ADL), quality of life, and readmission status. Results: Higher scores in the care transition dimension were associated with better ADL, higher European Quality of Life-5 Dimension-5 (EQ-5D-5L) Level scores, and higher EuroQol Visual Analogue Scale (EQ-VAS) scores but lower odds of readmission at follow-up. The discharge information dimension was positively associated with patients’ 90-day ADL and EQ-VAS scores. Conclusions: Discharge information and care transition are associated with 90-day patientreported outcomes and readmission. By assessing inpatient experience, we identified the factors influencing care outcomes in our cohort. Thus, inpatient experience may serve as a supplementary indicator of care outcomes in patients hospitalized with stroke. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/640293 | ISSN: | 10232141 | DOI: | 10.6288/TJPH.202302_42(1).110093 |
顯示於: | 健康政策與管理研究所 |
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