کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3449131 1595705 2013 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
What Elements of the Informational, Management, and Relational Continuity Are Associated With Patient Satisfaction With Rehabilitation Care and Global Rating Change?
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
پیش نمایش صفحه اول مقاله
What Elements of the Informational, Management, and Relational Continuity Are Associated With Patient Satisfaction With Rehabilitation Care and Global Rating Change?
چکیده انگلیسی

ObjectiveTo describe the quality of patients' continuity experiences in a population of outpatients receiving postacute rehabilitation care, and to check which elements and types of continuity most strongly determine their satisfaction with care and functional changes.DesignCross-sectional self-report survey.SettingThree postacute ambulatory centers in metropolitan areas.ParticipantsOutpatients (N=218; mean age ± SD, 38.5±11.7y).InterventionsNot applicable.Main Outcome MeasuresThe questionnaire included experiences regarding aspects of informational (transference of information, accumulated knowledge), management (consistency and flexibility of care), and relational (established relation and consistency of provider) continuity, as well as questions concerning patients' sociodemographic characteristics, satisfaction with care, and global rating change.ResultsRespondents indicated more problems in terms of management and relational continuity than in informational continuity. For all patient groups, experiences regarding elements of management continuity (R2=15.3%–22.4%), followed by relational continuity (R2=14.3%–25.2%), explained most of the variance of satisfaction. Consistency and flexibility of care, together with an established relation, were the most determining elements of satisfaction. Experiences regarding elements of management continuity explained most of the variance of change (18.5%), and flexibility was the most decisive element.ConclusionsPatient satisfaction and functional changes are related with experiences in aspects of management continuity, where there is room for improvement. Measures of management continuity may be promising as indicators of continuity, and they should be prioritized.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Archives of Physical Medicine and Rehabilitation - Volume 94, Issue 11, November 2013, Pages 2248–2254
نویسندگان
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