Continuity of care in hospital rehabilitation services: a qualitative insight from inpatients’ experience
| Autor: | Silvana Loana de Oliveira-Sousa, Marta Sobral-Ferreira, M. Carmen Lillo-Navarro, Francesc Medina-Mirapeix, Sean M. Collins, Pilar Escolar-Reina |
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| Rok vydání: | 2017 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty media_common.quotation_subject medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Affect (psychology) 03 medical and health sciences 0302 clinical medicine Consistency (negotiation) Patient satisfaction Empirical research Nursing Qualitative research Acute care Humans Medicine Orthopedics and Sports Medicine Quality (business) 030212 general & internal medicine Original Research media_common Inpatients Rehabilitation business.industry Managed Care Programs Quality of care Continuity of Patient Care Patient Satisfaction Continuity of care 0305 other medical science business Physical therapy |
| Zdroj: | Brazilian Journal of Physical Therapy |
| ISSN: | 1413-3555 |
| DOI: | 10.1016/j.bjpt.2017.03.002 |
| Popis: | Highlights • Continuity of care is a multidimensional construct. • Three types of continuity are relevant for inpatients receiving rehabilitation. • Management continuity is the component with the most negative experiences. • Most problems experienced by the participants are aspects that can be modified. Background Few empirical studies have been conducted on the continuity of rehabilitation services, despite the fact that it may affect clinical outcomes, patient satisfaction, the perception of quality, and safety. Objectives The aim of this study was to explore experiences and perceptions of inpatients receiving physical rehabilitation in an acute care hospital and how these experiences may have led to perceived gaps in the continuity of rehabilitation care. Method Using qualitative research methods, fifteen semi-structured interviews were conducted with patients who received physical rehabilitation during hospital stay in an acute care hospital in Murcia, Spain. Interviews were transcribed verbatim, analyzed, and grouped into predetermined and emergent codes. Results Patients described three main themes in continuity of care: informational, management, and relational continuity. Several factors were described as influencing the perceived gaps in these three types of continuity. Informational continuity was influenced by the transfer of information among care providers. Relational continuity was influenced by patient–therapist relations and consistency on the part of the provider. Management continuity was influenced by consistency of care between providers and the involvement of patients in their own care. Conclusion The participants in this study identified several gaps in three types of continuity of care (informational, management, and relational). Inpatients often perceive their experiences of rehabilitation as being disconnected or incoherent over time. |
| Databáze: | OpenAIRE |
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