What Elements of the Informational, Management, and Relational Continuity Are Associated With Patient Satisfaction With Rehabilitation Care and Global Rating Change?

详细信息    查看全文

• 作者：Francesc Medina-Mirapeix ; PT ; PhD^a ; ^{mirapeix@um.es" class="auth_mail" title="E-mail the corresponding author} ; Silvana L. Oliveira-Sousa ; PT ; PhD^b ; Marta Sobral-Ferreira ; PT ; PhD^c ; Joaquina Montilla-Herrador ; PT ; PhD^a ; Francisco J. Jimeno-Serrano ; PT ; PhD^a ; Pilar Escolar-Reina ; PT ; PhD^a
• 关键词：Continuity of patient care ; Outpatients ; Patient satisfaction ; Rehabilitation
• 刊名：Archives of Physical Medicine and Rehabilitation
• 出版年：2013
• 出版时间：November 2013
• 年：2013
• 卷：94
• 期：11
• 页码：2248-2254
• 全文大小：153 K

文摘

To 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.

Design

Cross-sectional self-report survey.

Setting

Three postacute ambulatory centers in metropolitan areas.

Participants

Outpatients (N=218; mean age ± SD, 38.5±11.7y).

Interventions

Not applicable.

Main Outcome Measures

The 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.

Results

Respondents 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.

Conclusions

Patient 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.