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Citation
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Tverdal CB, Howe EI, Røe C, Helseth E, Lu J, Tenovuo O, Andelic N. J. Rehabil. Med. 2018; 50(6): 505-513. |
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Affiliation
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Department of Physical Medicine and Rehabilitation, Department of Neurosurgery, Oslo University Hospital, , 0424 Oslo, Norway. cathrinebt@gmail.com. |
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Abstract
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OBJECTIVES: To describe the discharge process for patients with traumatic brain injury from a trauma hospital, and patient experience and satisfaction with care transition. Furthermore, to evaluate associations between discharge process and patient satisfaction and quality of care transition.
DESIGN: Prospective-retrospective observational study. SUBJECTS/PATIENTS: Seventy-four patients admitted to ward or intensive care unit at a trauma referral hospital within 24 h of traumatic brain injury.
METHODS: Baseline characteristics and discharge process variables were extracted from medical records. Patients were interviewed 6-months post-injury about their experience and satisfaction with care transition, using a visual analogue scale (VAS) and the Care Transition Measurement (CTM-3®) as outcome measures. Regression analyses were performed to investigate associations between discharge process and outcome.
RESULTS: One-third of patients were not involved in the discharge process, and information in discharge summaries was often inadequate. Patients' involvement in care transition and co-ordination of care were significantly associated with overall satisfaction (VAS, p = 0.002 and p = 0.001, respectively) and quality of care transition (CTM-3®, p = 0.003 and p = 0.007, respectively). Patients with more severe injuries reported lower satisfaction and quality of care transition.
CONCLUSION: Patient's involvement in healthcare decision-making and co-ordination of care is important for self-reported satisfaction with transition and quality of care transition.
Language: en |