City Research Online

Abstract

OBJECTIVE: To determine to what extent patient health status and recovery in post-acute care organizations (PACO) is related to patient experience of the discharge process from hospital and to patient experience while staying in these facilities.

DESIGN: Longitudinal study of patients discharged from hospitals to post-acute care organizations.

SETTING: 12 hospitals and 14 PACO Portuguese organizations.

PARTICIPANTS: 181 patients participated in the both stages of data gathering.

MAIN OUTCOME MEASURES: Patients' physical and mental health status was measured through the SF-36 scale. The experience of transition from hospital to post-acute care organizations was measured with the Care Transition Measure. The Picker Adult In-Patient Questionnaire was used to measure patients' experience in these organizations.

RESULTS: Patients reporting better physical condition in post-acute care organizations had a better experience on discharge [b = 0.21, 95% CI (0.10, 0.31)] and perceive fewer problems inside facilities [b = -0.19, 95% CI (-0.31, 0.08)]. The experience in post-acute care organizations is significantly related to patients' mental health status [b = -0.47, 95% CI (-0.59, -0.36)]. Patients showing higher levels of physical recovery had a better experience on discharge [b = -0.18, 95% CI (0.08, 0.28)], while those registering better mental recovery experienced fewer problems during their stay [b = -0.41, 95% CI (-0.52, -0.30)].

CONCLUSIONS: PACO play a key role in maintaining and promoting patients' health and this goal is influenced by their experience both in the transition from hospitals to PACO and while staying in these facilities.

Publication Type:	Article
Additional Information:	This is a pre-copyedited, author-produced version of an article accepted for publication in International Journal for Quality in Health Care following peer review. The version of record Nascimento, G., Nunes, F. G. and Anderson, J. E. (2020). From Hospital to Post-Acute Care Organisations: The Relationship Between Patient Experience and Health Recovery. International Journal for Quality in Health Care is available online at: http://dx.doi.org/10.1093/intqhc/mzaa095.
Publisher Keywords:	patient outcomes, care pathways, patient-provider communication/information, rehabilitation/long-term care
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RT Nursing
Departments:	School of Health & Psychological Sciences > Nursing
SWORD Depositor:	Symplectic Administrator

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