scholarly journals The Relationship Between Patient Satisfaction With Hospitalization and Outcomes Up to 6 Months Post-Discharge in Cardiac Patients

2020 ◽  
Vol 7 (6) ◽  
pp. 1685-1692
Author(s):  
Paige M Anderson ◽  
Rachel Krallman ◽  
Daniel Montgomery ◽  
Eva Kline-Rogers ◽  
Sherry M Bumpus
Keyword(s):  
Patient Satisfaction ◽  
Hospital Staff ◽  
Emergency Department Visits ◽  
Cardiac Patients ◽  
Discharge Process ◽  
Post Discharge ◽  
Discharge Outcomes ◽  
System Improvement ◽  
Care Satisfaction ◽  
The Relationship

Little is known about the relationship between patient satisfaction with inpatient care and post-discharge outcomes. This study examined inpatient hospital satisfaction after a cardiac event and outcomes through 6 months post-discharge. We examined 327 cardiac patients from the Bridging the Discharge Gap Effectively database who completed a patient satisfaction survey about their hospital admission and had post-discharge outcomes data. Higher patient satisfaction with the discharge process correlated with fewer readmissions at 90 days post-discharge. Higher patient satisfaction with hospital staff management of personal issues correlated with fewer emergency department visits at 6 months post-discharge. Higher patient satisfaction with overall assessment of care and hospitalization correlated with lower mortality rate at 6 months post-discharge. Being nonwhite correlated with lower nursing care satisfaction. Associations between cardiac patient satisfaction and outcomes exist. In this population, higher patient satisfaction correlated with better outcomes. Patient satisfaction data may be able to inform areas for health system improvement.

scholarly journals Engaging patients through Multi-Disciplinary Rounding – The case study at a Michigan hospital

2018 ◽  
Vol 7 (5) ◽  
pp. 17 ◽  
Author(s):  
Bryan L. Fowler ◽  
Julie Johns ◽  
Mohan R. Tanniru ◽  
Venugopal Balijepally ◽  
Yazan F. Roumani ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Patient Education ◽  
Patient Engagement ◽  
Hospital Staff ◽  
Process Innovation ◽  
Second Phase ◽  
Healthcare Outcomes ◽  
Post Discharge ◽  
Care Plans ◽  
Long Run

Multi-Disciplinary Rounding (MDR) is a leading practice and a promising process innovation that seeks to enhance both patient experiences and healthcare outcomes for hospitals. It requires multiple hospital staff involved in patientcare visiting patients as a team at their bedside, so that they can address various issues related to patientcare and care transition and answer any patient questions. This paper discusses the implementation of two different models of patient engagement through MDR to gain input from patients while they are still in the hospital, as opposed to relying on patient satisfaction data, so that hospitals can alter their strategies to educate patients on care plans and help empower them to self-manage their care post-discharge. The MDR is implemented as a process innovation at a comprehensive community teaching hospital in Michigan, with the expectation that it can lead to improved organizational outcomes in both the short run (e.g., reduced length of stay [LOS]) and the long run (e.g., reduced patient readmission and improved patient satisfaction). The hospital implemented MDR in various units as a process innovation to improve patient engagement and patient satisfaction. The initial phase of MDR implementation was nurse-led to gain feedback from patients at three time periods (30, 60 and 90 days) on patient services. The hospital revised the MDR process in the second phase into a doctor led patient education process. While the results to date are not conclusive, they do show how MDR can be used by hospitals to engage patients inside the hospital to gain feedback for continuous improvement, using technology when appropriate, and support patient education on care plans post-discharge.

scholarly journals Association Between The Discharge Process And Post-Discharge Events In Patients With Heart Failure

2022 ◽  
Author(s):  
Kyoung Suk Lee ◽  
Hyeongsuk Lee ◽  
Na Eun Min ◽  
Jae-Hyeong Park
Keyword(s):  
Regression Model ◽  
Protective Factor ◽  
Cox Regression ◽  
Emergency Department Visits ◽  
Educational Activity ◽  
Discharge Process ◽  
Family Participation ◽  
Post Discharge ◽  
Modifiable Factors ◽  
Educational Contents

Abstract Background: HF is a burden on healthcare resources due to the high cost of frequent readmissions. Predictive models have been reported for the post-discharge prognosis of HF. However, these models mostly included non-modifiable factors and their predictive accuracy was limited. This implies that potentially modifiable factors are needed, which could be attributed to the discharge process. This study aimed to explore the relationship between the discharge process and post-discharge events in patients with HF.Methods: Medical records were reviewed to identify patients who were admitted for HF exacerbation. Information related to the discharge process included post-discharge clinic appointments, educational contents before discharge, and family participation during patient education. HF-related events were defined as a composite of events, including emergency department visits, readmissions, or death. A multivariable Cox proportional hazards regression model was used to explore the association between the discharge process and HF-related events.Results: Of 201 patients, 41 had at least one HF-related event. Post-discharge clinic appointments were scheduled 8 days after discharge. Patients received their discharge education on average of one topic, and approximately the families of 70% of the patients participated in this educational activity. In the Cox regression model, family participation during education was independently associated with a longer time to HF events (hazard ratio: 2.105). However, and post-discharge follow-up appointments and the number of educational contents received were not associated with the time to HF events. Conclusion: We found that family participation during education is a protective factor for adverse prognosis in patients with HF. Our results highlight the importance of family engagement in HF management.

scholarly journals The Association Between Patient Satisfaction and Patient-Reported Health Outcomes

2018 ◽  
Vol 6 (3) ◽  
pp. 201-209 ◽  
Author(s):  
Qinyu Chen ◽  
Eliza W Beal ◽  
Victor Okunrintemi ◽  
Emily Cerier ◽  
Anghela Paredes ◽  
...  
Keyword(s):  
Mental Health ◽  
Patient Satisfaction ◽  
Health Outcomes ◽  
Medical Expenditure Panel Survey ◽  
Emergency Department Visits ◽  
Medical Expenditure ◽  
Health Score ◽  
Patient Reported ◽  
Relationship Of ◽  
The Relationship

Objective: Although patient satisfaction is increasingly used to rate hospitals, it is unclear how patient satisfaction is associated with health outcomes. We sought to define the relationship of self-reported patient satisfaction and health outcomes. Design: Retrospective cross-sectional analysis using regression analyses and generalized linear modeling. Setting: Utilizing the Medical Expenditure Panel Survey Database (2010-2014), patients who had responses to survey questions related to satisfaction were identified. Participants: Among the 9166 patients, representing 106 million patients, satisfaction was rated as optimal (28.2%), average (61.1%), and poor (10.7%). Main Outcome Measures: We sought to define the relationship of self-reported patient satisfaction and health outcomes. Results: Patients who were younger, male, black/African American, with Medicaid insurance, as well as patients with lower socioeconomic status were more likely to report poor satisfaction (all P < .001). In the adjusted model, physical health score was not associated with an increased odds of poor satisfaction (1.42 95% confidence interval [CI]: 0.88-2.28); however, patients with a poor mental health score or ≥2 emergency department visits were more likely to report poor overall satisfaction (3.91, 95% CI: 2.34-6.5; 2.24, 95% CI: 1.48-3.38, respectively). Conclusion: Poor satisfaction was associated with certain unmodifiable patient-level characteristics, as well as mental health scores. These data suggest that patient satisfaction is a complex metric that can be affected by more than provider performance.

scholarly journals Prevalence and Outcomes of Major Psychiatric Disorders Preceding Index Surgery for Degenerative Thoracic/Lumbar Spine Disease

2021 ◽  
Vol 18 (10) ◽  
pp. 5391
Author(s):  
Yu-Chi Huang ◽  
Chih-Hui Chang ◽  
Chih-Lung Lin ◽  
Liang-Jen Wang ◽  
Chih-Wei Hsu ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Psychiatric Disorders ◽  
Spine Surgery ◽  
Research Database ◽  
Inclusion Criteria ◽  
Post Discharge ◽  
Discharge Outcomes ◽  
Taiwan National Health Insurance ◽  
The Relationship ◽  
Depression Disorder

The relationship between preexisting major psychiatric disorders and outcomes of spine surgery for degenerative thoracic/lumbar disease remains unclear. A 5% subset of inpatients was randomly selected from the Taiwan National Health Insurance Research Database. A total of 10,109 inpatients aged 18 years or over with degenerative thoracic/lumbar disease and underwent spine surgery met inclusion criteria. Major psychiatric disorders diagnosed by psychiatrists preceding index surgery, including anxiety disorder, depression disorder, bipolar disorder, schizophrenia and dementia, were identified. The prevalence of psychiatric disorders, and their differential risks on in-hospital and post-discharge outcomes were examined. 10.4% had major psychiatric disorders, of which depression (6.6%) and anxiety (4.9%) were most common. Logistic regression revealed increased risks of ventilator use in depression (OR = 1.62, 95% CI = 1.04–2.54, p < 0.05), extended hospitalization length in bipolar (OR = 1.77, 95% CI = 1.08–2.89, p < 0.05), and higher rehabilitation utilization in depression (OR = 1.25, 95% CI = 1.06–1.47, p < 0.01) and bipolar (OR = 1.69, 95% CI = 1.04–2.76, p < 0.05). Those patients with anxiety had a decreased risk of longer hospitalization duration (OR = 0.77, 95% CI = 0.60–0.98, p < 0.05), while those with dementia and schizophrenia had no change in risks. Preoperative recognition of major psychiatric disorders for risk and treatment assessment is suggested as people with preexisting depression or bipolar disorder have worse outcomes after spine surgery.

scholarly journals Rationale and Design of a Prospective, Multicenter, Observational Study Evaluating Iron Deficiency in Patients Hospitalized for Heart Failure (FERIC-RO)

2018 ◽  
Vol 26 (3) ◽  
pp. 271-281
Author(s):  
Elena Laura Antohi ◽  
Gabriel Tatu Chitoiu ◽  
Andrew P Ambrosy ◽  
Ioan M Coman ◽  
Dragos Vinereanu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Iron Deficiency ◽  
Post Discharge ◽  
Multicenter Observational Study ◽  
Discharge Outcomes ◽  
The Relationship ◽  
Prospective Multicenter Observational Study

Abstract Introduction: Several landmark studies, which enrolled heart failure (HF) patients who were ambulatory at the time of inclusion, identified iron deficiency (ID) as an important therapeutic target: intravenous iron administration with ferric carboxymaltose (FCM) improves morbidity, exercise capacity, and quality of life in patients with HF and reduced EF (HFrEF). However, there is still limited knowledge about ID prevalence during hospitalization for Worsening Chronic HF (WCHF) and about the relationship between ID during hospitalization and post-discharge outcomes. Although previous studies documented ID as an independent risk factor for poor outcomes in HFrEF, its prognostic significance in HF patients with EF>40% remains unclear. Method and Results: The FERIC-RO study is a prospective, multicenter, observational study with longitudinal follow up, conducted in 9 Romanian hospitals that will include 200 consecutive patients admitted for worsening HF. A comprehensive description of the Iron metabolism biomarkers will be performed on discharge and 1-month follow up. The primary endpoint is defined as the prevalence of ID on discharge and 1-month post-discharge, and the secondary endpoints include: all-cause re-hospitalization and all-cause-mortality at 1 and 3 months follow up, and quality of life on discharge and 1-month. Conclusions: FERIC-RO will provide new evidence about the prevalence and the predictors of ID in patients hospitalized for WCHF regardless of LVEF. Furthermore, the study will explore the relationship between in-hospital ID and post-discharge outcomes. The results of FERIC-RO will thus be highly relevant to the management of patients hospitalized for AHF.

PELAYANAN PUBLIK KESEHATAN PUSKESMAS DALAM MEMBERIKAN KEPUASAN MASYARAKAT DI KABUPATEN SUMENEP

2018 ◽  
Vol 3 (3) ◽  
Author(s):  
Aryo Wibisono ◽  
R. Amilia Destryana
Keyword(s):  
Public Health ◽  
Logistic Regression ◽  
Patient Satisfaction ◽  
Health Center ◽  
Public Service ◽  
Public Health Center ◽  
The Public ◽  
Regression Methods ◽  
Total Satisfaction ◽  
The Relationship

This study aims to determine the index of public satisfaction in public health center services in Sumenep Regency and the relationship between the services to the public satisfaction. The analysis measured the index of public satisfaction and logistic regression methods to determine the effect of the relationship on total satisfaction in the health services of Public Health Center. The results of the study are the alignment between interests and patient satisfaction is still not aligned, there are still differences between interests and satisfaction, the pattern of the result is the relationship between the assurance dimension to the service satisfaction of the public health center, and the results of the index of public satisfaction  values show that the results of the community assess the public health center performance is very good by getting an A grade. Keywords: public service, logistic regretion, index of public satisfaction

Early Diuretic Strategies and the Association With In-Hospital and Post-Discharge Outcomes in Acute Heart Failure

2021 ◽  
Author(s):  
Marat Fudim ◽  
Toi Spates ◽  
Jie-Lena Sun ◽  
Veraprapas Kittipibul ◽  
Jeffrey M. Testani ◽  
...  
Keyword(s):  
Heart Failure ◽  
Acute Heart Failure ◽  
Post Discharge ◽  
Discharge Outcomes

scholarly journals Relationship of patient shame to working alliance and satisfaction: a preliminary investigation

2019 ◽  
Vol 14 (4) ◽  
pp. 251-263
Author(s):  
Daniel J. Carabellese ◽  
Michael J. Proeve ◽  
Rachel M. Roberts
Keyword(s):  
Patient Satisfaction ◽  
Working Alliance ◽  
Preliminary Investigation ◽  
Community Members ◽  
Content Type ◽  
Mediation Analyses ◽  
External Shame ◽  
Relationship Of ◽  
The Relationship

Purpose The purpose of this paper is to explore the relationship of two distinct variants of dispositional shame (internal and external shame) with collaborative, purpose-driven aspects of the patient–provider relationship (working alliance) and patient satisfaction. The aim of this research was to conduct a preliminary investigation into the relevance of dispositional shame in a general healthcare population. Design/methodology/approach In total, 127 community members (mean age 25.9 years) who reported that they had regularly seen a GP over the past year were recruited at an Australian university. Participants were asked to reflect on their relationship with their GP, and completed instruments assessing various domains of shame, as well as working alliance and patient satisfaction. Findings Non-parametric correlations were examined to determine the direction and strength of relationships, as well as conducting mediation analyses where applicable. Small, negative correlations were evident between external shame and working alliance. Both external and internal shame measures were also negatively correlated with patient satisfaction. Finally, the relationship of external shame to patient satisfaction was partially mediated by working alliance. Practical implications Both the reported quality of patient–provider working alliance, and level of patient satisfaction are related to levels of dispositional shame in patients, and working alliance may act as a mediator for this relationship. Originality/value The findings from this preliminary study suggest that internal and external shame are important factors to consider in the provision of medical care to maximise the quality of patient experience and working alliance.

The relationship between patient donation and satisfaction with online healthcare service quality

2019 ◽  
Vol 47 (12) ◽  
pp. 1-10
Author(s):  
Yuanrong Hu ◽  
Shengkang Lu ◽  
Zhongming Tang
Keyword(s):  
Patient Satisfaction ◽  
Healthcare Service ◽  
Outcome Quality ◽  
Healthcare Applications ◽  
Mobile Healthcare ◽  
Process And Outcome ◽  
Patient Consultation ◽  
The Impact ◽  
The Relationship

We explored how donation relates to patient satisfaction with the quality of process and outcome in an online healthcare service. Using a dataset of 496,723 patient consultation records collected from ChunyuDoctor, which is among the largest of the Chinese mobile healthcare applications, we conducted a multiple regression and found that patient satisfaction with both process and outcome jointly influenced their donation. We also found that higher quality satisfaction levels meant paying patients were more likely to donate than were free patients. Our results also showed satisfaction with the quality of the process and the outcome had an equal impact on patient donation for the free patients, but the impact of process quality was greater than that of outcome quality for the paying patients, suggesting the importance of enhancing the quality of the process in an online healthcare service. Implications of the findings are discussed.

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