Your browser doesn't support javascript.
loading
Postacute stroke guideline compliance is associated with greater patient satisfaction.
Reker, Dean M; Duncan, Pamela W; Horner, Ronnie D; Hoenig, Helen; Samsa, Gregory P; Hamilton, Byron B; Dudley, Tara K.
Afiliación
  • Reker DM; Kansas City VA Medical Center and Center on Aging, University of Kansas Medical Center, Kansas City, KS 64128, USA. dean.recker@med.va.gov
Arch Phys Med Rehabil ; 83(6): 750-6, 2002 Jun.
Article en En | MEDLINE | ID: mdl-12048651
OBJECTIVE: To determine if the structure of care or the process of stroke care, as measured by compliance with stroke guidelines published by the Agency for Healthcare Research and Quality (AHRQ), is associated with patient satisfaction. DESIGN: Prospective inception cohort study of new stroke admissions including postacute care with follow-up interviews at 6 months poststroke. SETTING: Eleven Veterans Affairs medical centers (VAMCs). PARTICIPANTS: A total of 288 new stroke patients admitted to VAMCs. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Compliance with AHRQ stroke guidelines and patient satisfaction with care using a stroke-specific instrument. RESULTS: Process of care was positively and significantly associated with greater patient satisfaction even after controlling for patient functional outcome. The most visible (to the patient) process of care dimensions correlated most highly with patient satisfaction. Sixty-four percent (73/115) of patients expressed some dissatisfaction with 1 or more survey items. CONCLUSIONS: "What we do" and "how we do it" while providing postacute care to stroke patients was associated with patient satisfaction. This linkage of process to outcome is an important validation of satisfaction as a significant patient outcome. This linkage is further evidence that compliance with AHRQ stroke guidelines may be a valid quality of care indicator.
Asunto(s)
Buscar en Google
Añadir a Mi BVS
Imprimir
XML
PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Evaluación de Procesos y Resultados en Atención de Salud / Satisfacción del Paciente / Guías de Práctica Clínica como Asunto / Adhesión a Directriz / Rehabilitación de Accidente Cerebrovascular Tipo de estudio: Clinical_trials / Guideline / Observational_studies / Prognostic_studies / Qualitative_research Límite: Aged / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Arch Phys Med Rehabil Año: 2002 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Buscar en Google
Añadir a Mi BVS
Imprimir
XML
PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Evaluación de Procesos y Resultados en Atención de Salud / Satisfacción del Paciente / Guías de Práctica Clínica como Asunto / Adhesión a Directriz / Rehabilitación de Accidente Cerebrovascular Tipo de estudio: Clinical_trials / Guideline / Observational_studies / Prognostic_studies / Qualitative_research Límite: Aged / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Arch Phys Med Rehabil Año: 2002 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos