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Continuity of care in hospital rehabilitation services: a qualitative insight from inpatients' experience.
Medina-Mirapeix, Francesc; Oliveira-Sousa, Silvana L; Escolar-Reina, Pilar; Sobral-Ferreira, Marta; Lillo-Navarro, M Carmen; Collins, Sean M.
Afiliação
  • Medina-Mirapeix F; Department of Physical Therapy, University of Murcia, Murcia, Spain.
  • Oliveira-Sousa SL; Department of Health Sciences, Catholic University San Antonio, Murcia, Spain. Electronic address: sloana@ucam.edu.
  • Escolar-Reina P; Department of Physical Therapy, University of Murcia, Murcia, Spain.
  • Sobral-Ferreira M; Department of Physical Therapy, Monte Tabor - São Rafael Hospital, Salvador, BA, Brazil.
  • Lillo-Navarro MC; Department of Pathology and Surgery, University Miguel Hernández, Elche, Spain.
  • Collins SM; Department of Physical Therapy, Plymouth State University, Plymouth, NH, USA.
Braz J Phys Ther ; 21(2): 85-91, 2017.
Article em En | MEDLINE | ID: mdl-28460715
BACKGROUND: Few empirical studies have been conducted on the continuity of rehabilitation services, despite the fact that it may affect clinical outcomes, patient satisfaction, the perception of quality, and safety. OBJECTIVES: The aim of this study was to explore experiences and perceptions of inpatients receiving physical rehabilitation in an acute care hospital and how these experiences may have led to perceived gaps in the continuity of rehabilitation care. METHOD: Using qualitative research methods, fifteen semi-structured interviews were conducted with patients who received physical rehabilitation during hospital stay in an acute care hospital in Murcia, Spain. Interviews were transcribed verbatim, analyzed, and grouped into predetermined and emergent codes. RESULTS: Patients described three main themes in continuity of care: informational, management, and relational continuity. Several factors were described as influencing the perceived gaps in these three types of continuity. Informational continuity was influenced by the transfer of information among care providers. Relational continuity was influenced by patient-therapist relations and consistency on the part of the provider. Management continuity was influenced by consistency of care between providers and the involvement of patients in their own care. CONCLUSION: The participants in this study identified several gaps in three types of continuity of care (informational, management, and relational). Inpatients often perceive their experiences of rehabilitation as being disconnected or incoherent over time.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Reabilitação / Programas de Assistência Gerenciada / Continuidade da Assistência ao Paciente Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Humans Idioma: En Revista: Braz J Phys Ther Assunto da revista: MEDICINA FISICA / REABILITACAO Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Espanha País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Reabilitação / Programas de Assistência Gerenciada / Continuidade da Assistência ao Paciente Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Humans Idioma: En Revista: Braz J Phys Ther Assunto da revista: MEDICINA FISICA / REABILITACAO Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Espanha País de publicação: Brasil