A1 Refereed original research article in a scientific journal
Traumatic brain injury: Patient experience and satisfaction with discharge from trauma hospital
Authors: Tverdal CB, Howe EI, Roe C, Helseth E, Lu J, Tenovuo O, Andelic N
Publisher: FOUNDATION REHABILITATION INFORMATION
Publication year: 2018
Journal: Journal of Rehabilitation Medicine
Journal name in source: JOURNAL OF REHABILITATION MEDICINE
Journal acronym: J REHABIL MED
Volume: 50
Issue: 6
First page : 505
Last page: 513
Number of pages: 9
ISSN: 1650-1977
eISSN: 1651-2081
DOI: https://doi.org/10.2340/16501977-2332
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/32137061
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 (R)) 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 (R), 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.
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