Abstract:
OBJECTIVE:Breast cancer is the most common cancer among women worldwide, increasing the relevance of an efficient and successful care process. As length of stay (LOS) in the hospital decreases, patients' satisfaction with the LOS varies. We hypothesize that successful discharge planning can improve this evaluation. METHODS:Data of 4,390 female breast cancer patients from a cross-sectional survey was analyzed. The data was collected in 2017 in 86 German hospitals. Logistic regressions were used to test hypotheses. RESULTS:The majority of included patients rated their LOS as appropriate. However, patients who felt better prepared for discharge were less likely to rate their stay as too short. A longer stay in the hospital further decreased this likelihood. The effect of LOS was moderated by patient experiences with preparation for discharge. CONCLUSION:As hospital LOS decreases, one challenge in allowing patients to feel sufficiently informed and ready to go home is the reduced time for face-to-face consultations. Our results indicate, however, that a strong and thorough discharge planning makes the actual number of days for LOS irrelevant for patient's rating of LOS. PRACTICE IMPLICATIONS:The study results underscore the importance of ensuring the quality and thoroughness of the discharge process.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Nowak M,Lee S,Karbach U,Pfaff H,Groß SEdoi
10.1016/j.pec.2019.08.012subject
Has Abstractpub_date
2019-12-01 00:00:00pages
2318-2324issue
12eissn
0738-3991issn
1873-5134pii
S0738-3991(19)30352-0journal_volume
102pub_type
杂志文章abstract:OBJECTIVES:Dialysis patients report a low health-related quality of life (HRQOL) due to high disease burden and far-reaching consequences of dialysis treatment. This study examined several cognitive-behavioral and social factors, with a focus on negative outcome expectancies, that might be relevant for HRQOL in end-sta...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.11.019
更新日期:2020-11-25 00:00:00
abstract:OBJECTIVE:To explore how a video of a patient with advanced dementia impacts the rationale for patients' decisions about future care. METHODS:Participants were read a verbal description of advanced dementia and asked their preferences for future care--either life-prolonging, limited, or comfort care--and the rationale...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.02.004
更新日期:2010-11-01 00:00:00
abstract::The information-seeking behavior of cancer outpatients has been studied with the purpose of collecting data for the development of an educational intervention: stimulating communication between cancer outpatients and their specialists. The intention to seek information, the realization of the intention and the reasons...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(93)90087-d
更新日期:1993-11-01 00:00:00
abstract:OBJECTIVE:A person's health literacy, i.e., their ability to seek, understand and use health information, is a critical determinant of whether they are able to actively participate in their healthcare. The objective of this study was to conceptualise health literacy from the patient perspective. METHODS:Using comprehe...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.10.001
更新日期:2010-04-01 00:00:00
abstract::A three-day residential Body Awareness Program (BAP) was developed to teach people with Chronic A-specific Psychosomatic Symptoms (CAPS) to react adequately to disturbances of the balance between a daily workload and the capacity to deal with it. The short-term effects of the program for people with CAPS are presented...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2004.02.014
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVE:Communication between professionals is essential because it contributes to an optimal continuum of care. Whether patients experience adequate continuum of care is uncertain. To address this, a questionnaire was developed to elucidate this care process from a patients' perspective. In this study, the instrumen...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.04.035
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVE:To break new ground by directly examining how patients seek life-expectancy estimates, and how doctors support them in doing so. METHODS:Conversation analytic examination of 10 recorded UK hospice consultations involving 3 palliative specialists. RESULTS:Life-expectancy estimate episodes frequently begin af...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.03.026
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Chronic disease patients are affected by low computer and health literacy, which negatively affects their ability to benefit from access to online health information. OBJECTIVE:To estimate reliability and confirm model specifications for eHealth Literacy Scale (eHEALS) scores among chronic disease patients ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.09.008
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:Considered as a reflection of human rights in our modern day, patient rights have been gaining increasing importance. This particular subject has been discussed from various perspectives in different countries and legal sanctions imposed. "Patient Rights Directives" in Turkey came into effect in 1988. The pre...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2005.02.013
更新日期:2006-04-01 00:00:00
abstract:OBJECTIVE:To determine self-referrals' motives to visit the accident & emergency departments (AED) and to compare their characteristics to patients contacting the GP cooperative. METHODS:Postal questionnaires were send to AED self-referrals and logistic regression analysis was used to contrast self-referrals to patien...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2007.10.012
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVE:The present study explores the emotional effect of the injury experienced by physician's, as a consequence of a patient's termination of their relationship. METHODS:A vignette study using different scenarios describing a patient who switched to another doctor was distributed to 119 family physicians. A three...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2007.03.010
更新日期:2007-07-01 00:00:00
abstract:PURPOSE:This study examined whether higher levels of self-reported cultural competency training were associated with less anti-gay bias among a cancer healthcare provider sample (n = 404) recruited in January 2017. METHODS:A factorial analysis of variance (ANOVA) was performed to examine anti-gay bias across professio...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.12.022
更新日期:2020-12-25 00:00:00
abstract::This paper reports on an evaluation of the reactions of participants in a computer-controlled telephone conversation system (telephone-linked care, TLC) designed to offer nutrition and exercise counseling. After 6 months in the study, subjects were asked a series of questions about their opinions of the TLC system, in...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0738-3991(02)00076-9
更新日期:2003-02-01 00:00:00
abstract:OBJECTIVE:To determine the impact of the Chronic Disease Self-Management Course (CDSMC) on people with multiple sclerosis (MS). METHODS:2-group, randomised, controlled trial with Intervention Group (IG) and Waiting-List Control Group (WLCG). Additional data were collected from a Comparison Group (CG) who chose not to ...
journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.pec.2009.02.009
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVE:The use of the diabetes online community (DOC) is growing across all age groups. The aim of this exploratory study was to describe why older adults participated in the DOC, and how DOC users interacted with their healthcare providers. METHODS:Telephone interviews (N=20) were conducted with older adult DOC us...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.08.023
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVE:To determine the effect of nutrition education program on hemodialysis patients' quality of life (QoL) and serum electrolytes levels. METHODS:This study was a randomized controlled trial in which 94 eligible hemodialysis patients were randomly assigned to intervention (n = 48) and control (n = 46) groups. In...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2020.03.021
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:This article delineates theory-based determinants of the low use of behavioral stop-smoking support with a view to inform interventions to address the low use. METHODS:Study 1 comprised interviews with 27 smokers recruited from a primary care centre in England. Study 2 used a nationwide sample of 212 smokers...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.10.007
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVE:To synthesize current evidence about experiences and information needs of parents/caregivers managing pediatric fever. METHODS:We used systematic review methodology with an a priori protocol. We searched Medline, Embase, PsycINFO, CINAHL and ProQuest Dissertations and Theses Global, from 2000 to May 2018. R...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2019.10.004
更新日期:2020-04-01 00:00:00
abstract::Minority peoples like the Romanies have divergent cultures. Typical cultural aspects for medical personnel to consider would include greetings and other communication, family and social support, dressing and habits of cleanliness, marriage and sexuality, honor, and other issues of importance to any human being. Some m...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/s0738-3991(97)00993-2
更新日期:1997-06-01 00:00:00
abstract:OBJECTIVE:First degree relatives (FDRs) of someone with colorectal cancer (CRC) are at increased risk of the disease. In this study we examine the factors associated with discussing family history of CRC with a health professional. METHODS:People with CRC, recruited through the population-based Victorian Cancer Regist...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.11.014
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVE:The smoking status of physicians can impact interactions with patients about smoking. The 'Smoking: The Opinions of Physicians' (STOP) survey examined whether an association existed between physician smoking status and beliefs about smoking and cessation and a physician's clinical interactions with patients r...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2008.07.042
更新日期:2009-01-01 00:00:00
abstract::Questionnaires were mailed to 1777 members of the Dutch public (response: 78%), measuring to what extent respondents appreciate life-prolonging treatment, even if it would seriously impair their quality of life. The association between these attitudes and personal characteristics and initiatives to engage in advance c...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2004.10.012
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVE:Contraceptive decision support tools (DSTs) have been suggested as a way to provide patient-centered contraceptive care, but little is known about the role they play in women's decision-making. The aim of this study is to understand patients' perceptions of the value of a contraceptive DST. METHODS:We conduc...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.08.022
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:A challenging but main task for clinicians is to identify patients' concerns related to their medical conditions. The study aim was to validate a new coding scheme for identifying patients' cues and concerns. METHODS:12 videotaped consultations between nurses and pain patients were coded according to the Ver...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.04.036
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVE:Physicians often overlook important contextual clues that patients give during an encounter. The objective of our study was to increase medical students' knowledge and skills in identifying contextual issues. METHODS:Six consecutive learning experiences, including a standardized patient (SP) encounter and ac...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.06.035
更新日期:2010-09-01 00:00:00
abstract::Using ethnoscience methods, interviews with 50 South Asian women living in Western Canada were conducted and analyzed to explore explanations and images of breast cancer. Embedded in the women's stories of breast cancer were distinctive, often vivid and fear-provoking images of abnormal growth. Explanations about the ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(98)00118-9
更新日期:1999-07-01 00:00:00
abstract::We must humbly acknowledge that the healthcare system is less and less about empathy despite interacting with patients is a prerequisite for care: shared decision making is the cornerstone for compliance to treatment and therefore its -effectiveness. Empathy is not about tricks, it is about "client-centred therapy" a ...
journal_title:Patient education and counseling
pub_type: 评论,信件
doi:10.1016/j.pec.2020.03.024
更新日期:2020-09-01 00:00:00
abstract::The study of patients' attitudes is an important subject because the success of many medical programs is linked to it. We have used a cognitive attitude theory -- the Elaboration Likelihood Model (ELM), to study how patients form an evaluation of dietetic care. Respondents answered one questionnaire before (46% respon...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(95)00815-2
更新日期:1996-04-01 00:00:00
abstract:OBJECTIVE:To introduce a method for quantifying clinicians' use of assessment of understanding (AU) questions, and to examine medicine residents' AU usage during counseling of standardized patients about prostate or breast cancer screening. METHODS:Explicit-criteria abstraction was done on 86 transcripts, using a data...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.03.013
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVE:Assess psychometric characteristics of an instrument to measure patient ratings of treating physicians' compassionate care in a recent hospitalization. METHODS:We used Cronbach's alpha to examine scale reliability, exploratory and confirmatory factor analysis to examine scale structure of two sets of items o...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2015.03.019
更新日期:2015-08-01 00:00:00