Patients' experiences with continuum of care across hospitals. A multilevel analysis of Consumer Quality Index Continuum of Care.

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 instrument's ability to measure differences in "Consumer Quality Index Continuum of Care" scores between hospitals was investigated. METHODS:The questionnaire was mailed to a random sample of 2159 patients and comprised of 22 items divided over four domains, GP approach, GP referral, specialist and collaboration. Multilevel analysis was conducted to identify case-mix and determine this questionnaire's ability to measure differences in domain scores between hospitals. RESULTS:Based on a 65% response rate, 1404 questionnaires were available for analysis. Case-mix of patient characteristics across hospitals could not be demonstrated. Some differences in scores between hospitals were observed. At most two in eight hospitals showed different domain scores. CONCLUSION:The ability of this questionnaire to measure differences in continuum of care scores between hospitals is limited. The outcome of this survey suggests that hospitals provide a similar level of continuum of care from a patient's perspective. PRACTICAL IMPLICATIONS:This questionnaire is especially useful for measuring differences between patients.

journal_name

Patient Educ Couns

authors

Kollen BJ,Groenier KH,Berendsen AJ

doi

10.1016/j.pec.2010.04.035

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

269-72

issue

2

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(10)00282-X

journal_volume

83

pub_type

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