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Examining satisfaction of older adult patients and their caregivers following traumatic injury: a cross-sectional study of three level I trauma centres.

Abstract：

OBJECTIVE:To explore satisfaction of care received by older adult patients and their primary caregivers following traumatic injury. DESIGN:Prospective, cross-sectional study using the FAMCARE (Family Satisfaction with Advanced Cancer Care Scale) satisfaction surveys prior to discharge. SETTING:Three level I trauma centres in Colorado from November 2016 to December 2017. PARTICIPANTS:Trauma patients ≥55 years old and their primary caregivers. OUTCOME MEASURES:Overall mean (SD) satisfaction, satisfaction <80% vs ≥80%, and mean satisfaction by survey conceptual structures. RESULTS:Of the 319 patients and 336 caregivers included, the overall mean (SD) patient satisfaction was 81.7% (15.0%) and for caregivers was 83.6% (13.4%). The area with the highest mean for patient and caregiver satisfaction was psychosocial care (85.4% and 86.9%, respectively). Information giving was the lowest for patients (80.4%) and caregivers (80.9%). When individual items were examined, patients were significantly more satisfied with 'availability of nurses to answer questions' (84.5 (15.3) vs 87.4 (14.8), p=0.02) and significantly less satisfied with 'speed with which symptoms were treated' (80.6 (17.9) vs 84.0 (17.0), p=0.03) compared with caregivers. Patients with a history of smoking (least squares mean difference: -0.096 (-0.18 to -0.07), p<0.001) and hospital discharge destination to an outside facility of care (adjusted OR: 1.6 (1.0 to 2.4), p=0.048) were identified as independent predictors of lower overall satisfaction in generalised linear and logistic models, respectively. CONCLUSIONS:Our data suggest that patients' medical history was driving both patient and caregiver satisfaction. Patient characteristics and expectations need to be considered when tailoring healthcare interventions.

journal_name

BMJ Open

journal_title

BMJ open

authors

Vogel R,McGraw C,Orlando A,Bourg P,Dreiman C,Peck L,Tanner A,Lynch N,Bar-Or D

doi

10.1136/bmjopen-2019-032374

subject

Has Abstract

pub_date

2019-11-11 00:00:00

pages

e032374

issue

issn

2044-6055

pii

bmjopen-2019-032374

journal_volume

pub_type

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Examining satisfaction of older adult patients and their caregivers following traumatic injury: a cross-sectional study of three level I trauma centres.