Document Detail

Elderly patients with heart failure: a study of satisfaction with care and quality of life.
MedLine Citation:
PMID:  9690887     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess the level of patient satisfaction with care, patient quality of life, the relationship between these measures and hospital readmission rates, and patient outcomes. METHODOLOGY: A prospective cohort study was conducted of all patients aged 60 years and over admitted to the John Hunter and Mater Hospitals, in the Hunter Area, in whom congestive heart failure contributed to the need for hospital admission. Patients recruited into the main study were then asked to complete a questionnaire on discharge from hospital. Patients were asked to complete the satisfaction questionnaire on discharge because this would reflect the patients' satisfaction with the overall stay. To provide a baseline quality-of-life score, patients were asked to complete a questionnaire 2 weeks after discharge. FINDINGS: Overall scores on the satisfaction questionnaire were high, indicating that the patients were very satisfied with their care. There were six questions in which 17-35% of patients indicated some degree of dissatisfaction, four related to patient knowledge. No difference in satisfaction was found between patients who had or did not have a readmission. Quality-of-life results showed that patients who had a readmission had a significantly lower quality-of-life score at 12 month follow up (P=0.007) than those without a readmission. CONCLUSION: This finding has supported our hypothesis that a higher level of quality of life would be related to fewer readmissions.
P Candlish; P Watts; S Redman; P Whyte; J Lowe
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua     Volume:  10     ISSN:  1353-4505     ISO Abbreviation:  Int J Qual Health Care     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-10-30     Completed Date:  1998-10-30     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9434628     Medline TA:  Int J Qual Health Care     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  141-6     Citation Subset:  IM    
Department of Medicine, John Hunter Hospital, Newcastle, Australia.
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MeSH Terms
Aged, 80 and over
Cardiology Service, Hospital / standards
Cohort Studies
Health Care Surveys
Heart Failure / psychology,  therapy*
Middle Aged
Outcome Assessment (Health Care)
Patient Readmission
Patient Satisfaction / statistics & numerical data*
Prospective Studies
Quality of Health Care*
Quality of Life*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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