Document Detail

Patient perceptions of quality in discharge instruction.
MedLine Citation:
PMID:  16198219     Owner:  NLM     Status:  MEDLINE    
The present study investigates patient perceptions of the quality of discharge instruction by assessing inpatients' ratings of care and service in the United States over the past 5 years (1997-2001) (n = 4,901,178). As expected, patients' ratings of "instructions given about how to care for yourself at home" showed a strong, consistent positive relationship with overall patient satisfaction from 1997 through 2001. Nevertheless, patient satisfaction with discharge instructions decreased significantly each year (p < 0.001). Patients gave lower ratings to the quality of discharge instruction than to the overall quality of their hospital stay which indicates a failure to match the quality delivered among other services within the hospital. Patient assessments of discharge instruction quality varied systematically among conditions. Patients with musculoskeletal diseases and disorders (MDC-8) rated discharge instruction considerably lower than all other patient groups. Patients' age, sex, self-described health status and length of stay did not predict patients' evaluations of discharge instructions. U.S. hospitals may not be meeting existing AMA and JCAHO standards for patient education and discharge.
Paul Alexander Clark; Maxwell Drain; Sabina B Gesell; Deirdre M Mylod; Dennis O Kaldenberg; Julie Hamilton
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Publication Detail:
Type:  Journal Article     Date:  2004-12-09
Journal Detail:
Title:  Patient education and counseling     Volume:  59     ISSN:  0738-3991     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-10-03     Completed Date:  2006-01-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  56-68     Citation Subset:  N    
Press Ganey, Research Service and Strategy, South Bend, IN 46601, USA.
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MeSH Terms
Cross-Sectional Studies
Linear Models
Patient Discharge*
Patient Education as Topic*
Patient Satisfaction*
Quality of Health Care*

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

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