How Older Adults Experience an Emergency Department Visit: Development and Validation of Measures.
Ann Emerg Med
; 71(6): 755-766.e4, 2018 06.
Article
em En
| MEDLINE
| ID: mdl-29459058
ABSTRACT
STUDY OBJECTIVE:
This study aims to develop and validate measures of experiences of an emergency department (ED) visit suitable for use by older adults or their family members.METHODS:
A cohort of patients aged 75 years and older who were discharged home was recruited at 4 EDs. At 1 week after the visit, patients or family members were interviewed by telephone to assess problems experienced at the visit. Twenty-six questions based on 6 domains of care found in the literature were developed 16 questions were administered to all patients; 10 questions were administered to bed patients only. Scales were developed with multiple correspondence analysis. Regression analyses were used to validate the scales, using 2 validation criteria perceived overall quality of care and willingness to return to the same ED.RESULTS:
Four hundred twelve patients completed the 1-week interview, 197 ambulatory and 215 bed patients; family members responded for 75 patients. Two scales were developed, assessing personal care and communication (8 questions; α=.63) and waiting times (2 questions; α=.79). Both scales were significantly independently associated with perceived overall quality of care and willingness to return to the same ED.CONCLUSION:
Two scales assessing important aspects of ED care experienced by older adults are ready for further evaluation in other settings.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Garantia da Qualidade dos Cuidados de Saúde
/
Satisfação do Paciente
/
Serviço Hospitalar de Emergência
/
Medidas de Resultados Relatados pelo Paciente
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article