Title:
Author: Yi-Hsuan Chen, Jiann-Shing Jeng & Yu-Chi Tung*
Journal: Taiwan Journal of Public Health
Published: 2023.02.24
Abstract
Objectives: Previous studies have not considered the subjective needs of patients when evaluating care outcomes, opting to use functional outcomes instead. This runs counter to the concept of patient-centeredness, which has gradually garnered attention in the medical community. Thus, in this study, we investigated the association between inpatient experience and patient-centered care outcomes in patients hospitalized with stroke. Methods: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCHAPS) survey was conducted among 142 patients (age ≤ 20 years) with stroke who were hospitalized in a medical center in northern Taiwan. Telephonic follow-up was conducted 90 days after discharge. Multivariable linear and logistic regression analyses were performed to investigate the associations between HCHAPS dimensions and patients’ activities of daily living (ADL), quality of life, and readmission status. Results: Higher scores in the care transition dimension were associated with better ADL, higher European Quality of Life-5 Dimension-5 (EQ-5D-5L) Level scores, and higher EuroQol Visual Analogue Scale (EQ-VAS) scores but lower odds of readmission at follow-up. The discharge information dimension was positively associated with patients’ 90-day ADL and EQ-VAS scores. Conclusions: Discharge information and care transition are associated with 90-day patient-reported outcomes and readmission. By assessing inpatient experience, we identified the factors influencing care outcomes in our cohort. Thus, inpatient experience may serve as a supplementary indicator of care outcomes in patients hospitalized with stroke.
