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BMC Health Services Research
Published in: BMC Health Services Research 1/2015

Open Access 01-12-2015 | Research article

The importance of older patients’ experiences with care delivery for their quality of life after hospitalization

Authors: Jacqueline M. Hartgerink, Jane M. Cramm, Ton J. Bakker, Johan P. Mackenbach, Anna P. Nieboer

Published in: BMC Health Services Research | Issue 1/2015

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Abstract

Background

Older patients’ experiences with care delivery may be important for their quality of life over time. Evidence is however lacking. Therefore, this study aims to identify the longitudinal relationship between older patients’ experiences with hospital care, perceived quality of integrated care and quality of life after hospitalization.

Methods

Our longitudinal research was based on a pilot study of older people who had recently been admitted to a hospital. In the pilot study, all patients (≥65 years of age) who were admitted to the Vlietland hospital between June and October 2010 were asked to participate, which led to the inclusion of 500 older patients at baseline. A total of 291 patients (58 % response rate) were interviewed 3 months after admission. Measures included quality of life, patients’ perceptions of quality of integrated care delivery and patients’ experiences with hospital care. We used descriptive statistics, correlations, and multilevel analyses.

Results

Being married (p ≤ 0.05), patients’ experiences with hospital care, perceived quality of integrated care delivery (both p ≤ 0.01), and quality of life within 48 h of hospital admission (p ≤ 0.001) significantly correlated with quality of life 3 months after hospital admission. After controlling for background characteristics, multilevel analysis indicated a longitudinal relationship between patients’ experiences with hospital care (p ≤ 0.05), perceived quality of integrated care delivery (p ≤ 0.01) and patients’ quality of life 3 months after hospitalization.

Conclusions

This study found a longitudinal relationship between patients’ perceived quality of integrated care delivery, experiences with hospital care and quality of life of older patients after hospitalization. These results underscore the importance of enhancing older patients’ experiences with care delivery.
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Metadata
Title
The importance of older patients’ experiences with care delivery for their quality of life after hospitalization
Authors
Jacqueline M. Hartgerink
Jane M. Cramm
Ton J. Bakker
Johan P. Mackenbach
Anna P. Nieboer
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2015
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-015-0982-1

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