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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Published on: February 16, 2011

A hospitalization from hell: a patient's perspective on quality.

Paul D Cleary¹

¹Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115-5899, USA. cleary@hcp.med.harvard.edu

Annals of Internal Medicine

|January 7, 2003

Summary

Patient experiences offer crucial insights into hospital quality, revealing issues in communication, respect, and efficiency. Addressing these patient-reported problems can significantly improve healthcare delivery and patient satisfaction.

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Area of Science:

Healthcare Quality Improvement
Patient-Centered Care
Health Services Research

Background:

Patients are often unable to assess technical medical care quality.
Patient perspectives are vital for understanding hospital communication, education, pain management, and respectful treatment.
Hospital operational efficiency and teamwork directly impact patient experiences and care quality.

Observation:

A case study of ankle arthrodesis for hemophilia-related arthritis highlighted surgical success but significant hospital stay inefficiencies.
The patient's experience revealed systemic organizational and teamwork issues that could compromise clinical care quality.
Many observed problems are common occurrences in U.S. hospitals.

Findings:

Patient experiences provide unique insights into hospital system operations and identify areas for improvement.
Inefficiencies and inconveniences during hospitalization can stem from fundamental organizational and teamwork deficits.
Patient feedback is essential for bridging the gap between provided and ideal healthcare.

Implications:

Routinely soliciting patient feedback and suggestions can identify and help resolve systemic hospital problems.
Standardizing non-urgent procedures can reduce variability and improve patient care experiences.
Implementing patient-centered improvements can enhance overall healthcare quality and patient satisfaction.