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Published on: February 16, 2011
Patient perceptions of quality in discharge instruction
Paul Alexander Clark1, Maxwell Drain, Sabina B Gesell
1Press Ganey, Research Service and Strategy, South Bend, IN 46601, USA. pclark@pressganey.com
Patient Education and Counseling
|October 4, 2005
Summary
Patient satisfaction with hospital discharge instructions declined annually from 1997-2001, despite a link to overall satisfaction. Quality of care for home self-care instructions may not meet standards.
Area of Science:
- Health Services Research
- Patient Experience
- Quality Improvement
Background:
- Patient discharge instructions are crucial for post-hospital care.
- Assessing patient perceptions of discharge quality is vital for healthcare improvement.
Purpose of the Study:
- To evaluate patient perceptions of hospital discharge instruction quality in the U.S. from 1997-2001.
- To examine the relationship between discharge instruction quality and overall patient satisfaction.
Main Methods:
- Analysis of inpatient ratings of care and service (n=4,901,178) from 1997-2001.
- Statistical assessment of patient satisfaction trends and influencing factors.
Main Results:
- Patient satisfaction with discharge instructions decreased significantly each year (p < 0.001).
- Discharge instruction quality was rated lower than overall hospital stay quality.
- Patients with musculoskeletal diseases rated discharge instructions lowest.
Conclusions:
- U.S. hospitals may be failing to meet established standards for patient education and discharge.
- Improvements in discharge instruction quality are needed to enhance patient satisfaction and outcomes.
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