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Discharge planning scale: community physicians' perspective.
James F Graumlich1, Karen Grimmer-Somers, Jean C Aldag
1Department of Medicine, University of Illinois College of Medicine, 530 NE Glen Oak Avenue, Peoria, IL 61637, USA. jfg@uic.edu
Journal of Hospital Medicine
|December 17, 2008
Summary
A new Modified Physician-PREPARED scale effectively measures outpatient physician perceptions of hospital discharge quality. This validated tool aids clinicians and researchers in improving patient care transitions.
Area of Science:
- Health Services Research
- Patient Safety
- Medical Informatics
Background:
- Hospital discharge is a critical transition point where adverse events can occur.
- Effective quality improvement and research necessitate reliable survey instruments for discharge processes.
Purpose of the Study:
- To validate the Modified Physician-PREPARED scale for assessing hospital discharge quality from the outpatient physician viewpoint.
- To describe the scale's item development and psychometric properties.
Main Methods:
- A postal survey of 403 outpatient physicians/practitioners assessing perceptions of discharge planning and communication quality.
- Analysis involved calculating the Modified Physician-PREPARED scale (sum of 8 items) and assessing internal consistency and construct validity.
Main Results:
- The Modified Physician-PREPARED scale demonstrated acceptable internal consistency (Cronbach's alpha 0.86) and construct validity.
- Outpatient physicians reported higher discharge quality scores when involved in planning and aware of community support services.
Conclusions:
- The Modified Physician-PREPARED scale is a valid instrument for measuring outpatient physician perceptions of hospital discharge quality.
- The scale can be a valuable tool for clinicians and researchers evaluating discharge processes and patient outcomes.
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