Article

OBJECTIVES: To identify key dimensions of patients' experience across the
rehabilitative care system and to recommend a framework to develop survey items
that measure the rehabilitative care experience. DATA SOURCES: Data were sourced
from a literature review that searched MEDLINE (PubMed), CINAHL (Ebsco), and
PsycINFO (APA PsycNET) databases from 2004 to 2014, the reference lists of the
final accepted articles, and hand searches of relevant journals. STUDY SELECTION:
Four reviewers performed the screening process on 2472 articles; 33 were included
for analysis. Interrater reliability was confirmed through 2 rounds of title
review and 1 round of abstract review, with an average kappa score of .69. DATA
EXTRACTION: The final sample of 33 accepted articles was imported into a
qualitative data analysis software application. Multiple levels of coding and a
constant comparative methodology generated 6 themes. There were 502 discreet
survey questions measuring patient experience that were categorized using the
following dimensions: rehabilitative care ecosystem, client and informal
caregiver engagement, patient and health care provider relation, pain and
functional status, group and individual identity, and open ended. DATA SYNTHESIS:
The most common survey questions examine the care delivery ecosystem (37%), the
engagement of clients and their informal caregivers (24.9%), and the quality of
relations between providers and patients (21.7%). Examination of patient's
functional status and management of pain yielded (15.3%) of the instruments'
questions. CONCLUSIONS: Currently available instruments and questions that
measure patients' experience in rehabilitative care are unable to assess the
performance of rehabilitative delivery systems that aspire to integrate care
across the continuum. However, question panels derived from our 6 key themes may
measure the key concepts that define rehabilitative care and facilitate
measurement of patient experience at the system level.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS