Article

OBJECTIVES: To describe the discharge process for patients with traumatic brain
injury from a trauma hospital, and patient experience and satisfaction with care
transition. Furthermore, to evaluate associations between discharge process and
patient satisfaction and quality of care transition. DESIGN:
Prospective-retrospective observational study. SUBJECTS / PATIENTS: Seventy-four
patients admitted to ward or intensive care unit at a trauma referral hospital
within 24 h of traumatic brain injury. METHODS: Baseline characteristics and
discharge process variables were extracted from medical records. Patients were
interviewed 6-months post-injury about their experience and satisfaction with
care transition, using a visual analogue scale (VAS) and the Care Transition
Measurement (CTM-3(R)) as outcome measures. Regression analyses were performed to
investigate associations between discharge process and outcome. RESULTS:
One-third of patients were not involved in the discharge process, and information
in discharge summaries was often inadequate. Patients' involvement in care
transition and co-ordination of care were significantly associated with overall
satisfaction (VAS, p = 0.002 and p = 0.001, respectively) and quality of care
transition (CTM-3(R), p = 0.003 and p = 0.007, respectively). Patients with more
severe injuries reported lower satisfaction and quality of care transition.
CONCLUSION: Patient's involvement in healthcare decision-making and co-ordination
of care is important for self-reported satisfaction with transition and quality
of care transition.

Langue : ANGLAIS