Satisfaction after rehabilitation for stroke: Patient versus family ratings

Ottenbacher, Kenneth and Tooth, Leigh (2003). Satisfaction after rehabilitation for stroke: Patient versus family ratings. In: Circulation. Asia Pacific Scientific Forum: New Discoveries in Cardiovascular Disease and Stroke: Bench to Bedside to Community, Honolulu, Hawaii, USA, (E179-E179). 8-10 June, 2003.


Author Ottenbacher, Kenneth
Tooth, Leigh
Title of paper Satisfaction after rehabilitation for stroke: Patient versus family ratings
Conference name Asia Pacific Scientific Forum: New Discoveries in Cardiovascular Disease and Stroke: Bench to Bedside to Community
Conference location Honolulu, Hawaii, USA
Conference dates 8-10 June, 2003
Proceedings title Circulation   Check publisher's open access policy
Place of Publication Baltimore, MD, U.S.A.
Publisher Lippincott, Williams & Wilkins for the American Heart Association
Publication Year 2003
Sub-type Poster
ISSN 0009-7322
1524-4539
Volume 107
Issue 19
Start page E179
End page E179
Total pages 1
Language eng
Formatted Abstract/Summary
Context. Overall satisfaction has important social and economic implications for patients who have received inpatient medical rehabilitation for stroke.

Objective. Examine satisfaction at three to six month follow-up for patients with stroke discharged from medical rehabilitation.

Design. The study was retrospective using information from a national database representative of medical rehabilitation patients across the United States.

Setting. Information submitted from 1999 - 2001 to the Uniform Data System for Medical Rehabilitation by 744 hospital and rehabilitation facilities from 50 states was examined.

Participants. Admission and discharge
data were available for 19,670 patients and follow-up data for 18,375, with missing data (n=1,295) due to patient deaths. Complete admission, discharge and follow-up data were available for 17,593 patients with stroke.

Main Outcome Measures. Level of satisfaction with
medical rehabilitation at 80 to 180 days post-discharge follow-up.

Results. A higher proportion of dissatisfied ratings were found when proxies reported the data (57%), compared to when patients reported the information (43%). Separate logistic regression models were computed for patient (n=9,707) and proxy (n=7,886) sub-samples. The significant (x213 = 67.8, p <.001) influences on satisfaction for patients were Functional Independence Measure scores (motor and cognitive), rehospitalization, who patients were living with, ethnicity, age, andfollow-up therapy. The significant (x213 = 146.9, p < .001) influences on satisfaction for the proxy reported sub-sample were rehospitalization, type of stroke, ethnicity, cognitive Functional
Independence Measure scores, length of rehabilitation stay, and follow-up therapy services received.

Conclusion. Satisfaction with rehabilitation services was perceived differently by patients and proxies (family members) suggesting important implications for patient satisfaction as a quality outcome indicator.
Copyright © 2003 American Heart Association, Inc. All rights reserved
Subjects 1103 Clinical Sciences
Keyword Stroke
Medical rehabilitation
Functional Independence Measure scores
Patient satisfaction
Q-Index Code EX
Q-Index Status Provisional Code
Institutional Status Unknown
Additional Notes Abstracts for the Asia Pacific Scientific Forum: New Discoveries in Cardiovascular Disease and Stroke: Bench to Bedside to Community, Poster no. 196

 
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Created: Mon, 01 Feb 2010, 17:56:23 EST by Mary-Anne Marrington on behalf of Faculty Of Health Sciences