ISSN: 2642-6250
Authors: Parks A* and Lazari M
In collaboration with 18 inpatient rehabilitation hospitals (IRFs), six long term acute care hospitals, and 14 skilled nursing facilities, a cross-sectional study was conducted in which 1264 adult patients were surveyed regarding their experience with post-acute care transitions and coordination of care. Multiple research questions were explored, including potential relationships and differences in self-reported patient experience levels overall and across specific items as well as perceptions of patient-centered care provided by staff and providers. Exploratory factor analysis and multiple linear regression analysis were used to evaluate the grouping of questionnaire items and the relationship between these separate measures of transfer experience and overall patient experience. Analysis illustrated significant differences in mean reported patient experience with post-acute care transfers across destination settings (F (2, 1261) = 6.11, p< .001), indicating that patients reported higher experience scores when admitted to IRF settings (m = 4.31, SD=1.5) than when admitted to other long term care settings (m = 3.10, SD = 1.1). The adjusted R square of 0.536 (p<0.001) indicated that the individual experience categories, such as dignity and respect and provider communication, account for more than half of the explained variation in overall patient experience with transitions to long term care environments.
Keywords: Patient Experience; Care Transitions; Patient Centered Care; Exploratory Factors Analysis
