Patient Experiences of Hospital Care in the Context of Comprehensive Care Delivery: A Mixed Method Study.
Beibei Xiong, Daniel X Bailey, Christine Stirling and 3 others
PMID 39991956WHAT IT FOUND
Most patients rated their hospital care as good or very good, but many reported unmet needs.
Common gaps included poor communication, lack of clear discharge plans, and insufficient personal care. Patients with chronic conditions did not report significantly worse experiences than others.
Key findings
0173.2% of survey participants and 81.4% of interview participants reported positive overall hospital experiences.
02Patients frequently reported gaps in care, including unmet personal care needs, medication issues, and poor discharge planning.
03There were no significant differences in hospital care responses between patients with and without chronic conditions.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Recruitment occurred primarily through social media, which may bias the sample towards patients who are more educated and technologically connected. The sample was predominantly female, which may limit the generalisability of findings to men. The survey did not include specific questions on discharge planning and care coordination, relying instead on interview data for these themes. The study did not compare patient experiences before and after the implementation of the Comprehensive Care Standard due to timing and pandemic conditions.
Declared interests
The authors declare no conflicts of interest. Funding was provided by the Faculty of Health, Medicine & Behavioural Sciences at The University of Queensland and the National Health and Medical Research Council of the Australian Government.
The easy way to misread this
Do not assume that patients with chronic conditions have worse hospital experiences than others. The study found no significant differences in care responses between these two groups, suggesting that the identified gaps in care affect a broader patient population.