Measuring the Quality of Transitional Care Based on Elderly Patients' Experiences with the Partners at Care Transitions Measure: a Cross-sectional Survey

Overview

Journal BMC Nurs

Publisher Biomed Central

Specialty Medical Education

Date 2024 Mar 14

PMID 38481274

Authors

La-Mei Liu

Meng-Yao Zhuansun

Tong-Yao Xu

Yu-Meng Qian

Hui-Qin Zhang

Qi-Han Zhang

Yi-Zhen Zhang

Affiliations

Soon will be listed here.

Abstract

Background: The quality of transitional care is closely related to the health outcomes of patients, and understanding the status of transitional care for patients is crucial to improving the health outcomes of patients. Therefore, this study aims to investigate the quality of transitional care in elderly patients with chronic diseases and analyze its influencing factors, to provide a basis for improving transitional care services.

Methods: This is a cross-sectional study. We used the Chinese version of the Partners at Care Transitions Measure (PACT-M) to survey patients with chronic diseases aged 60 years and older who were about to be discharged from five tertiary hospitals in Henan and Shanxi provinces. We used the mean ± standard deviation to describe the quality of transitional care, t-test or one-way ANOVA, and regression analysis to explore the factors affecting the quality of transitional care for patients.

Results: 182 elderly patients with chronic diseases aged ≥ 60 years completed the PACT-M survey. The scores of PACT-M and PACT-M were (30.69 ± 7.87) and (25.59 ± 7.14) points, respectively. The results of the t-test or one-way ANOVA showed that the patient's marital status, ethnicity, religion, educational level, preretirement occupation, residence, household income per month, and living situation had an impact on the quality of transitional care for elderly patients with chronic diseases (P < 0.05). The results of regression analyses showed that patients' preretirement occupation, social support, and health status were the main influences on the quality of transitional care for elderly patients with chronic diseases (P < 0.05), and they explained 63.1% of the total variance.

Conclusions: The quality of transitional care for older patients with chronic illnesses during the transition from hospital to home needs further improvement. Factors affecting the quality of transitional care included patients' pre-retirement occupation, social support, and health status. We can improve the hospital-community-family tertiary linkage service to provide coordinated and continuous transitional care for patients based on their occupation, health status, and social support to enhance the quality of transitional care and the patient's health.

Citing Articles

Content validity of patient-reported measures evaluating experiences of the quality of transitions in healthcare settings-a scoping review.

Walloe S, Roikjaer S, Hansen S, Zangger G, Mortensen S, Korfitsen C BMC Health Serv Res. 2024; 24(1):828.

PMID: 39039533 PMC: 11265152. DOI: 10.1186/s12913-024-11298-0.

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