Jane McCusker1, Deniz Cetin-Sahin2, Sylvie Cossette3, Francine Ducharme4, Alain Vadeboncoeur5, T T Minh Vu6, Nathalie Veillette4, Antonio Ciampi7, Eric Belzile8, Simon Berthelot9, Paul-André Lachance10, Rick Mah11. 1. St. Mary's Research Centre, Montreal, Quebec, Canada; Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada. Electronic address: jane.mccusker@mcgill.ca. 2. St. Mary's Research Centre, Montreal, Quebec, Canada; Center for Research in Aging, Donald Berman Maimonides Geriatric Centre, Montreal, Quebec, Canada. 3. University of Montreal, Montreal, Quebec, Canada; Montreal Heart Institute Research Center, Montreal, Quebec, Canada. 4. University of Montreal, Montreal, Quebec, Canada; Research Centre, Institut universitaire de gériatrie de Montréal, Montreal, Quebec, Canada. 5. University of Montreal, Montreal, Quebec, Canada; Emergency Medicine Services, Montreal Heart Institute, Montreal, Quebec, Canada. 6. University of Montreal, Montreal, Quebec, Canada; Research Centre, Institut universitaire de gériatrie de Montréal, Montreal, Quebec, Canada; Centre hospitalier de l'Université de Montréal, Montreal, Quebec, Canada. 7. St. Mary's Research Centre, Montreal, Quebec, Canada; Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada. 8. St. Mary's Research Centre, Montreal, Quebec, Canada. 9. Centre de recherche du CHU de Québec-Université Laval, Quebec, Quebec, Canada. 10. University of Montreal, Montreal, Quebec, Canada; Hôpital de la Cité-de-la-Santé, Laval, Quebec, Canada. 11. St. Mary's Hospital Center, Montreal, Quebec, Canada.
Abstract
STUDY OBJECTIVE: This study aims to develop and validate measures of experiences of an emergency department (ED) visit suitable for use by older adults or their family members. METHODS: A cohort of patients aged 75 years and older who were discharged home was recruited at 4 EDs. At 1 week after the visit, patients or family members were interviewed by telephone to assess problems experienced at the visit. Twenty-six questions based on 6 domains of care found in the literature were developed: 16 questions were administered to all patients; 10 questions were administered to bed patients only. Scales were developed with multiple correspondence analysis. Regression analyses were used to validate the scales, using 2 validation criteria: perceived overall quality of care and willingness to return to the same ED. RESULTS: Four hundred twelve patients completed the 1-week interview, 197 ambulatory and 215 bed patients; family members responded for 75 patients. Two scales were developed, assessing personal care and communication (8 questions; α=.63) and waiting times (2 questions; α=.79). Both scales were significantly independently associated with perceived overall quality of care and willingness to return to the same ED. CONCLUSION: Two scales assessing important aspects of ED care experienced by older adults are ready for further evaluation in other settings.
STUDY OBJECTIVE: This study aims to develop and validate measures of experiences of an emergency department (ED) visit suitable for use by older adults or their family members. METHODS: A cohort of patients aged 75 years and older who were discharged home was recruited at 4 EDs. At 1 week after the visit, patients or family members were interviewed by telephone to assess problems experienced at the visit. Twenty-six questions based on 6 domains of care found in the literature were developed: 16 questions were administered to all patients; 10 questions were administered to bed patients only. Scales were developed with multiple correspondence analysis. Regression analyses were used to validate the scales, using 2 validation criteria: perceived overall quality of care and willingness to return to the same ED. RESULTS: Four hundred twelve patients completed the 1-week interview, 197 ambulatory and 215 bed patients; family members responded for 75 patients. Two scales were developed, assessing personal care and communication (8 questions; α=.63) and waiting times (2 questions; α=.79). Both scales were significantly independently associated with perceived overall quality of care and willingness to return to the same ED. CONCLUSION: Two scales assessing important aspects of ED care experienced by older adults are ready for further evaluation in other settings.
Authors: Deniz Cetin-Sahin; Francine Ducharme; Jane McCusker; Nathalie Veillette; Sylvie Cossette; T T Minh Vu; Alain Vadeboncoeur; Paul-André Lachance; Rick Mah; Simon Berthelot Journal: J Patient Exp Date: 2019-04-08
Authors: Marjolein N T Kremers; Tessel Zaalberg; Eva S van den Ende; Marlou van Beneden; Frits Holleman; Prabath W B Nanayakkara; Harm R Haak Journal: BMJ Open Qual Date: 2019-09-29