WHAT REALLY MATTERS? A MULTI-VIEW PERSPECTIVE OF ONE PATIENT'S HOSPITAL EXPERIENCE

Author(s)

Edwards KJ, Duff J, Walker K
St Vincent's Private Hospital Sydney, University of Tasmania, Darlinghurst, Australia

OBJECTIVES: To identify what mattered to a patient and family member (healthcare recipients) during the patient’s hospital experience and to examine the healthcare provider’s awareness of what mattered to the recipients.   METHODS: A qualitative descriptive investigation was undertaken using semi-structured interviews designed to compare multiple perceptions of one patient’s hospital experience.  Interviews were undertaken with the patient (post-surgical procedure), family member, and healthcare providers whom the patient identified as impacting the hospital experience.  Interviews were audio recorded and transcribed. A definition of hospital experience was sought from each participant. Additional phrases as presented by the patient and family member were coded and grouped into categories and then salient themes. Phrases as presented by the healthcare providers were coded, and then allocated to the previously identified themes. RESULTS: One patient, his wife and seven healthcare providers (doctors (2), registered nurses (4) and a patient care orderly (1)) were interviewed. Definitions of what constitutes ‘hospital experience’ differ between the participants. Recipients of care include pre and post hospital admission periods, whereas providers limit hospital experience to admission.  Three salient themes emerged from recipient data suggesting; medication management, physical comfort and emotional security are what mattered. Awareness of the significance of these factors differed between the providers and was theme dependent.  CONCLUSIONS: Hospital experience as a term is poorly defined, and definitions differ between recipients and providers of care.  Healthcare providers are not always aware of what matters to the patient and family during their hospital admission.

Conference/Value in Health Info

2014-09, ISPOR Asia Pacific 2014, Beijing, China

Value in Health, Vol. 17, No. 7 (November 2014)

Code

PIH23

Topic

Patient-Centered Research

Topic Subcategory

Stated Preference & Patient Satisfaction

Disease

Reproductive and Sexual Health

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