A qualitative study of old patients’ experiences of the quality of the health services in hospital and 30 days after hospitalization

Abstract

Background: The number of people aged 80 years and above is projected to triple over the next 30 years. People in this age group normally have at least two chronic conditions. The impact of multimorbidity is often significantly greater than expected from the sum of the effects of each condition. The World Health Organization has indicated that healthcare systems must prepare for a change in the focus of clinical care for older people. The World Health Organization (WHO) defines healthcare quality as care that is effective, efficient, integrated, patient centered, equitable and safe. The degree to which healthcare quality can be defined as acceptable is determined by services’ ability to meet the needs of users and adapt to patients’ expectations and perceptions.Method: We took a phenomenological perspective to explore older patients’ subjective experiences and conducted semistructured individual interviews. Eighteen patients (aged from 82 to 100 years) were interviewed twice after discharge from hospital. The interview transcriptions were analyzed thematically.Results: The patients found their meetings with the health service to be complex and demanding. They reported attempting to restore a sense of security and meaning in everyday life, balancing their own needs against external requirements. Five overarching themes emerged from the interviews: hospital stay and the person behind the diagnosis, poor communication and coordination, life after discharge, relationship with their next of kin, and organizational and systemic determinants.Conclusion: According to the WHO, to deliver quality healthcare, services must include all six of the dimensions listed above. Our findings show that they do not. Healthcare focused on measurable values and biomedical inquiries. Few opportunities for participation, scant information and suboptimal care coordination left the patients with a feeling of being in limbo, where they struggled to find balance in their everyday life. Further work must be done to ensure that integrated services are provided without a financial burden, centered on the needs and rights of older people.

[Retracted] Evaluation of a Novel Quality of Life Scale for Schoolchildren with Nonstrabismic Binocular Vision Anomalies

“…The quality of life has gradually been introduced into the field of medical research and has become an index system for evaluating health and clinical efficacy. Quality of life mainly focuses on the subjective experience of the patients but is not an objective evaluation of the functional state of the bodies [ 7 ]. Patients with NSBVAs often suffer from varying degrees of quality of life, such as adjustment and convergence anomalies and eye symptoms including discomfort, pain, headache, blurred vision, visual fatigue, double images, word skip, or line skip [ 8 ].…”

Persepsi, Dukungan Dan Hambatan Perawat Dalam Pelaksanaan Perencanaan Pemulangan Pasien di Instalasi Rawat Inap RS Militer Jakarta

“…Perencanaan pulang memiliki tujuan untuk mempersingkat waktu perawatan pasien di rumah sakit, sehingga dapat meningkatkan status kesehatan, mengurangi angka kekambuhan dan tingkat penerimaan kembali pasien, yang dipengaruhi oleh perilaku penyedia layanan dan pembuat kebijakan (Masumeh et al, 2018;Lilleheie, Debesay, Bye, & Bergland, 2020). Penerimaan pasien kembali ke rumah sakit merupakan fokus utama manajemen pelayanan kesehatan dalam beberapa tahun terakhir, dikarenakan tingkat penerimaan pasien kembali menjadi salah satu indikator mutu perawatan rumah sakit (Masumeh et al, 2018).…”