Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Understanding what matters most to patients in acute care in seven countries, using the flash mob study design.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Adaptations and modifications to a co-designed intervention and its clinical implementation: a qualitative study in Denmark

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. The cost burden of Crohn's disease and ulcerative colitis depending on biologic treatment status - a Danish register-based study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Cognitive training for prevention of cognitive impairment in adult intensive care unit (ICU) patients

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. suPAR Cut-Offs for Risk Stratification in Patients With Symptoms of COVID-19

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Socioeconomic inequality in telephone triage on triage response, hospitalization and 30-day mortality

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Nurses' Experiences and Perceptions of two Early Warning Score systems to Identify Patient Deterioration-A Focus Group Study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  • den Ende ES van
  • B Schouten
  • MNT Kremers
  • T Cooksley
  • CP Subbe
  • I Weichert
  • Galen LS van
  • HR Haak
  • J Kellett
  • J Alsma
  • V Siegrist
  • M Holland
  • all local collaborators
  • Hejdi Gamst-Jensen (Medlem af forfattergruppering)
  • Dorthe Gaby Bove (Medlem af forfattergruppering)
Vis graf over relationer

BACKGROUND: Truly patient-centred care needs to be aligned with what patients consider important, and is highly desirable in the first 24 h of an acute admission, as many decisions are made during this period. However, there is limited knowledge on what matters most to patients in this phase of their hospital stay. The objective of this study was to identify what mattered most to patients in acute care and to assess the patient perspective as to whether their treating doctors were aware of this.

METHODS: This was a large-scale, qualitative, flash mob study, conducted simultaneously in sixty-six hospitals in seven countries, starting November 14th 2018, ending 50 h later. One thousand eight hundred fifty adults in the first 24 h of an acute medical admission were interviewed on what mattered most to them, why this mattered and whether they felt the treating doctor was aware of this.

RESULTS: The most reported answers to "what matters most (and why)?" were 'getting better or being in good health' (why: to be with family/friends or pick-up life again), 'getting home' (why: more comfortable at home or to take care of someone) and 'having a diagnosis' (why: to feel less anxious or insecure). Of all patients, 51.9% felt the treating doctor did not know what mattered most to them.

CONCLUSIONS: The priorities for acutely admitted patients were ostensibly disease- and care-oriented and thus in line with the hospitals' own priorities. However, answers to why these were important were diverse, more personal, and often related to psychological well-being and relations. A large group of patients felt their treating doctor did not know what mattered most to them. Explicitly asking patients what is important and why, could help healthcare professionals to get to know the person behind the patient, which is essential in delivering patient-centred care.

TRIAL REGISTRATION: NTR (Netherlands Trial Register) NTR7538 .

OriginalsprogEngelsk
Artikelnummer474
TidsskriftBMC Health Services Research
Vol/bind21
Udgave nummer1
ISSN1472-6963
DOI
StatusUdgivet - 19 maj 2021

ID: 67445147