Developing a measure to assess the quality of care transitions for older people

Oikonomou, Eirini, Chatburn, Eleanor ORCID:, Higham, Helen, Murray, Jenni, Lawton, Rebecca and Vincent, Charles (2019) Developing a measure to assess the quality of care transitions for older people. BMC Health Services Research, 19 (1). ISSN 1472-6963

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Background: The transition of older patients (over 65 years of age) from hospital to their own home is a time when patients are at high risk. No measure currently exists to assess the experience, quality and safety of care transitions relevant to UK population. We aim to describe the development and initial testing of the Partners at Care Transitions Measure (PACT-M) as a patient-reported questionnaire for evaluation of the quality and safety of care transitions from hospital to home in older patients. Methods: We used an established measure development procedure which includes conceptualising the components of care transitions, item development, conducting a modified Delphi process and pilot-testing of the PACT-M with patients over 65 years old using telephone administration. Results: Pilot testing of the PACT-M suggests that the components identified cover the issues of most importance to patients. Face validity testing showed that the measure in its current form is acceptable to older patients. Conclusions: The measure developed in this study shows promise for use by those involved in planning, implementing and evaluating discharge care, and could be used to inform interventions to improve the transition from hospital to home for older patients.

Item Type: Article
Additional Information: Funding Information: We would like to thank our PPI panel; Jean Trueman, Patrick Murphy, David Swales; Bill Cameron, Jen Cameron, Tahira Ali, Mohammed Ali, and Sandy Bentley. The research is supported by the NIHR CLAHRC Yorkshire and Humber. Funding Information: This report is independent research funded by the National Institute for Health Research (National Institute for Health Research Programme Grants for Applied Health Research, Partners at Care Transitions (PACT): Improving patient experience and safety at transitions in care, Grant Reference number RP-PG-1214-20017). The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health and Social Care. Our representative from the funding body, the NIHR, attended steering groups occasionally but the funding body has no other direct involvement in any aspect of the study design; collection, analysis and interpretation of the data; in the writing of the report or in the decision to submit the paper for publication. Publisher Copyright: © 2019 The Author(s).
Uncontrolled Keywords: measure,older patients,patient safety,questionnaire,transitions,health policy,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700/2719
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
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Depositing User: LivePure Connector
Date Deposited: 10 Nov 2022 12:33
Last Modified: 19 Oct 2023 03:28
DOI: 10.1186/s12913-019-4306-8

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