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Patient dissatisfaction : insights into the rehabilitation process

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Liu, Clarence, Thompson, Allan J. and Playford, E. Diane (2004) Patient dissatisfaction : insights into the rehabilitation process. Journal of Neurology, 251 (9). pp. 1094-1097. doi:DOI: 10.1007/s00415-004-0488-y

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Official URL: http://dx.doi.org/10.1007/s00415-004-0488-y

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Abstract

Most patients admitted for inpatient rehabilitation find it beneficial even when there is little change in physical disability. The aim of this study was to determine the characteristics of patients who felt that they had not benefited from inpatient rehabilitation and to delineate the underlying reasons for this perception. From a database of 331 patients admitted to a neurological rehabilitation unit over a three-year period, we ascertained those with a low score (< 5) on a self-rated visual analogue scale (VAS) regarding their perception of the benefit of rehabilitation. We investigated their disability outcomes, aspects of the rehabilitation process through analysis of integrated care pathways, and from inspection of the multidisciplinary record identified specific adverse factors which might contribute to dissatisfaction. Low VAS scores were detected in 6% of patients (n = 19). These did not correlate with baseline demographic factors or disability levels, but were associated with unresolved external problems regarding community care and accommodation, and conflicts between patients and therapists. We conclude that from the patients' perspective, successful inpatient rehabilitation depends on adequate attention given to community-based issues and health care professionals recognising patients' needs. When these two conditions are not fulfilled, patients are more likely to express a lack of satisfaction with their rehabilitation.

Item Type: Journal Article
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH)
Faculty of Medicine > Warwick Medical School
Journal or Publication Title: Journal of Neurology
Publisher: Springer Medizin
ISSN: 0340-5354
Official Date: 2004
Dates:
DateEvent
2004Published
Volume: 251
Number: 9
Page Range: pp. 1094-1097
DOI: DOI: 10.1007/s00415-004-0488-y
Status: Peer Reviewed
Publication Status: Published
Publisher Statement: WoS ID: 000224054900009
Access rights to Published version: Restricted or Subscription Access

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