Eliciting patient and caregiver perspectives to improve the public reporting of rehabilitation quality measures. Issue 1 (30th January 2013)

• Record Type: Journal Article
• Authors: Papadimitriou, Christina; Magasi, Susan; DeMark, Holly; Taylor, Caitlin; Wolf, Michael S.; Heinemann, Allen W.; Deutsch, Anne
• Is Part Of: Rehabilitation nursing. Volume 38:Issue 1(2013)
• Page Start: 24
• Page End: 31
• Publication Date: 2013-01-30
• Subjects: Rehabilitation nursing -- Periodicals; Nursing -- Periodicals; Rehabilitation -- Periodicals; Soins infirmiers en réadaptation -- Périodiques; 610.73
• DOI: 10.1002/rnj.63
• Languages: English
• ISSNs: 0278-4807

Abstract

<abstract abstract-type="main" xml:lang="en" id="rnj63-abs-0001"> <title>Abstract</title> <sec id="rnj63-sec-0001" sec-type="section"> <title>Purpose</title> <p>To evaluate patients' and caregivers' abilities to comprehend information on rehabilitation quality measures, and select high‐quality rehabilitation facility.</p> </sec> <sec id="rnj63-sec-0002" sec-type="section"> <title>Design</title> <p>We used exploratory, qualitative study using cognitive interviewing.</p> </sec> <sec id="rnj63-sec-0003" sec-type="section"> <title>Setting</title> <p>Three Outpatient rehabilitation facilities in metropolitan Chicago, Illinois, USA.</p> </sec> <sec id="rnj63-sec-0004" sec-type="section"> <title>Participants</title> <p>The study participants included 27 patients or three caregivers, 63% female; 36.7% white, 43.3% African American, 10% Asian, 10% missing/other; health literacy: 59% at the 8th grade level or lower; age range: 33–94.</p> </sec> <sec id="rnj63-sec-0005" sec-type="section"> <title>Main Outcome Measure(s)</title> <p>Patient and caregiver comprehension of quality measures.</p> </sec> <sec id="rnj63-sec-0006" sec-type="section"> <title>Results</title> <p>Respondents understood some rehabilitation quality terms, but had difficulty with medical terminology; linking quality measures to hospital quality; explaining choice of "better" quality facility; and reading tables. The research team simplified terminology, definitions, layout, and design; added an introduction to provide a framework for understanding quality.</p> </sec> <sec id="rnj63-sec-0007" sec-type="section"> <title>Conclusions</title> <p>Quality measure information can be difficult to understand and use. When reporting quality measures, use plain language, avoid medical jargon, follow logically sequenced content, easy‐to‐read layout, provide framework for understanding quality, and solicit consumer feedback.</p> </sec> <sec id="rnj63-sec-0008" sec-type="section"> <title>Clinical Implications</title> <p>Not applicable.</p> </sec> </abstract>