Perception of transitional care quality associated with functional outcomes among patients with fractures and stroke in Taiwan

Jing-Jer Chen; Yi-Chun Cheng; Li-Hwa Lin; Chao-Ching Chiang; Kung-Hou Lin; Tzu-Ching Liu; Yiing-Jenq Chou; I-Hui Lee; Nicole Huang

doi:10.1016/j.gerinurse.2023.08.009

Perception of transitional care quality associated with functional outcomes among patients with fractures and stroke in Taiwan

Geriatr Nurs. 2023 Sep-Oct:53:247-254. doi: 10.1016/j.gerinurse.2023.08.009. Epub 2023 Aug 18.

Authors

Jing-Jer Chen¹, Yi-Chun Cheng², Li-Hwa Lin³, Chao-Ching Chiang⁴, Kung-Hou Lin⁵, Tzu-Ching Liu⁶, Yiing-Jenq Chou⁷, I-Hui Lee⁸, Nicole Huang⁹

Affiliations

¹ Institute of Public Health, National Yang Ming Chiao Tung University, Taipei, Taiwan.
² Institute of Hospital and Health Care Administration, National Yang Ming Chiao Tung University, Taipei, Taiwan.
³ Institute of Public Health, National Yang Ming Chiao Tung University, Taipei, Taiwan; Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan.
⁴ Department of Orthopaedics, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Division of Orthopaedic Trauma, Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan.
⁵ Division of Orthopaedic Trauma, Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan.
⁶ Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.
⁷ Institute of Public Health, National Yang Ming Chiao Tung University, Taipei, Taiwan; Institute of Hospital and Health Care Administration, National Yang Ming Chiao Tung University, Taipei, Taiwan.
⁸ Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan; Institute of Brain Science, National Yang Ming Chiao Tung University, Taipei, Taiwan. Electronic address: ihlee@vghtpe.gov.tw.
⁹ Institute of Public Health, National Yang Ming Chiao Tung University, Taipei, Taiwan; Institute of Hospital and Health Care Administration, National Yang Ming Chiao Tung University, Taipei, Taiwan. Electronic address: syhuang@nycu.edu.tw.

PMID: 37598428
DOI: 10.1016/j.gerinurse.2023.08.009

Abstract

This study aimed to examine the relationship between self-perceived quality of transitional care and functional outcome among patients with stroke and fractures. The Care Transition Measure (CTM-15) was used to survey patient's self-perceived transitional care quality before discharge. General estimating equations were used to investigate the influences of transitional care quality on patient's functional outcomes at before, 1 week after, and 1 or 3 months after discharge. Among stroke patients, higher CTM-15 scores were positively associated with greater outcome in Instrumental Activities of Daily Living (IADL) following discharge. Higher scores for "reader-friendly written care plan," "consideration of patient's preferences," and "understanding of health management" had significantly positive effects on functional recovery in IADL among both patient groups following discharge. These findings suggest that heterogeneity in transitional care needs between medical and surgical patients shall not be overlooked. A one-size-fits-all strategy may be insufficient for ensuring patient care continuity following discharge.

Keywords: Care transition; Care transition measure; Continuity of care; Functional outcome; Post-acute care.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Activities of Daily Living
Humans
Patient Discharge
Perception
Stroke* / therapy
Taiwan
Transitional Care*