Researchers examine correlation between length of stay following childbirth and women's satisfaction with care

Improving Satisfaction with Care and Reducing Length of Stay in an Obstetric Triage Unit Using a Nurse‐Midwife‐Managed Model of Care

Journal of Midwifery & Women s Health ◽

10.1111/j.1542-2011.2012.00239.x ◽

2013 ◽

Vol 58 (2) ◽

pp. 175-181 ◽

Cited By ~ 3

Author(s):

Julie Paul ◽

Robin Jordan ◽

Susan Duty ◽

Janet L. Engstrom

Keyword(s):

Length Of Stay ◽

Satisfaction With Care ◽

Model Of Care ◽

Nurse Midwife

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Patient-reported care satisfaction and symptom burden in hospitalized patients with cancer.

Journal of Clinical Oncology ◽

10.1200/jco.2020.39.28_suppl.180 ◽

2021 ◽

Vol 39 (28_suppl) ◽

pp. 180-180

Author(s):

Carolyn L. Qian ◽

Charu Vyas ◽

Eva Gaufberg ◽

Emilia Kaslow-Zieve ◽

Chinenye C. Azoba ◽

...

Keyword(s):

Length Of Stay ◽

Care Coordination ◽

Symptom Burden ◽

Hospital Length ◽

Hospitalized Patients ◽

Hospital Length Of Stay ◽

Satisfaction With Care ◽

Patients With Cancer ◽

Oncology Service ◽

Care Satisfaction

180 Background: Hospitalized patients with cancer often experience a high symptom burden, which may impact care satisfaction and healthcare utilization. However, research describing these patients’ care satisfaction, symptom burden, and health care use is lacking. We sought to investigate relationships among care satisfaction, physical and psychological symptom burden, and hospital length of stay (LOS) in hospitalized patients with cancer. Methods: We prospectively enrolled patients with cancer and unplanned hospitalizations from 9/2014 to 4/2017. Upon admission, we assessed patients’ care satisfaction (FAMCARE items: satisfaction with care coordination and the speed with which symptoms are treated) as well as their physical (Edmonton Symptom Assessment System [ESAS]) and psychological (Patient Health Questionnaire-4 [PHQ-4]) symptoms. We used regression models to identify factors associated with care satisfaction, and we also examined associations of care satisfaction with patients’ symptom burden and hospital length of stay (LOS). Results: Among 1,576 participants (median age = 65.0 years [range:19-96], 46.3% female, 70.9% with incurable cancer, 58.4% admitted to a dedicated oncology service), most reported being “satisfied” or “very satisfied” with care coordination (90.1%) and the speed with which symptoms are treated (89.0%). Older age (care coordination: B < 0.01, P = 0.022, speed with which symptoms are treated: B = 0.01, P = 0.001) and admission to a dedicated oncology service (B = 0.20, P < 0.001 for each) were associated with higher care satisfaction. Higher satisfaction with care coordination was associated with lower ESAS-physical (B = -1.28, P = 0.007), ESAS-total (B = -2.73, P < 0.001), PHQ4-depression (B = -0.14, P = 0.022), and PHQ4-anxiety (B = -0.16, P = 0.008) symptoms. Higher satisfaction with the speed with which symptoms are treated was associated with lower ESAS-physical (B = -1.32, P = 0.003), ESAS-total (B = -2.46, P < 0.001), PHQ4-depression (B = -0.14, P = 0.014), and PHQ4-anxiety (B = -0.17, P = 0.004) symptoms. Greater satisfaction with care coordination (B = -0.48, P = 0.040) and the speed with which symptoms are treated (B = -0.44, P = 0.041) were both associated with shorter LOS. Conclusions: Hospitalized patients with cancer report high care satisfaction, which correlates with older age and admission to a dedicated oncology service. Significant associations among higher care satisfaction, lower symptom burden, and shorter hospital LOS highlight the importance of improving symptom management and care coordination in this population.

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