Patient dissatisfaction: insights into the rehabilitation process

Journal of Neurology
Clarence LiuE Diane Playford

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 co...Continue Reading

Citations

Jul 14, 2010·Disability and Rehabilitation·R C Van De WeyerE D Playford
Jan 21, 2016·Neuropsychological Rehabilitation·Christodouli LagogianniNadina Lincoln
Dec 7, 2010·Topics in Stroke Rehabilitation·Patricia GregoryAna C G Felix

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