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Discharge care quality in hospitalised elderly patients: Extended validation of the Discharge Care Experiences Survey

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  • Ranveig Marie Boge
  • Arvid Steinar Haugen
  • Roy Miodini Nilsen
  • Frøydis Bruvik
  • Stig Harthug

Abstract

Background: The Discharge Care Experiences Survey (DICARES) was previously developed to measure quality of discharge care in elderly patients (≥ 65 years). The objective of this study was to test the factorial validity of responses of the DICARES, and to investigate its association with existing quality indicators. Methods: We conducted a cross-sectional study at two hospitals in Bergen, Western Norway. A survey, including DICARES, was sent by postal mail to 1,418 patients 30 days after discharge from hospital. To test the previously identified three-factor structure of the DICARES we applied a first order confirmatory factor analysis with corresponding fit indices and reliability measures. Spearman’s correlation coefficients, and linear regression, was used to investigate the association of DICARES scores with the quality indicators Nordic Patient Experiences Questionnaire and emergency readmission within 30 days. Results: A total of 493 (35%) patients completed the survey. The mean age of the respondents was 79 years (SD = 8) and 52% were women. The confirmatory factor analysis showed acceptable fit. Cronbach’s α between items within factors was 0.82 (Coping after discharge), 0.71 (Adherence to treatment), and 0.66 (Participation in discharge planning). DICARES was moderately correlated with the Nordic Patient Experiences Questionnaire (rho = 0.49, P

Suggested Citation

  • Ranveig Marie Boge & Arvid Steinar Haugen & Roy Miodini Nilsen & Frøydis Bruvik & Stig Harthug, 2019. "Discharge care quality in hospitalised elderly patients: Extended validation of the Discharge Care Experiences Survey," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-15, September.
    • Handle: RePEc:plo:pone00:0223150
    DOI: 10.1371/journal.pone.0223150
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    1. Claudia Fischer & Hester F Lingsma & Perla J Marang-van de Mheen & Dionne S Kringos & Niek S Klazinga & Ewout W Steyerberg, 2014. "Is the Readmission Rate a Valid Quality Indicator? A Review of the Evidence," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-9, November.
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