Patient-reported experiences of cardiac rehabilitation services and the Country Heart Attack Prevention model of care

L. Gebremichael, A. Beleigoli, Jonathon W Foote, N. Bulamu, Joyce S. Ramos, Robyn A Clark
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Abstract

Patient-centred care is the delivery of a high-quality healthcare service that appropriately responds to the needs and preferences of patients. Addressing participants' needs and preferences in healthcare services is essential to improving patients' experiences and clinical outcomes. This article aimed to evaluate patient-reported experiences of standard cardiac rehabilitation programmes and the Country Heart Attack Prevention model of care, as well as design and standardise patient-reported experience measures. This was a cross-sectional study with a multi-method analysis. Participants (n=818) ≥18 years old with cardiovascular disease who attended cardiac rehabilitation programmes across all modes of delivery before (1 January 2017 to 30 June 2021), during (1 July 2021 to 30 June 2022) and after implementation of the Country Heart Attack Prevention model (1 July 2022 to 30 December 2022) responded to the patient satisfaction surveys. Participant data from before and after implementation of the model were categorised as ‘not exposed’, while those who received cardiac rehabilitation during this period were categorised as ‘exposed’. A total of 170 participants provided qualitative feedback. Summary t-test was used to compare the means of the quantitative responses, and thematic analysis was used to generate themes from the qualitative feedback. The overall patient-reported satisfaction scores for those not exposed (n=685) and exposed (n=133) to the Country Heart Attack Prevention model of care were 77.1% and 85.9%, respectively (mean difference=−8.8; 95% confidence interval=−10.2, −7.4; P≤0.05). Themes for positive feedback included education and information, communication and friendly advice. Themes for improvement included follow-up duration, more face-to-face contact and waiting time. Overall patient-reported satisfaction scores were significantly higher for participants who were exposed to the Country Heart Attack Prevention model of care compared with those who were not exposed. Addressing feedback on areas for improvement in cardiac rehabilitation services can promote attendance, completion and improved health outcomes of patients.
患者对心脏康复服务和国家心脏病预防护理模式的体验报告
以患者为中心的医疗服务是指提供高质量的医疗服务,适当满足患者的需求和偏好。在医疗保健服务中满足参与者的需求和偏好对于改善患者的体验和临床结果至关重要。本文旨在评估患者对标准心脏康复计划和国家心脏病预防护理模式的体验报告,并设计和标准化患者体验报告测量方法。这是一项采用多种方法分析的横断面研究。在 "国家心脏病发作预防模式 "实施前(2017 年 1 月 1 日至 2021 年 6 月 30 日)、实施期间(2021 年 7 月 1 日至 2022 年 6 月 30 日)和实施后(2022 年 7 月 1 日至 2022 年 12 月 30 日),年龄≥18 岁的心血管疾病患者(n=818)参加了各种模式的心脏康复项目,并对患者满意度调查做出了答复。模式实施前和实施后的参与者数据被归类为 "未暴露",而在此期间接受心脏康复治疗的参与者被归类为 "暴露"。共有 170 名参与者提供了定性反馈。采用摘要 t 检验比较定量反馈的平均值,并采用主题分析从定性反馈中生成主题。未接触过(人数=685)和接触过(人数=133)国家心脏病预防护理模式的患者报告的总体满意度分别为77.1%和85.9%(平均差异=-8.8;95%置信区间=-10.2,-7.4;P≤0.05)。积极反馈的主题包括教育和信息、沟通和友好建议。需要改进的主题包括随访时间、更多面对面接触和等待时间。与未接触过 "国家心脏病预防 "护理模式的人相比,接触过该模式的参与者的患者报告的总体满意度得分明显更高。对心脏康复服务中需要改进的地方进行反馈,可以促进患者参加、完成康复训练并改善其健康状况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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