Klinik-Weiterempfehlung bei Reha-Erfolg: Erfahrungsberichte von Rehabilitanden auf einer Klinik-Bewertungsplattform

Sander, Uwe; Biedermann, Irina; Emmert, Martin; Haaf, H.-G.; Hofmann, Anna-Lena; Hopf, F.; Kiss, Susann; Parthier, Katrin; Schindler, Anja; Patzelt, Christiane

doi:10.1016/j.zefq.2020.12.007

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…Although British and Canadian reviewers tend to complain about staff prerequisites, Germans are more likely to criticize the care environment and patient-centered processes [ 25 ]. Considering the context of inpatient rehabilitation clinics, Sander et al [ 26 ] conducted an initial examination of web-based patient reports to investigate determinants associated with recommending inpatient rehabilitation clinics, and identified perceived therapy successes as well as process of care parameters to be associated with clinic recommendations. Although aspects of patient-centered processes and expected outcomes were quantitatively subordinate, the qualitative in-depth analysis of the present study indicates a relationship between positively reported expected outcomes and patient satisfaction.…”

Section: Discussionmentioning

confidence: 99%

SARS-CoV-2–Related Adaptation Mechanisms of Rehabilitation Clinics Affecting Patient-Centered Care: Qualitative Study of Online Patient Reports

Kühn¹,

Lindert²,

Kuper³

et al. 2023

JMIR Rehabil Assist Technol

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Background The SARS-CoV-2 pandemic impacted access to inpatient rehabilitation services. At the current state of research, it is unclear to what extent the adaptation of rehabilitation services to infection-protective standards affected patient-centered care in Germany. Objective The aim of this study was to determine the most relevant aspects of patient-centered care for patients in inpatient rehabilitation clinics under early phase pandemic conditions. Methods A deductive-inductive framework analysis of online patient reports posted on a leading German hospital rating website, Klinikbewertungen (Clinic Reviews), was performed. This website is a third-party, patient-centered commercial platform that operates independently of governmental entities. Following a theoretical sampling approach, online reports of rehabilitation stays in two federal states of Germany (Brandenburg and Saarland) uploaded between March 2020 and September 2021 were included. Independent of medical specialty groups, all reports were included. Keywords addressing framework domains were analyzed descriptively. Results In total, 649 online reports reflecting inpatient rehabilitation services of 31 clinics (Brandenburg, n=23; Saarland, n=8) were analyzed. Keywords addressing the care environment were most frequently reported (59.9%), followed by staff prerequisites (33.0%), patient-centered processes (4.5%), and expected outcomes (2.6%). Qualitative in-depth analysis revealed SARS-CoV-2–related reports to be associated with domains of patient-centered processes and staff prerequisites. Discontinuous communication of infection protection standards was perceived to threaten patient autonomy. This was amplified by a tangible gratification crisis of medical staff. Established and emotional supportive relationships to clinicians and peer groups offered the potential to mitigate the adverse effects of infection protection standards. Conclusions Patients predominantly reported feedback associated with the care environment. SARS-CoV-2–related reports were strongly affected by increased staff workloads as well as patient-centered processes addressing discontinuous communication and organizationally demanding implementation of infection protection standards, which were perceived to threaten patient autonomy. Peer relationships formed during inpatient rehabilitation had the potential to mitigate these mechanisms.

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Section: Discussionmentioning

confidence: 99%

SARS-CoV-2–Related Adaptation Mechanisms of Rehabilitation Clinics Affecting Patient-Centered Care: Qualitative Study of Online Patient Reports

Kühn¹,

Lindert²,

Kuper³

et al. 2023

JMIR Rehabil Assist Technol

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Iliofemoral venous obstruction without thrombosis

Harris¹,

Andros²,

Dulawa³

et al. 1987

Journal of Vascular Surgery

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SARS-CoV-2–Related Adaptation Mechanisms of Rehabilitation Clinics Affecting Patient-Centered Care: Qualitative Study of Online Patient Reports (Preprint)

Kühn¹,

Lindert²,

Kuper³

et al. 2022

Preprint

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BACKGROUND The SARS-CoV-2 pandemic impacted the access to inpatient rehabilitation services. At the current state of research, it is unclear to what extent the adaptation of rehabilitation services to infection-protective standards affected patient-centred care in Germany. OBJECTIVE Thus, this study aims to explore which aspects of patient-centred care are relevant for patients in inpatient rehabilitation clinics under early-phase pandemic conditions. METHODS This is a deductive-inductive framework analysis of online patient reports posted on a leading German hospital rating website. Following a theoretical sampling approach, online reports up-loaded between March 2020 and September 2021 of rehabilitation stays, independently of medical specialty groups, in two federal states of Germany (Brandenburg; Saarland) were in-cluded. The applied framework for patient-centredness contains domains of (I) staff prerequi-sites, (II) patient-centred processes, (III) the care environment and (IV) expected outcomes. Keywords addressing framework domains were analysed descriptively. Potential differences of keyword distributions across states were tested via Chi-Square distribution. A qualitative in-depth analysis of online reports completed the sequential process of analysis. RESULTS In total, 649 online reports reflecting inpatient rehabilitation services of 31 clinics (Branden-burg N = 23; Saarland N = 8) were analysed. Keywords addressing the care environment were most frequently reported (59.9%) followed by staff prerequisites (33.0%), patient-centred processes (4.5%) and expected outcomes (2.6%). Significant differences of keyword distribu-tions across states were observed in domains of staff prerequisites and the care environment. Qualitative in depth-analysis revealed SARS-CoV-2 related reports to be predominantly asso-ciated with domains of patient-centred processes and staff prerequisites. Discontinuous com-munication of infection protection standards was perceived to threaten patient autonomy. This mechanism was amplified by a tangible gratification crisis of medical staff. Established and emotional supportive relationships to clinicians and peer-groups offered the potential to miti-gate adverse effects of infection protection standards. CONCLUSIONS This study provides insights into pandemic-related adaptation mechanisms of German inpa-tient rehabilitation clinics and offers approaches of action to unite patient-centred care with infection-protective standards. Continuous communication of infection-protective legislation, relationship building, and smooth organizational routines represent promising approaches to facilitate patient autonomy. In future, it will be essential to critically evaluate which limita-tions come along with online patient reports as scientific data source.

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Klinik-Weiterempfehlung bei Reha-Erfolg: Erfahrungsberichte von Rehabilitanden auf einer Klinik-Bewertungsplattform

Cited by 3 publications

References 15 publications

SARS-CoV-2–Related Adaptation Mechanisms of Rehabilitation Clinics Affecting Patient-Centered Care: Qualitative Study of Online Patient Reports

SARS-CoV-2–Related Adaptation Mechanisms of Rehabilitation Clinics Affecting Patient-Centered Care: Qualitative Study of Online Patient Reports

Iliofemoral venous obstruction without thrombosis

SARS-CoV-2–Related Adaptation Mechanisms of Rehabilitation Clinics Affecting Patient-Centered Care: Qualitative Study of Online Patient Reports (Preprint)

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