Patient and provider experience with a new model of care for primary hip and knee arthroplasties

Cox, Jane A.; Cormack, Carla; Prendergast, Monique; Celestino, Hazel; Willis, Sean; Witteveen, Maribeth

doi:10.1016/j.ijotn.2015.05.003

Cited by 7 publications

(6 citation statements)

References 23 publications

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“…Defining clinical pathways for different groups of patients is important since it reduces variation and maximizes the outcomes [ 34 ]. The importance of developing the process of care to decrease lengths of hospital stay ensuring optimal patient experience have recently been stipulated in a study of primary hip and knee arthroplasties [ 35 ]. The development of any process requires basic shared understanding of the process among those working with or in it.…”

Section: Discussionmentioning

confidence: 99%

Experiences from implementing value-based healthcare at a Swedish University Hospital – a longitudinal interview study

Nilsson

Bååthe

Andersson

et al. 2017

BMC Health Serv Res

144

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BackgroundImplementing the value-based healthcare concept (VBHC) is a growing management trend in Swedish healthcare organizations. The aim of this study is to explore how representatives of four pilot project teams experienced implementing VBHC in a large Swedish University Hospital over a period of 2 years. The project teams started their work in October 2013.MethodsAn explorative and qualitative design was used, with interviews as the data collection method. All the participants in the four pilot project teams were individually interviewed three times, with interviews starting in March 2014 and ending in November 2015. All the interviews were transcribed and analyzed using qualitative analysis.ResultsValue for the patients was experienced as the fundamental drive for implementing VBHC. However, multiple understandings of what value for patients’ means existed in parallel. The teams received guidance from consultants during the first 3 months. There were pros and cons to the consultant’s guidance. This period included intensive work identifying outcome measurements based on patients’ and professionals’ perspectives, with less interest devoted to measuring costs. The implementation process, which both gave and took energy, developed over time and included interventions. In due course it provided insights to the teams about the complexity of healthcare. The necessity of coordination, cooperation and working together inter-departmentally was critical.ConclusionsHealthcare organizations implementing VBHC will benefit from emphasizing value for patients, in line with the intrinsic drive in healthcare, as well as managing the process of implementation on the basis of understanding the complexities of healthcare. Paying attention to the patients’ voice is a most important concern and is also a key towards increased engagement from physicians and care providers for improvement work.

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Section: Discussionmentioning

confidence: 99%

Experiences from implementing value-based healthcare at a Swedish University Hospital – a longitudinal interview study

Nilsson

Bååthe

Andersson

et al. 2017

BMC Health Serv Res

144

View full text Add to dashboard Cite

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“…breast cancer [15] and orthopedic surgery [16]. However, in a PubMed search in February 2015, we found no articles investigating the relation between preparedness and bother concerning urinary problems and decreased sexual health.…”

Section: Discussionmentioning

confidence: 92%

Preparedness for side effects and bother in symptomatic men after radical prostatectomy in a prospective, non-randomized trial, LAPPRO

et al. 2016

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on behalf of the LAPPRO steering committee (2016) Preparedness for side effects and bother in symptomatic men after radical prostatectomy in a prospective, non-randomized trial, LAPPRO, Acta Oncologica, 55:12, 1467-1476, DOI: 10.1080 Background: Many clinicians believe that preparedness before surgery for possible post-surgery side effects reduces the level of bother experienced from urinary incontinence and decreased sexual health after surgery. There are no published studies evaluating this belief. Therefore, we aimed to study the level of preparedness before radical prostatectomy and the level of bother experienced from urinary incontinence and decreased sexual health after surgery. Material and methods: We prospectively collected data from a non-selected group of men undergoing radical prostatectomy in 14 centers between 2008 and 2011. Before surgery, we asked about preparedness for surgery-induced urinary problems and decreased sexual health. One year after surgery, we asked about bother caused by urinary incontinence and erectile dysfunction. As a measure of the association between preparedness and bothersomeness we modeled odds ratios (ORs) by means of logistic regression. Results: Altogether 1372 men had urinary incontinence one year after surgery as well as had no urinary leakage or a small urinary dribble before surgery. Among these men, low preparedness was associated with bother resulting from urinary incontinence [OR 2.84; 95% confidence interval (CI) 1.59-5.10]. In a separate analysis of 1657 men we found a strong association between preparedness for decreased sexual health and experiencing bother from erectile dysfunction (OR 5.92;. Conclusion: In this large-sized prospective trial, we found that preparedness before surgery for urinary problems or sexual side effects decreases bother from urinary incontinence and erectile dysfunction one year after surgery.

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“… Sattler et al (2020) cited a study by Cox et al (2016) , who reported that 82% of patients with primary hip and knee arthroplasty surgery were very satisfied with early mobilization. In their study, early mobilization was applied by a collaborative team that focused on mobility continued throughout the duration of the patients’ admission where each member of the healthcare team (nurse, physiotherapy, doctor) participated in increasing the frequency of mobility by providing gait training twice a day, ambulating patients to the bathroom and performing activity daily livings.…”

Section: Discussionmentioning

confidence: 99%

Effect of Early Mobilization on Hip and Lower Extremity Postoperative: A Literature Review

et al. 2023

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Introduction The incidence of fracture and surgery of the hip and lower extremities is still high. Long postoperative bed rest can potentially increase the incidence of various complications that may increase patients’ morbidity and mortality rate after hip and lower extremities surgery. This literature review aimed to identify the effects of early mobilization on hip and lower extremity postoperative. Methods Search for articles on several databases such as ProQuest, ScienceDirect, CINAHL, Medline, Wiley Online, and Scopus, using the Boolean operator tools with “AND” and “OR” words by combining several keywords according to the literature review topic, with inclusion criteria of those published in the last three years (2019–2021), using a quantitative design, written in English and full-text articles. A total of 435 articles were obtained, screened, and reviewed so that there were 16 (sixteen) eligible articles. Results There were 11 (eleven) effects of early mobilization, that is, shorter the length of stay, lower postoperative complication, lower the pain, increase walking ability, increase quality of life, decrease the rate of readmission, decrease mortality rate, lower the total hospitalization cost, higher number of physical therapy sessions prior to discharge, increase in satisfaction, and no fracture displacement or implant failure. Conclusion This literature review showed that early mobilization is safe and effective in postoperative patients to reduce the risk of complications and adverse events. Nurses and health workers who care for patients can implement early mobilization and motivate patients to cooperate in undergoing early mobilization.

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Patient and provider experience with a new model of care for primary hip and knee arthroplasties

Cited by 7 publications

References 23 publications

Experiences from implementing value-based healthcare at a Swedish University Hospital – a longitudinal interview study

Experiences from implementing value-based healthcare at a Swedish University Hospital – a longitudinal interview study

Preparedness for side effects and bother in symptomatic men after radical prostatectomy in a prospective, non-randomized trial, LAPPRO

Effect of Early Mobilization on Hip and Lower Extremity Postoperative: A Literature Review

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