Satisfaction with medical rehabilitation in patients with cerebrovascular impairment

Kenneth Ottenbacher, Vera A. Gonzales, Pam M. Smith, Sandra B. Illig, Roger C. Fiedler, Carl V. Granger

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Objective: Overall satisfaction has important social and economic implications for patients who have received inpatient medical rehabilitation. We conducted this study to examine the overall satisfaction level at 3- to 6-mo follow-up for inpatients with cerebrovascular impairments discharged from medical rehabilitation. Design: The study was retrospective using information from a national database representative of medical rehabilitation patients across the United States. Information submitted in 1997 and 1998 to the Uniform Data System for Medical Rehabilitation by 177 hospital and rehabilitation facilities from 40 states was examined. The final sample included 8,900 patient records. The main outcome measure was the level of satisfaction with medical rehabilitation at 80-180 days postdischarge follow-up. Results: A logistic regression model including ten independent variables was used to predict satisfied vs. dissatisfied at follow-up. Three statistically significant variables were included in the final model and correctly classified 95.1% of the patients. Higher FIM™ instrument discharge scores were associated with increased satisfaction. Further analysis of the FIM instrument subscales indicated that higher ratings in transfers, social cognition, and locomotion were significantly associated with increased satisfaction. Conclusion: We identified several functional variables associated with increased satisfaction after medical rehabilitation in persons with stroke. The ability to objectively assess patient satisfaction is important as consumer-based outcome measures are integrated in accreditation and healthcare evaluation.

Original languageEnglish (US)
Pages (from-to)876-884
Number of pages9
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume80
Issue number12
DOIs
StatePublished - 2001

Fingerprint

Rehabilitation
Inpatients
Logistic Models
Outcome Assessment (Health Care)
Aptitude
Accreditation
Locomotion
Patient Satisfaction
Information Systems
Cognition
Retrospective Studies
Stroke
Economics
Databases
Delivery of Health Care

Keywords

  • Measurement
  • Outcomes
  • Patient Satisfaction

ASJC Scopus subject areas

  • Rehabilitation
  • Health Professions(all)
  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Satisfaction with medical rehabilitation in patients with cerebrovascular impairment. / Ottenbacher, Kenneth; Gonzales, Vera A.; Smith, Pam M.; Illig, Sandra B.; Fiedler, Roger C.; Granger, Carl V.

In: American Journal of Physical Medicine and Rehabilitation, Vol. 80, No. 12, 2001, p. 876-884.

Research output: Contribution to journalArticle

Ottenbacher, Kenneth ; Gonzales, Vera A. ; Smith, Pam M. ; Illig, Sandra B. ; Fiedler, Roger C. ; Granger, Carl V. / Satisfaction with medical rehabilitation in patients with cerebrovascular impairment. In: American Journal of Physical Medicine and Rehabilitation. 2001 ; Vol. 80, No. 12. pp. 876-884.
@article{7c1c8908584f41c49302e65cb6e92d78,
title = "Satisfaction with medical rehabilitation in patients with cerebrovascular impairment",
abstract = "Objective: Overall satisfaction has important social and economic implications for patients who have received inpatient medical rehabilitation. We conducted this study to examine the overall satisfaction level at 3- to 6-mo follow-up for inpatients with cerebrovascular impairments discharged from medical rehabilitation. Design: The study was retrospective using information from a national database representative of medical rehabilitation patients across the United States. Information submitted in 1997 and 1998 to the Uniform Data System for Medical Rehabilitation by 177 hospital and rehabilitation facilities from 40 states was examined. The final sample included 8,900 patient records. The main outcome measure was the level of satisfaction with medical rehabilitation at 80-180 days postdischarge follow-up. Results: A logistic regression model including ten independent variables was used to predict satisfied vs. dissatisfied at follow-up. Three statistically significant variables were included in the final model and correctly classified 95.1{\%} of the patients. Higher FIM™ instrument discharge scores were associated with increased satisfaction. Further analysis of the FIM instrument subscales indicated that higher ratings in transfers, social cognition, and locomotion were significantly associated with increased satisfaction. Conclusion: We identified several functional variables associated with increased satisfaction after medical rehabilitation in persons with stroke. The ability to objectively assess patient satisfaction is important as consumer-based outcome measures are integrated in accreditation and healthcare evaluation.",
keywords = "Measurement, Outcomes, Patient Satisfaction",
author = "Kenneth Ottenbacher and Gonzales, {Vera A.} and Smith, {Pam M.} and Illig, {Sandra B.} and Fiedler, {Roger C.} and Granger, {Carl V.}",
year = "2001",
doi = "10.1097/00002060-200112000-00002",
language = "English (US)",
volume = "80",
pages = "876--884",
journal = "American Journal of Physical Medicine and Rehabilitation",
issn = "0894-9115",
publisher = "Lippincott Williams and Wilkins",
number = "12",

}

TY - JOUR

T1 - Satisfaction with medical rehabilitation in patients with cerebrovascular impairment

AU - Ottenbacher, Kenneth

AU - Gonzales, Vera A.

AU - Smith, Pam M.

AU - Illig, Sandra B.

AU - Fiedler, Roger C.

AU - Granger, Carl V.

PY - 2001

Y1 - 2001

N2 - Objective: Overall satisfaction has important social and economic implications for patients who have received inpatient medical rehabilitation. We conducted this study to examine the overall satisfaction level at 3- to 6-mo follow-up for inpatients with cerebrovascular impairments discharged from medical rehabilitation. Design: The study was retrospective using information from a national database representative of medical rehabilitation patients across the United States. Information submitted in 1997 and 1998 to the Uniform Data System for Medical Rehabilitation by 177 hospital and rehabilitation facilities from 40 states was examined. The final sample included 8,900 patient records. The main outcome measure was the level of satisfaction with medical rehabilitation at 80-180 days postdischarge follow-up. Results: A logistic regression model including ten independent variables was used to predict satisfied vs. dissatisfied at follow-up. Three statistically significant variables were included in the final model and correctly classified 95.1% of the patients. Higher FIM™ instrument discharge scores were associated with increased satisfaction. Further analysis of the FIM instrument subscales indicated that higher ratings in transfers, social cognition, and locomotion were significantly associated with increased satisfaction. Conclusion: We identified several functional variables associated with increased satisfaction after medical rehabilitation in persons with stroke. The ability to objectively assess patient satisfaction is important as consumer-based outcome measures are integrated in accreditation and healthcare evaluation.

AB - Objective: Overall satisfaction has important social and economic implications for patients who have received inpatient medical rehabilitation. We conducted this study to examine the overall satisfaction level at 3- to 6-mo follow-up for inpatients with cerebrovascular impairments discharged from medical rehabilitation. Design: The study was retrospective using information from a national database representative of medical rehabilitation patients across the United States. Information submitted in 1997 and 1998 to the Uniform Data System for Medical Rehabilitation by 177 hospital and rehabilitation facilities from 40 states was examined. The final sample included 8,900 patient records. The main outcome measure was the level of satisfaction with medical rehabilitation at 80-180 days postdischarge follow-up. Results: A logistic regression model including ten independent variables was used to predict satisfied vs. dissatisfied at follow-up. Three statistically significant variables were included in the final model and correctly classified 95.1% of the patients. Higher FIM™ instrument discharge scores were associated with increased satisfaction. Further analysis of the FIM instrument subscales indicated that higher ratings in transfers, social cognition, and locomotion were significantly associated with increased satisfaction. Conclusion: We identified several functional variables associated with increased satisfaction after medical rehabilitation in persons with stroke. The ability to objectively assess patient satisfaction is important as consumer-based outcome measures are integrated in accreditation and healthcare evaluation.

KW - Measurement

KW - Outcomes

KW - Patient Satisfaction

UR - http://www.scopus.com/inward/record.url?scp=0035192514&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035192514&partnerID=8YFLogxK

U2 - 10.1097/00002060-200112000-00002

DO - 10.1097/00002060-200112000-00002

M3 - Article

VL - 80

SP - 876

EP - 884

JO - American Journal of Physical Medicine and Rehabilitation

JF - American Journal of Physical Medicine and Rehabilitation

SN - 0894-9115

IS - 12

ER -