Table 2 Patients' experiences of care compared with audit assessments of organisational quality of stroke services.
Hospitals n = 63 | Overall organisational score | Five key features† of stroke unit organisation (58 sites with stroke unit) | |||
---|---|---|---|---|---|
<median | ⩾median | <5 features | All 5 features | ||
n = 31 | n = 32 | n = 20 | n = 38 | ||
Overall patient experience score | Median score | 71 | 75 | 71 | 76 |
IQR score | 65–77 | 70–81 | 65–76 | 70–80 | |
Spearman,* r (95% CI) | 0.32 (0.07 to 0.53) | 0.26 (0.01 to 0.48) | |||
p Value | 0.01 | 0.05 | |||
Patient “quality of care” domain score | Median score | 77 | 81 | 77 | 82 |
IQR score | 73–84 | 77–88 | 73–84 | 77–88 | |
Spearman, r (95% CI) | 0.41 (0.18 to 0.60) | 0.26 (0.01 to 0.48) | |||
p Value | 0.001 | 0.05 | |||
Patient “information” domain score | Median score | 62 | 66 | 62 | 65 |
IQR score | 56–65 | 58–75 | 57–66 | 58–73 | |
Spearman, r (95% CI) | 0.27 (0.02 to 0.49) | 0.17 (−0.09 to 0.40) | |||
p Value | 0.03 | 0.21 | |||
Patient “relationships with staff” domain score | Median score | 76 | 78 | 76 | 79 |
IQR score | 69–81 | 73–85 | 72–80 | 72–86 | |
Spearman, r (95% CI) | 0.27 (0.02 to 0.49) | 0.18 (−0.08 to 0.41) | |||
p Value | 0.03 | 0.18 |
Results for the 670 responders were aggregated by hospital.
*Spearman coefficients were computed using actual overall organisational scores and the number of standard features of stroke unit organisation.
†These comprise: (1) consultant with specialist knowledge of stroke formally recognised as having main responsibility for stroke services; (2) stroke services has formal links with patient and carer organisations for communication on service provision, audit and future plans; (3) team meetings at least once a week for the interchange of information about individual patients; (4) patient‐orientated information literature displayed on unit/ward—either stroke‐specific or national/local guidelines/standards; and (5) inhouse programme for the continuing education of qualified staff in the management of stroke.