Clinician factors promoting quality patient care |
Experience with physicians |
Content related to experiences with physicians that impact the quality of patient care (e.g., response time, patient education, perception of MD) |
“Oh, Dr. X seems to be a great doctor and he was very caring, very understanding, he helped us and totally helped make sure that the patient was comfortable. He was very polite and very, very delicate for his work. I recommend him also. In the future I would deal with him as well, you know, and the program available to my mom so he can be part of my mom’s care.” (home, participant 16) |
Experience with nurses |
Content related to experiences with nurses that impact the quality of patient care (e.g., response time, patient education, perception of RN) |
“The nurses were real good. The nurses and the aides. You know, they answered all of our questions or if we wanted something for our mother, they would get it for her. And they were very helpful and knowledgeable.” (home, participant 16) |
Experience with other patient care team members |
Content related to experiences with support staff that impact the quality of patient care |
“They were very informative about every step of the process of what I could expect, who was coming to get me, what was happening, what I could expect when we got to the house” (home, participant 9) |
Patient experience factors to promote healing |
Sleep |
Content related to quality of sleep |
“You know I was sleeping in my own bet. So you can’t pop back. I got one of those tempur-pedic mattresses. You don’t have those at the hospital?” (home, participant 8) |
Burden |
Content related to burden to patient family/friend or other caregivers |
“The only thing is that because my dedication is like 24 hours, and I have to be here with my mom on a 24-hour basis, and the reason for it is that she knows me well, she trusts me and I did everything for her.So it affect me in some way by, um, I have to be here at all times.” (home, participant 16) |
Nutrition |
Content related to patient’s nutrition intake, nutrition education, etc. |
“Well, ah, well it’s difficult cooking. You know, if I have to get up and cook, it’s difficult for me to stand because of my back problem. That is a difficult thing.” (home, participant 20) |
Activity |
Content related to patient’s level of activity. |
“Umm, I was able to move around the house. It was just before Thanksgiving, so my husband and I, we fixed Thanksgiving dinner, not a big one, a small one, so I was able to do a lot.” (home, participant 19) |
Stress |
Content related to patient’s level of stress. |
“You get a little bit more relaxed and you’re a little bit more able to deal with what’s going on when you’re at home, so I would definitely suggest to anybody that if they have the opportunity to take it.” (control, participant 25) |
Pain |
Content related to pain and discomfort (+ is absence of pain/discomfort and − is pain/discomfort) |
“Well, during my visit there and my stay, it was okay. They gave me medicine on a schedule so I didn’t get pain.” (control, participant 36) |
Social Support |
Content related to social support (e.g., patient family’s ease of access to patient) |
“I really have no difficulties at all and my families is close by. I don’t want to have to lift anything heavy… Uh, my son and his wife and granddaughter are close by. My wife was close by and we have our tenants, um, because we give him a little reduced in the rent. He takes care of all the snow shoveling and gardening so we don’t worry about that.” (home, participant 8) |
Safety |
Content related to patient’s perception of safety/receiving effective medical care |
“First of all because it saves us from getting, you know, any kind of disease from other people being in the hospital is not the best idea.” (home, participant 14) |
Environment comfort |
Content related to patient’s perception of the comfort of the environment in which they are receiving care |
“And uh, you feel more comfortable. It’s just a remarkable feeling to be in your own home.” (home, participant 14) |
Systems factors |
Admission factors |
Content related to factors that promoted a smooth admission |
“So I am sitting in the emergency room absolutely, you know, with convolutions and they are looking at me, well, we’ll get to you, you know, it’s like okay.” (control, participant 30) |
Cultural considerations |
Content related to culturally relevant care |
“I was mostly worry about the house—being clean and you know like welcoming people. Physicians and nurses in my house and they have stuff organized and neat. That was my primary concern you know worry.” (home, participant 3) |
General attitudes |
Content related to the attitude around care in the hospital/hospital admission |
“I mean, it’s a great program and my experience, I understand better, I understand how everything works. I recommend the program to many, many, many elderly people who are entrusted to have this kind of program available better.” (home, participant 16) |
Experience with technology |
Content related to experiences with technology that impact the quality of patient care |
“ow quickly the information that they found when I explained, when the doctors were here I had a like an anxiety attack. And he said that, umm, you know, that he could see how long it took for my hot flash to be calmed down, he was monitoring me the whole time. So that was really fascinating.” (home, participant 19) |
Experience with facility |
Experience with facility factors |
“The pillows, you know, the pillows are hard and not the kind of pillows she likes to sleep with and she’s got neck problems and it is always hard to get her neck comfortable.” (control, participant 32) |
Discharge planning |
Content related to patient’s perception of discharge planning and post-admission care |
“[Y]eah, you could um have a list of places where I could obtain um medications and other supplies.” (home, participant 5) |
Logistical ease |
Content related to patient’s perception of the logistical ease of receiving effective medical care |
“[I]t’s very convenient to me, and I don’t have to spend the time to travel back and forth to the hospital and it’s really good for me. You know, if I have to go to the hospital, they release me, but then they will tell me what time would come back, tomorrow, day after tomorrow, then I will travel everyday to the hospital, sometime you get into traffic and all the time you waste a lot of time you know.” (home, participant 6) |