Satisfacción y experiencias de los pacientes en centros de rehabilitación asociados con su confianza en la profesionalidad de los fisioterapeutas / Patients’ satisfaction and experiences in rehabilitation units associated with their trust in the professionalism of the physiotherapists’

Introducción. Existe insuficiente conocimiento sobre qué confianza tienen los pacientes en quienes prestan cuidados de rehabilitación, sus determinantes y la asociación con la evaluación del servicio. Objetivos. Examinar la confianza en la profesionalidad del fisioterapeuta por parte de pacientes en fases post-agudas en Unidades externas de Rehabilitación; determinar los aspectos asistenciales de los pacientes que la condicionan y su relación con la satisfacción del paciente. Material y métodos. Estudio transversal mediante cuestionario autocumplimentado, realizado en Unidades de Rehabilitación de 3 hospitales de la red MAPFRE. Las medidas de resultado fueron: puntuación de problemas (de 0 a 100%) de las experiencias autoinformadas en 7 aspectos de los cuidados (pertenecientes al ambiente organizacional y las actitudes del profesional), satisfacción, confianza en la profesionalidad y, características sociodemográficas y de salud de los participantes. Resultados. Participaron 465 pacientes (respuesta: 90%) con una media de 39,4 (DE=11,9) años. La confianza fue completa en el 61,1% de los participantes. Mientras que la odds ratio (OR)de completa confianza se incrementa con la percepción de cambio funcional (OR=3,77), de crece con tener experiencias problemáticas en algunos aspectos asistenciales: «educación e información» (OR=0,99), «apoyo emocional» (OR=0,97) e «interrupciones durante las sesiones» (OR=0,99). La confianza presenta una correlación positiva con los niveles de satisfacción (p<0,01). Conclusiones. Son muchos los pacientes que desarrollan una completa confianza en los fisioterapeutas, especialmente los que presentan notable mejora funcional y pocas situaciones problemáticas en determinados aspectos asistenciales. Aunque no todos los aspectos asistenciales son igualmente determinantes de la confianza, esta siempre se relaciona con la satisfacción (AU)

Introduction. There is still insufficient knowledge about levels of trust in those who provide rehabilitation care, its determinants and association with service evaluation. Objectives. To examine trust in the professionalism of the physiotherapist who treats patients in post-acute phases in external rehabilitation units. To determine the care aspects of the patients that condition it and its relation with the patients' satisfaction. Materials and methods. A cross-sectional study using a self-administered questionnaire was carried out in the rehabilitation units of 3 private hospitals, belonging to the private network of MAPFRE. Outcome measurements were: scoring problems (from 0 to 100%) of the self-reported experiences in 7 care aspects (belonging to organizational setting and professionals' attitudes), satisfaction, trust in professionalism, and the patients' socio-demographic and health characteristics. Results. A total of 465 patients (response 90%) took part. Mean age was 39.4 years (SD=11.9) and 61.1% of participants had full trust in their physiotherapists. While the odds ratio of full trust increases with perception of functional change (OR=3.77), it decreases with having problematic experiences in certain care aspects: "education and information" (OR=.99), "emotional support" (OR=.97) and "interruptions during the sessions" (OR=.99). Trust has a positive correlation with satisfaction (P<.01). Conclusions. Many patients develop full trust in their physiotherapists, particularly those who experience functional improvement and have few problematic situations in certain care aspects. Although not all care aspects are equally decisive for trust, the latter is always associated with satisfaction (AU)

Outpatients' perceptions of their experiences in musculoskeletal rehabilitation care.

BACKGROUND: While patients' satisfaction with rehabilitation care is often measured, the knowledge of their experiences during delivery of care and of which characteristics may lead them to experience problems remains largely undocumented. AIM: To assess the quality of patients' experiences receiving post-acute care for musculoskeletal disorders in outpatient rehabilitation settings. To describe the extent to which variations in reported quality of patients' experiences were related to their characteristics. DESIGN: A cross sectional, self-reported survey. SETTING: 3 outpatient rehabilitation units. POPULATION: Four hundred sixty-five outpatients. Mean age 39.4 (SD=11.9). METHODS: A problem score (from 0 to 100%) of self-reported experiences was calculated on 7 specific aspects of care (belonging to organizational environment and professionals' attitudes and behaviors) and compared among participants' subgroups. RESULTS: Mean scores of the organizational environment area showed higher amount of problems (43.3%) than the professionals' attitudes and behaviours area (34.7%). Two multivariate linear regression models (with adjusted R(2) 9.3% and 4.9%) indicated that older patients and those with high global rating change were less likely to experience problems in the two areas. CONCLUSION: Problems on aspects of care were commonly experienced by patients with musculoskeletal disorders in outpatient rehabilitation settings. The age and health of patients were associated to these problems, but explained only a small variation in them. CLINICAL REHABILITATION IMPACT: Surveys measuring patients' experiences can be used to monitor the actual performance of rehabilitation settings and to pinpoint the exact issues needing to be addressed to improve quality as well as to make comparison among centres.

Sistema de registro y evaluación de la guía de práctica clínica en los pacientes con cervicalgia / Registry system and evaluation of the guidelines for clinical practice in the patients with neck pain

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