Abstract
Introduction:Developing community care models aims to satisfy the needs of patients’ in-home care comprehensively. This is crucial to decrease adverse events and prevent rehospitalization.Methods:A cross-sectional study was conducted among 200 emergency department patients (EDPs) and 200 general practice patients (GPPs). The modified version of the Camberwell Assessment of Need Short Appraisal Schedule (CANSAS), the Health Behavior Inventory (HBI), the Generalized Self-Efficacy Scale (GSES), the Patient Satisfaction Questionnaire (PSQ), and the Multidimensional Health Locus of Control Scale (MHLCS) were used.Results:The study indicated the higher level of unmet needs in EDPs than in the population of GPPs (p = 0.008). The unmet needs increased risk of hospitalization in both groups: OR = 0.28 [95%CI 0.15–0.52] for EDP and OR = 0.33, [95%CI 0.17–0.62] for GPPs groups. We also found a significant relationship between the low levels of needs satisfaction and social-demographic variables, including health profile and the level of health behavior, generalized self-efficacy, health locus of controls, and healthcare measures in general practice.Discussion and Conclusion:We suggest that the identified factors should be included into the integrated community care model to advance satisfaction of patients’ needs, especially in patients discharged from an emergency department.
Highlights
Developing community care models aims to satisfy the needs of patients’ in-home care comprehensively
Descriptive Data There were no significant differences between the emergency department (ED) and GP groups in terms of age, the number of people living in one household, the distance from the place of residence to the general practice, and the distance from the place of residence to the ED
For the GP patients, the strongest positive correlation with the level of needs satisfaction was observed with the following variables: positive mental attitude, the general sum of increase of health behavior, general self-efficacy, healthy eating habits, general indicator of patient’s satisfaction with services, preventive behavior, the financial status of the family
Summary
Developing community care models aims to satisfy the needs of patients’ in-home care comprehensively. This is crucial to decrease adverse events and prevent rehospitalization. Discussion and Conclusion: We suggest that the identified factors should be included into the integrated community care model to advance satisfaction of patients’ needs, especially in patients discharged from an emergency department. Inappropriate discharge destination and incomplete communication with patients and ambulatory care can lead to adverse outcomes (e.g., emergency department [ED] visits and adverse events) [4]. Between 32% and 56% of adverse events are preventable [5] Achieving this goal is possible by ensuring safe, high-quality healthcare at the patient’s home. Home care decreases costs improves health outcomes and is connected with high levels of patient satisfaction [6]. The patient should receive in-home healthcare with simultaneous activities focused on the needs of patients and their families
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