Effect of Patient Centered Care Application on Inpatient Outcomes in Rskdia Pertiwi and Rsia Ananda (Woman and Child Hospitals)

Authors

  • Zulkarnain Abubakar Department of Hospital Management, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
  • Fridawaty Rivai Department of Hospital Management, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
  • Nurshanty A. Sapada Department of Hospital Management, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2020.5217

Keywords:

Patient-Centered Care, Patient Outcomes, Patient Satisfaction, Clinical Outcomes, Quality Indicators

Abstract

BACKGROUND: Patient-centered care (PCC) is a new paradigm in healthcare that places patients as the center of care to improve health outcomes and increase patient and family satisfaction.

AIM: The study aimed to evaluating the effect of PCC application on inpatient outcomes, notably patient satisfaction, and clinical outcomes in RSKDIA Pertiwi and RSIA Ananda.

METHODS: The study was quantitative analytic with cross-sectional design. A sample of 92 patients were determined proportionally, and selected with the inclusion criteria. Data were collected using measuring tools consisting of PCC questionnaires, patient satisfaction questionnaires, and patient medical record to evaluate the clinical outcomes of patient. Bivariate analysis was carried out to compare the PCC application between the two hospitals, and multivariate analysis to correlate the effect of PCC application to patient satisfaction, and clinical outcomes of inpatient in each hospital.

RESULTS: There was effect of PCC application on patient satisfaction in RSKDIA Pertiwi (p = 0.017) and RSIA Ananda (p = 0.000), but there was no effect show to the clinical outcomes in RSKDIA Pertiwi (p = 0.718) and RSIA Ananda (p = 0.440), also there was no differences in the application of PCC (p = 0.492) between both hospitals.

CONCLUSION: It can be concluded that the application of PCC attributed to patient satisfaction, but did not affect the clinical outcomes of inpatients at RSKDIA Pertiwi and RSIA Ananda; also there were no differences of PCC application between both hospitals. The hospitals management should improve the application of PCC, particularly in coordination of care.

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References

Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.

Frampton S, Guastello S, Brady C, Hale M, Horowitz S, Smith SB, Stone S. Patient-Centered Care Improvement Guide. London: Planetree and Picker Institute; 2008.

Kementrian Kesehatan RI. Undang-Undang Republik Indonesia Nomor 44 Tahun 2009 Tentang Rumah Sakit. Jakarta: Kementrian Kesehatan Republik Indonesia; 2009. https://doi.org/10.31219/osf.io/8e6an

Komisi Akreditasi Rumah Sakit. Standar Nasional Akreditasi Rumah Sakit Edisi 1. Jakarta: Komisi Akreditasi Rumah Sakit; 2017. https://doi.org/10.31227/osf.io/zfpjn

Wasson JH, Baker NJ. Balanced measures for patient-centered care. J Ambul Care Manag. 2009;32(1):44-55. PMid:19104293

Becker ER, Hockenberry JM, Bae J, Avgar AC, Liu SS. Factors in patients’ experience of hospital care: Evidence from California, 2009-2011. Patient Exp J. 2014;1(1):95-110. https://doi.org/10.35680/2372-0247.1014

Rathert C, Wyrwich MD, Boren SA. Patient-centered care and outcomes: A systematic review of the literature. Med Care Res Rev. 2012;70(4):351-79. https://doi.org/10.1177/1077558712465774 PMid:23169897

Wolf DM, Lehman L, Quinlin R, Zullo T, Hoffman L. Effect of patient-centered care on patient satisfaction and quality of care. J Nurs Care Qual. 2008;23(4):316-21. https://doi.org/10.1097/01.ncq.0000336672.02725.a5 PMid:18806645

Sidani S. Effects of patient-centered care on patient outcomes: An evaluation. Res Theory Nurs Pract. 2008;22(1):24-37. https://doi.org/10.1891/1541-6577.22.1.24 PMid:18320906

Attree M. Patients and relatives experiences and perspectives of good and not so good quality care. J Adv Nurs. 2001;33:456- 66. https://doi.org/10.1046/j.1365-2648.2001.01689.x PMid:11251733

Poochikian-Sarkissian S, Sidani S, Ferguson M, Doran D. Examining the relationship between patient-centred care and outcomes. Can J Neurosci Nurs 2010;32(4):14-21. PMid:21268489

Riskiyah R, Hariyanti T, Juhariah S. Pengalaman pasien rawat inap terhadap penerapan patient centered care di RS UMM. J Kedokteran Brawijaya. 2017;29(4):358-63. https://doi.org/10.21776/ub.jkb.2017.029.04.13

Sjarifudhin M, Rosa ME. Effectiveness of patient centered care to reduce anxiety level and improve satisfaction in patients undergoing cataract surgery. J Med Manajemen Rumah Sakit. 2018;7(3):188-95. https://doi.org/10.18196/jmmr.7372

Robb G, Seddon M. Quality improvement in New Zealand healthcare. Part 6: Keeping the patient front and centre to improve healthcare quality. N Z Med J. 2006;119(1242):2174. PMid:16998575

O’Malley JF. Ultimate Patient Satisfaction. New York, Europe: McGraw-Hill Education; 1997.

Constand MK, Macdermind JC, Law M, Below-Hass V. Patient-centered care and distal radius fracture outcomes: A prospective cohort study analysis. J Hand Ther. 2014;27(3):177-84. https://doi.org/10.1016/j.jht.2014.04.001 PMid:24874854

Fredericks S, Lapum J, Hui G. Examining the effect of patient-centred care on outcomes. Br J Nurs. 2015;24(7):394-401. https://doi.org/10.12968/bjon.2015.24.7.394 PMid:25849237

Steward M, Brown JB, Donner A, McWhinney IR, Oates J, Weston W. The impact of patient-centered care on outcomes. J Fam Pract. 2000;49(9):796-804. PMid:11032203

Haninditya B, Andayani TM, Yasin NM. Analisis kepatuhan pelaksanaan clinical pathway seksio sesarea di sebuah rumah sakit swasta di Yogyakarta. J Manajemen Pelayanan Farm. 2019;9(1):38-45.

Fay EE, Hitti JE, Delgado CM, Savitsky LM, Mills EB, Slater JL. Laurent AB. An enhanced recovery after surgery pathway for cesarean delivery decreases hospital stay and cost. Am J Obstet Gynecol. 2019;221(4):349.e1-349.9. https://doi.org/10.1016/j.ajog.2019.06.041 PMid:31238038

Rubin RH. Surgical wound infection: Epidemiology, pathogenesis, diagnosis and management. BMC Infect Dis. 2006;6(171):1-2. https://doi.org/10.1186/1471-2334-6-171 PMid:17129369

Zuarez-Easton S, Zafran N, Garmi G, Salim R. Postcesarean wound infection: Prevalence, impact, prevention, and management challenges. Int J Womens Health. 2017;9:81-8. https://doi.org/10.2147/ijwh.s98876 PMid:28255256

Novelia S, Sae-Sia W, Songwathana P. Surgical site infection among women post cesarean section: An integrative review. Nurse Med J Nurs. 2017;7(1):46-55. https://doi.org/10.14710/nmjn.v7i1.15127

Van-Otterloo L, Connelly C, Gould J, Abreo A, Elliott M. Mothers at risk: Factors affecting maternal postpartum length of stay. J Perinat Neonatal Nurs. 2018;32(4):303-14. https://doi.org/10.1097/jpn.0000000000000342 PMid:29939881

Gluyas H. Patient-centred care: Improving healthcare outcomes. Nurs Stand. 2015;30(4):50-9. PMid:26394978

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Published

2020-09-15

How to Cite

1.
Abubakar Z, Rivai F, Sapada NA. Effect of Patient Centered Care Application on Inpatient Outcomes in Rskdia Pertiwi and Rsia Ananda (Woman and Child Hospitals). Open Access Maced J Med Sci [Internet]. 2020 Sep. 15 [cited 2024 Nov. 21];8(T2):162-7. Available from: https://oamjms.eu/index.php/mjms/article/view/5217