ArticleBMC health services research2020
A qualitative study of old patients' experiences of the quality of the health services in hospital and 30 days after hospitalization.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- Experiences with hospital-to-home transitions: perspectives from patients, family members and healthcare professionals. A systematic review and meta-synthesis of qualitative studies.Disability and rehabilitation · 2025Pooled it
- Evaluation of a Novel Quality of Life Scale for Schoolchildren with Nonstrabismic Binocular Vision Anomalies.BioMed research international · 2020Trial
- "I don't know whether I really have choices": a multiperspective and longitudinal exploration of healthcare choices of older adults with multimorbidity.The Gerontologist · 2026Article
- Healthcare access and care experiences among adults aged 80 years and older: a qualitative study.BMC geriatrics · 2026Article
- Older adults' experiences of hospital-to-home transitions in rural Sweden: a qualitative study.BMC geriatrics · 2025Article
- A Multi-Method Study to Develop and Pilot Test an Interprofessional Transitional Care Model for Frail Older Adults - AdvantAGE.Journal of advanced nursing · 2025Article
- Relying on Trust: A Qualitative Study on Home-Dwelling Older Adults' Experiences and Preferences With Multimorbidity Management in Municipal Healthcare Assessments.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Journeying Home: Elderly Patients' Experiences and Needs During Hospital Discharge- A Meta-Synthesis.Scandinavian journal of caring sciences · 2025Review
- Exploring Emotional Safety and Harm Among Hospitalized Patients: A Qualitative Study of Patients' and Providers' Perspectives.Healthcare (Basel, Switzerland) · 2025Article
- Factors Influencing Patient Satisfaction with Healthcare Services in Poland.Medical science monitor : international medical journal of experimental and clinical research · 2025Review
- Existential Reflections Expressed by Patients in Need of Hospital Care: A Qualitative Study.Scandinavian journal of caring sciences · 2025Article
- The Experience of Frail Older Patients in the Boarding Area in the Emergency Department: A Qualitative Systematic Review.Journal of clinical medicine · 2025Review
- Patient Participation for Frail Older Persons and Their Next of Kin in Hospital Care-A Scoping Review.International journal of older people nursing · 2025Article
- Older Adults' Experiences and Expectations of Doctor-Patient Interactions During Early Hospital Care.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Article
- Identification of interventions to improve patient experienced quality of care in transitions between healthcare settings: a scoping review.BMC health services research · 2024Article
- Caregivers' demands: caring atmosphere expected by cancer patients' caregivers-a qualitative content analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Experiences of hospital care for people with multiple long-term conditions: a scoping review of qualitative research.BMC medicine · 2024Article
- The Importance of Being Taken Care of-Patients' Experience with the Quality of Healthcare in a Norwegian Hospital.Nursing reports (Pavia, Italy) · 2023Article
- Being well? A meta-ethnography of older patients and their relatives' descriptions of suffering and well-being in the transition from hospital to home.BMC health services research · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe number of people aged 80 years and above is projected to triple over the next 30 years. People in this age group normally have at least two chronic conditions. The impact of multimorbidity is often significantly greater than expected from the sum of the effects of each condition. The World Health Organization has indicated that healthcare systems must prepare for a change in the focus of clinical care for older people. The World Health Organization (WHO) defines healthcare quality as care that is effective, efficient, integrated, patient centered, equitable and safe. The degree to which healthcare quality can be defined as acceptable is determined by services' ability to meet the needs of users and adapt to patients' expectations and perceptions.
methodWe took a phenomenological perspective to explore older patients' subjective experiences and conducted semistructured individual interviews. Eighteen patients (aged from 82 to 100 years) were interviewed twice after discharge from hospital. The interview transcriptions were analyzed thematically.
resultsThe patients found their meetings with the health service to be complex and demanding. They reported attempting to restore a sense of security and meaning in everyday life, balancing their own needs against external requirements. Five overarching themes emerged from the interviews: hospital stay and the person behind the diagnosis, poor communication and coordination, life after discharge, relationship with their next of kin, and organizational and systemic determinants.
conclusionAccording to the WHO, to deliver quality healthcare, services must include all six of the dimensions listed above. Our findings show that they do not. Healthcare focused on measurable values and biomedical inquiries. Few opportunities for participation, scant information and suboptimal care coordination left the patients with a feeling of being in limbo, where they struggled to find balance in their everyday life. Further work must be done to ensure that integrated services are provided without a financial burden, centered on the needs and rights of older people.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.