Evidence map›Paper›PMID 41761096›Full record

ArticleBMC geriatrics2026

Positive and negative experiences and emotions of older patients before, during and after hospital admission: patient journey mapping.

Britt Wagenaar, Hanneke Merten, Cordula Wagner

Abstract read
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Britt WagenaarDepartment of Public and Occupational Health, Amsterdam UMC Location Vrije Universiteit Amsterdam, P/O box 7057, Van Der Boechorststraat 7, Amsterdam, 1081 BT, The Netherlands. b.a.wagenaar@amsterdamumc.nl.
Hanneke MertenDepartment of Public and Occupational Health, Amsterdam UMC Location Vrije Universiteit Amsterdam, P/O box 7057, Van Der Boechorststraat 7, Amsterdam, 1081 BT, The Netherlands.
Cordula WagnerDepartment of Public and Occupational Health, Amsterdam UMC Location Vrije Universiteit Amsterdam, P/O box 7057, Van Der Boechorststraat 7, Amsterdam, 1081 BT, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aging population presents a growing challenge for healthcare systems, with older adults, particularly those aged 70 and older, accounting for a significant proportion of hospital admissions due to chronic conditions and multimorbidity. Older patients often require coordinated care across multiple providers, making their healthcare trajectories complex and critical. Enhancing patient-centered care (PCC) is essential for improving outcomes and aligning healthcare with patients' needs and preferences. Therefore, our study aims to explore older patient’s needs, wishes, and experiences by applying a patient journey mapping approach for older patients to enhance PCC.

methodsThis qualitative study employed a patient journey mapping approach to explore patients' experiences, needs, and wishes before, during, and after hospital admission. Semi-structured interviews and post-discharge follow-ups were conducted with patients aged ≥ 70 from multiple Dutch hospital departments from April to December 2024. Interview notes were summarized, compiled and organized using a patient journey map template. Data were analysed inductively through thematic content analysis, supported by MAXQDA V9 for open coding, to identify care phases, stakeholders, experiences, emotions, and needs. Patient Journey Maps (PJMs) were iteratively refined with the research team. COREQ guidelines were followed for reporting.

resultsA total of 132 patients (48% female, 52% male) participated, with a mean age of 79 years. Participants were recruited from six hospitals, with most (68%) undergoing an acute non-surgical care journey. Follow-up was completed by 59%. PJMs, categorized into four quadrants (acute surgical (14%), acute non-surgical (68%), non-acute surgical (12%), non-acute non-surgical (6%)), offered a comprehensive view of variable patient experiences, interactions, emotions and (unmet) needs.

conclusionPatient journey mapping captured a diversity of experiences of a large cohort of older adults (≥ 70 years) before, during and after hospitalization, revealing critical areas for improvement. Key opportunities for improvement included expectation management, compassionate care, clear information handover, and coordinated general practitioner follow-up. These findings offer insights to improve patient experiences and support more person-centered care for an aging population.

Indexed as

EmotionsHospitalizationPatient AdmissionAgedAged, 80 and overFemaleHumansMalePatient-Centered CarePatient SatisfactionQualitative ResearchAgingCare transitionsGeriatricsPatient-centered carePatient experiencePatient perspectiveQualitative researchQuality of care

Identifiers

PMID41761096
PMCPMC13040704

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LicenceCC BY-NC-ND
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Registered trials

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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.