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Patient-centered Processes of Care and Long-term Outcomes of Myocardial Infarction - American Board of Medical Specialties

The aim of this study was to determine whether patient experiences with nontechnical aspects of care, i.e., patient education and discharge planning, were associated with long term outcomes. Acute myocardial infarction patients hospitalized in 23 New Hampshire hospitals received a survey at 1, 3, and 12 months post discharge, which aimed to assess the experience of care; other clinical measures were obtained from discharge abstracts. There was no data available on non-respondents, or patients that died during 12 months after their hospitalization, and the study sample was concentrated in a few hospitals of a single state. Yet, study findings revealed that negative hospital experiences were associated with worse long term outcomes, specifically, worse health status and more symptoms. The authors conclude that patient experiences of care and patient reported measures provide important information about clinical quality of care, and serve as more than just an indicator of patient satisfaction.

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