Masters Stacey, Giles Lynne, Halbert Julie, Crotty Maria
Department of Rehabilitation and Aged Care, Flinders University, Adelaide, South Australia, Australia.
Australas J Ageing. 2010 Dec;29(4):172-8. doi: 10.1111/j.1741-6612.2010.00443.x.
Transition Care (TC) is a new program for older adults in Australia. At present, program quality is assessed using provider reports of compliance with key requirements established by the Australian Government Department of Health and Ageing. As part of the National Evaluation of the Transition Care Program, the authors developed a questionnaire to measure recipient experience of TC.
Validity and reliability were assessed via interviews with 582 recipients or proxies 3 months after discharge from TC.
Concordance between test-retest observations was high. Principal component analysis suggested three subscales were important: restoration, continuity of care and patient involvement. Recipients of TC in a residential care setting had lower mean scores on the restoration subscale compared to those who received services in the community.
This study found that a standardised measure of recipient experience could inform quality improvement in TC and is feasible to administer via questionnaire.
过渡护理（TC）是澳大利亚针对老年人的一项新项目。目前，项目质量是通过提供者报告其对澳大利亚卫生与老龄部制定的关键要求的遵守情况来评估的。作为过渡护理项目全国评估的一部分，作者编制了一份问卷来衡量接受者对过渡护理的体验。
通过对582名接受者或其代理人在从过渡护理出院3个月后进行访谈，评估效度和信度。
重测观察结果之间的一致性很高。主成分分析表明三个子量表很重要：恢复、护理连续性和患者参与度。与在社区接受服务的人相比，在住院护理机构接受过渡护理的接受者在恢复子量表上的平均得分较低。
本研究发现，接受者体验的标准化测量可为过渡护理的质量改进提供信息，并且通过问卷调查进行管理是可行的。
