Patients’ Perspectives on Determinants Avoidable Hospitalizations: Development and Validation of a Questionnaire

João Sarmento, Margarida Siopa, Rodrigo Feteira-Santos, Sílvia Lopes, Sónia Dias, António Sousa Guerreiro, António Panarra, Paula Nascimento, Afonso Rodrigues, Ana Catarina Rodrigues, João Victor Rocha and Rui Santana
Additional contact information
João Sarmento: Public Health Research Center, NOVA National School of Public Health, Universidade NOVA de Lisboa, 1600-560 Lisboa, Portugal
Margarida Siopa: NOVA National School of Public Health, Universidade NOVA de Lisboa, 1600-560 Lisboa, Portugal
Rodrigo Feteira-Santos: Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal
Sílvia Lopes: Public Health Research Center, NOVA National School of Public Health, Universidade NOVA de Lisboa, 1600-560 Lisboa, Portugal
Sónia Dias: Public Health Research Center, NOVA National School of Public Health, Universidade NOVA de Lisboa, 1600-560 Lisboa, Portugal
António Sousa Guerreiro: Serviço de Medicina 4, Hospital de Santa Marta, Centro Hospitalar Universitário Lisboa Central, 1649-028 Lisboa, Portugal
António Panarra: Serviço de Medicina 7.2, Hospital Curry Cabral, Centro Hospitalar Universitário Lisboa Central, 1050-099 Lisboa, Portugal
Paula Nascimento: Serviço de Medicina 4, Hospital de Santa Marta, Centro Hospitalar Universitário Lisboa Central, 1649-028 Lisboa, Portugal
Afonso Rodrigues: Serviço de Medicina 4, Hospital de Santa Marta, Centro Hospitalar Universitário Lisboa Central, 1649-028 Lisboa, Portugal
Ana Catarina Rodrigues: Serviço de Medicina 7.2, Hospital Curry Cabral, Centro Hospitalar Universitário Lisboa Central, 1050-099 Lisboa, Portugal
João Victor Rocha: Public Health Research Center, NOVA National School of Public Health, Universidade NOVA de Lisboa, 1600-560 Lisboa, Portugal
Rui Santana: Public Health Research Center, NOVA National School of Public Health, Universidade NOVA de Lisboa, 1600-560 Lisboa, Portugal

IJERPH, 2022, vol. 19, issue 5, 1-14

Abstract: Ambulatory care sensitive conditions (ACSC) can be avoided through effective care in the ambulatory setting. Patients are the most qualified individuals to express the social and individual contexts of their own experience. Thus, understanding why potentially preventable hospitalizations occur is important to develop patient-centred policies or interventions that may reduce them. This study aims to develop and validate a questionnaire to capture the patients’ perspective on the causes of the hospitalizations for ACSC. The development of a new questionnaire involved four phases: a literature review, face validity, pre-test, and validation. We conducted a three-step face validity verification to confirm the relevance of the identified determinants and to collect determinants not previously identified by interviewing healthcare providers, representatives of patients’ associations, and patients. Determinants were identified through the literature review predominantly in the “Healthcare Access”, “Disease self-management”, and “Social Support” domains. The validated resulting questionnaire comprises 25 questions, distributed by two dimensions (individual/contextual) covering seven domains and 20 determinants of ACSC hospitalization. Currently, there are no validated instruments as comprehensive and easy to use as the one described in this paper. This questionnaire should provide a base for further language/context validations.

Keywords: ambulatory care sensitive conditions; patients’ perspective; determinants (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/5/3138/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/5/3138/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:5:p:3138-:d:765934

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().