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Patients’ perspectives on determinants avoidable hospitalizations

dc.contributor.authorSarmento, João
dc.contributor.authorSiopa, Margarida
dc.contributor.authorFeteira-Santos, Rodrigo
dc.contributor.authorLopes, Sílvia
dc.contributor.authorDias, Sónia
dc.contributor.authorGuerreiro, António Sousa
dc.contributor.authorPanarra, António
dc.contributor.authorNascimento, Paula
dc.contributor.authorRodrigues, Afonso
dc.contributor.authorRodrigues, Ana Catarina
dc.contributor.authorRocha, João Victor
dc.contributor.authorSantana, Rui
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.pblMolecular Diversity Preservation International (MDPI)
dc.date.accessioned2022-05-09T22:37:10Z
dc.date.available2022-05-09T22:37:10Z
dc.date.issued2022-03-01
dc.descriptionFunding Information: We thank Centro Hospitalar de Lisboa Central for helping to conduct the study, and the patients that participated in the study. Publisher Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
dc.description.abstractAmbulatory 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.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent752237
dc.identifier.doi10.3390/ijerph19053138
dc.identifier.issn1661-7827
dc.identifier.otherPURE: 43785807
dc.identifier.otherPURE UUID: 0ff5928e-f916-4bb7-91bf-f132eaf31c6c
dc.identifier.otherScopus: 85125950741
dc.identifier.otherPubMed: 35270833
dc.identifier.otherPubMedCentral: PMC8910657
dc.identifier.otherWOS: 000767966600001
dc.identifier.otherORCID: /0000-0001-5085-0685/work/131110339
dc.identifier.otherORCID: /0000-0002-6048-396X/work/133365281
dc.identifier.urihttp://hdl.handle.net/10362/137674
dc.identifier.urlhttps://www.scopus.com/pages/publications/85125950741
dc.language.isoeng
dc.peerreviewedyes
dc.subjectAmbulatory care sensitive conditions
dc.subjectDeterminants
dc.subjectPatients’ perspective
dc.subjectPollution
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectHealth, Toxicology and Mutagenesis
dc.subjectSDG 3 - Good Health and Well-being
dc.titlePatients’ perspectives on determinants avoidable hospitalizationsen
dc.title.subtitledevelopment and validation of a questionnaireen
dc.typejournal article
degois.publication.issue5
degois.publication.titleInternational Journal of Environmental Research and Public Health
degois.publication.volume19
dspace.entity.typePublication
rcaap.rightsopenAccess

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