Satisfaction with medical rehabilitation in patients with orthopedic impairment.
OBJECTIVE
To examine patient satisfaction after orthopedic impairment at 80 to 180 days after inpatient rehabilitation.


METHODS
Retrospective design examining records from facilities subscribing to the Uniform Data System for Medical Rehabilitation (UDSmr).


METHODS
Information submitted to UDSmr from 1997 to 1998 by 177 hospital and rehabilitation facilities from 40 states.


METHODS
The sample (N=7781) was 72.63% female and 88.60% non-Hispanic white, with a mean age +/- standard deviation of 73.07+/-11.81 years, and average length of stay (LOS) of 13.84+/-10.48 days.


METHODS
Usual rehabilitation care. Main outcome measures Level of satisfaction 80 to 180 days after discharge as well as motor, cognitive, and subscale ratings for the FIM trade mark instrument. Predictor variables included gender, age, English language, marital status, discharge setting, LOS, rehospitalization, FIM gain, and primary payer.


RESULTS
A logistic regression model was used to predict patient satisfaction at follow-up. Five statistically significant (P<.05) variables were found and correctly classified 94.9% of the patients. Discharge motor FIM rating, rehospitalization, age, patient's primary language, and discharge setting were associated with increased satisfaction. Discharge motor FIM ratings were significantly associated with increased satisfaction in patients with joint replacements and lower-extremity fractures.


CONCLUSIONS
unctional and demographic variables were identified as predictors of satisfaction in patients with orthopedic impairments.
D000368:Aged; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D007902:Length of Stay / Q000706:statistics & numerical data; D016015:Logistic Models; D008297:Male; D009140:Musculoskeletal Diseases / Q000534:rehabilitation*; D017060:Patient Satisfaction; D012047:Rehabilitation Centers; D012189:Retrospective Studies