title: Measuring Patients' Experience of Rehabilitation Services Across the Care Continuum. Part II: Key Dimensions.
abstract: OBJECTIVE
  To identify key dimensions of patients' experience across the rehabilitative care system and to recommend a framework to develop survey items that measure the rehabilitative care experience.
  
  
  METHODS
  Data were sourced from a literature review that searched MEDLINE (PubMed), CINAHL (Ebsco), and PsycINFO (APA PsycNET) databases from 2004 to 2014, the reference lists of the final accepted articles, and hand searches of relevant journals.
  
  
  METHODS
  Four reviewers performed the screening process on 2472 articles; 33 were included for analysis. Interrater reliability was confirmed through 2 rounds of title review and 1 round of abstract review, with an average κ score of .69.
  
  
  METHODS
  The final sample of 33 accepted articles was imported into a qualitative data analysis software application. Multiple levels of coding and a constant comparative methodology generated 6 themes. There were 502 discreet survey questions measuring patient experience that were categorized using the following dimensions: rehabilitative care ecosystem, client and informal caregiver engagement, patient and health care provider relation, pain and functional status, group and individual identity, and open ended.
  
  
  RESULTS
  The most common survey questions examine the care delivery ecosystem (37%), the engagement of clients and their informal caregivers (24.9%), and the quality of relations between providers and patients (21.7%). Examination of patient's functional status and management of pain yielded (15.3%) of the instruments' questions.
  
  
  CONCLUSIONS
  Currently available instruments and questions that measure patients' experience in rehabilitative care are unable to assess the performance of rehabilitative delivery systems that aspire to integrate care across the continuum. However, question panels derived from our 6 key themes may measure the key concepts that define rehabilitative care and facilitate measurement of patient experience at the system level.
authors: Lazaridis School of Business and Economics/Health Studies, Wilfrid Laurier University, Brantford, ON, Canada. Electronic address: jmcmurray@wlu.ca.
authors: Josephine
authors: J
authors: McMurray
authors: School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada.
authors: Heather
authors: H
authors: McNeil
authors: School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada.
authors: Claire
authors: C
authors: Lafortune
authors: School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada.
authors: Samantha
authors: S
authors: Black
authors: School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada.
authors: Jeanette
authors: J
authors: Prorok
authors: School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada.
authors: Paul
authors: P
authors: Stolee
mesh_terms: D003695:Delivery of Health Care / Q000592:standards; D006801:Humans; D059408:Pain Management; D063868:Patient Outcome Assessment; D011368:Professional-Family Relations; D011369:Professional-Patient Relations; D020127:Recovery of Function; D012046:Rehabilitation / Q000592:standards*; D011795:Surveys and Questionnaires
keywords: Data collection; Quality improvement; Quality indicators, health care; Questionnaires; Rehabilitation; Review [publication type]