title: Exploring the experiences of patients attending day hospitals in the rural Scotland: capturing the patient's voice.
abstract: OBJECTIVE
  To understand the meaning of person-centred compassionate care for people attending day hospitals in rural Scotland.
  
  
  BACKGROUND
  Increasing numbers of older people are living with chronic conditions and require support to live at home. Intermediate care services such as day hospitals can enable this. Much previous research about day hospitals focused on organisational aspects of care. This study set out to capture the voice of the patient using this service.
  
  
  METHODS
  A descriptive qualitative study.
  
  
  METHODS
  Individual interviews were undertaken in participant's homes using emotional touchpoints as prompts to help patients discuss their experience of care within a day hospital (n = 15). Data were analysed using thematic analysis.
  
  
  RESULTS
  Four main themes were identified from the data: Relationships, Feeling Valued, Expectations and Perceived Benefits. The findings showed that relationships with staff and other patients were important. The patients also wanted to feel valued, and helping others was part of this. The patients had clear expectations of the service but had an acute awareness of the benefits of attending the day hospital such as coordination of their care. Overall, the patients were highly satisfied, felt that care was person-centred and recognised the advantages of remaining close to home.
  
  
  CONCLUSIONS
  At a time when enabling health and social care integration is a priority, this study provides insight into the patient perspective of intermediate care. The findings reveal what matters to patients cared for in the community and how this service can respond to this.
  
  
  CONCLUSIONS
  This study provides insight for healthcare practitioners caring for patients in the community and those responsible for planning and resourcing this service. It should also start a dialogue about how these services could be used more.
authors.affiliation: School of Health and Social care, Edinburgh Napier University, Sighthill Campus, Edinburgh, UK.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Adamson
authors.affiliation: School of Health & Social care, Sighthill Campus, Edinburgh Napier University, Edinburgh, UK.
authors.forename: Janette
authors.initials: J
authors.lastname: Pow
authors.affiliation: Hawick Health Centre, Hawick, UK.
authors.forename: Fiona
authors.initials: F
authors.lastname: Houston
authors.affiliation: Hawick Health Centre, Hawick, UK.
authors.forename: Pamela
authors.initials: P
authors.lastname: Redpath
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000628:therapy; D003631:Day Care, Medical / Q000523:psychology*; D005260:Female; D006299:Health Services for the Aged / Q000592:standards*; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000379:methods*; D036301:Qualitative Research; D012424:Rural Population; D012606:Scotland
keywords: compassionate care; day hospital; patient experience