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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 2 of 2 Research Studies DisplayedKhandelwal N, Engelberg RA, Hough CL
The patient and family member experience of financial stress related to critical illness.
Financial stress resulting from critical illness is a big problem in this country. This study’s objectives were to: 1) explore common financial concerns, their emotional stress, and potential opportunities for interventions to reduce financial stress in patients and their family; and 2) confirm patient and family members’ willingness to provide information on this topic. This cross-sectional survey study used patients from two prior randomized trials at an urban, level 1 Trauma center. The study surveyed 10 patients and 19 family members who reported financial worries during an intensive care unit (ICU) stay. Of the 70% of both groups who reported financial concerns post-ICU discharge, 30% of patients and 43% of family members who were not asked about their concerns by hospital staff wished they had been asked. Both groups felt it would have been helpful to have information about insurance coverage, interpreting hospital bills, and estimated out-of-pocked costs. Among patients, 47% favorited receiving these services after the ICU stay, while 20% preferred them during their ICU stay. Among family members, 73% preferred receiving them during the ICU stay while 27% preferred them after the patient came home.
AHRQ-funded; HS022982.
Citation: Khandelwal N, Engelberg RA, Hough CL .
The patient and family member experience of financial stress related to critical illness.
J Palliat Med 2020 Jul;23(7):972-76. doi: 10.1089/jpm.2019.0369..
Keywords: Patient Experience, Healthcare Costs, Critical Care
Law AC, Roche S, Reichheld A
Failures in the respectful care of critically ill patients.
The emotional toll of critical illness on patients and their families can be profound and is emerging as an important target for value improvement. One source of emotional harm to patients and families may be care perceived as inadequately respectful. The prevalence and risk factors for types of emotional harms is under-studied. This prospective cohort study was conducted in nine ICUs at a tertiary care academic medical center in the United States.
AHRQ-funded; HS024288.
Citation: Law AC, Roche S, Reichheld A .
Failures in the respectful care of critically ill patients.
Jt Comm J Qual Patient Saf 2019 Apr;45(4):276-84. doi: 10.1016/j.jcjq.2018.05.008..
Keywords: Critical Care, Intensive Care Unit (ICU), Patient Experience, Clinician-Patient Communication, Communication