{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T16:43:17Z","timestamp":1792341797842,"version":"4.4.0"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patient satisfaction complements clinical outcomes, but few studies compare, within the same patient, a previous non-palliative admission with a subsequent admission to an acute palliative care unit (APCU).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Single-centre, observational, mixed-methods, within-subject study with prospective enrolment. All patients admitted to a hospital-based APCU were screened; eligible patients had a previous admission elsewhere within the preceding month. The primary outcome was overall satisfaction; other outcomes were exploratory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 374 consecutive admissions (316 patients) screened, 38 patients completed data collection. Length of stay did not differ significantly (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.736). Overall satisfaction was higher for the APCU admission (median 4 [IQR 4-5] vs 4 [2.25-4];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0005, Holm-adjusted\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.005). In exploratory, unadjusted analyses, participants also reported greater ability to share personal worries (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.021) and clearer answers (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.013). The same proportion of participants reported at least one unsatisfactory aspect (57.9% for both admissions), but its content shifted from relational\/environmental to mainly organisational issues \u2014 timeliness of nursing assistance and food \u2014 while staff courtesy was mentioned more often for the APCU (11 vs 2 patients).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Participants reported more favourable experiences on selected measures, most consistently overall satisfaction, during their APCU admission than during their most recent non-palliative admission. Residual concerns related mainly to timeliness of assistance and food, which overlap with relational aspects of care. The reasons for these differences require further investigation in larger, multi-centre studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091261500128","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T20:28:10Z","timestamp":1792182490000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceived Quality of Care: A Comparison Between a Previous Non-Palliative Hospital Admission and Admission to an Acute Palliative Care Unit. A Mixed-Methods Observational Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9859-6487","authenticated-orcid":false,"given":"Sebastiano","family":"Mercadante","sequence":"first","affiliation":[{"name":"La Maddalena Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrizia","family":"Ferrera","sequence":"additional","affiliation":[{"name":"La Maddalena Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Settepani","sequence":"additional","affiliation":[{"name":"La Maddalena Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessio","family":"Lo Cascio","sequence":"additional","affiliation":[{"name":"La Maddalena Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,16]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2004.11.003"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2009.0166"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/spcare-2022-004088"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2011.87"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1000678"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.3310\/hsdr09120"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0959-8049(99)00212-9"},{"issue":"2","key":"e_1_3_6_9_2","first-page":"61","article-title":"An evaluation of palliative care service effect in patients with cancer diagnosis: comparison in terms of the symptom level and care satisfaction","volume":"32","author":"Sayg\u0131l\u0131 M","year":"2020","unstructured":"Sayg\u0131l\u0131 M, \u00c7elik Y. An evaluation of palliative care service effect in patients with cancer diagnosis: comparison in terms of the symptom level and care satisfaction. Agri. 2020;32(2):61-71.","journal-title":"Agri"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2007.09.008"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216311417919"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17113853"},{"key":"e_1_3_6_13_2","first-page":"191","volume-title":"Evaluation of Chemotherapeutic Agents","author":"Karnofsky DA","year":"1949","unstructured":"Karnofsky DA, Burchenal JH. The clinical evaluation of chemotherapeutic agents in cancer. In: MacLeod CM, ed. Evaluation of Chemotherapeutic Agents. New York: Columbia University Press; 1949:191-205."},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0885-3924(96)00316-8"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.16.1987"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/2374373520951670"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(99)00045-3"}],"container-title":["American Journal of Hospice and Palliative Medicine\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091261500128","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10499091261500128","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091261500128","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T16:22:23Z","timestamp":1792340543000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10499091261500128"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,16]]},"references-count":16,"alternative-id":["10.1177\/10499091261500128"],"URL":"https:\/\/doi.org\/10.1177\/10499091261500128","relation":{},"ISSN":["1049-9091","1938-2715"],"issn-type":[{"value":"1049-9091","type":"print"},{"value":"1938-2715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,16]]},"article-number":"10499091261500128"}}