Further, joint feedback sessions should be led with care to ensure discussions do not become an outlet for blame rather than learning.
Although this may lead to problems with care coordination, it is not necessarily a sign of inadequate clinical care.
Explorations of patient satisfaction with medical visits show that unmet expectations, especially for counseling, lead to dissatisfaction with care [ 20].
This requires healthcare professionals understanding peoples' health beliefs and preferences, and appreciating that interventions that conflict with these beliefs and preferences may lead to dissatisfaction with care and non-adherence [ 9].
Therefore the result that almost all felt the choice of discharge time to be their own was not surprising but never the less gratifying since it has been shown that being sent home involuntarily can lead to dissatisfaction with care [ 29].
This sometimes leads to complications with care as some health facilities cannot cope effectively with the number of patients coming through.
Further analyses are currently ongoing to determine the responsiveness of this questionnaire to changes over time, and to evaluate whether improvements in patients' quality of life could lead to improved satisfaction with care.
While with CARE, Ed led efforts to professionalize CARE's Human Resources, was instrumental in transforming CARE into an international organization, and increased corporate donorship by effectively communicating CARE's mission directly to executives.
Frequent changing of bed sheets led to enhanced satisfaction with care in Gambia [ 22].
In contrast, participants receiving usual care often lacked insight into their condition, which ameliorated both the understanding and confidence required to effectively self-manage, and led to many disengaging with care providers on all but a superficial level.
