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Care Transitions: Using Narratives to Assess Continuity of Care Provided to Older Patients after Hospital Discharge

BACKGROUND: A common scenario that may pose challenges to primary care providers is when an older patient has been discharged from hospital. The aim of this pilot project is to examine the experiences of patients’ admission to hospital through to discharge back home, using analysis of patient narrat...

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Detalles Bibliográficos
Autores principales: Wong, Carolyn, Hogan, David B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Canadian Geriatrics Society 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5038931/
https://www.ncbi.nlm.nih.gov/pubmed/27729948
http://dx.doi.org/10.5770/cgj.19.229
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author Wong, Carolyn
Hogan, David B.
author_facet Wong, Carolyn
Hogan, David B.
author_sort Wong, Carolyn
collection PubMed
description BACKGROUND: A common scenario that may pose challenges to primary care providers is when an older patient has been discharged from hospital. The aim of this pilot project is to examine the experiences of patients’ admission to hospital through to discharge back home, using analysis of patient narratives to inform the strengths and weaknesses of the process. METHODS: For this qualitative study, we interviewed eight subjects from the Sheldon M. Chumir Central Teaching Clinic (CTC). Interviews were analyzed for recurring themes and phenomena. Two physicians and two resident learners employed at the CTC were recruited as a focus group to review the narrative transcripts. RESULTS: Narratives generally demonstrated moderate satisfaction among interviewees with respect to their hospitalization and follow-up care in the community. However, the residual effects of their hospitalization surprised five patients, and five were uncertain about their post-discharge management plan. CONCLUSION: Both secondary and primary care providers can improve on communicating the likely course of recovery and follow-up plans to patients at the time of hospital discharge. Our findings add to the growing body of research advocating for the implementation of quality improvement measures to standardize the discharge process.
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spelling pubmed-50389312016-10-11 Care Transitions: Using Narratives to Assess Continuity of Care Provided to Older Patients after Hospital Discharge Wong, Carolyn Hogan, David B. Can Geriatr J Original Research BACKGROUND: A common scenario that may pose challenges to primary care providers is when an older patient has been discharged from hospital. The aim of this pilot project is to examine the experiences of patients’ admission to hospital through to discharge back home, using analysis of patient narratives to inform the strengths and weaknesses of the process. METHODS: For this qualitative study, we interviewed eight subjects from the Sheldon M. Chumir Central Teaching Clinic (CTC). Interviews were analyzed for recurring themes and phenomena. Two physicians and two resident learners employed at the CTC were recruited as a focus group to review the narrative transcripts. RESULTS: Narratives generally demonstrated moderate satisfaction among interviewees with respect to their hospitalization and follow-up care in the community. However, the residual effects of their hospitalization surprised five patients, and five were uncertain about their post-discharge management plan. CONCLUSION: Both secondary and primary care providers can improve on communicating the likely course of recovery and follow-up plans to patients at the time of hospital discharge. Our findings add to the growing body of research advocating for the implementation of quality improvement measures to standardize the discharge process. Canadian Geriatrics Society 2016-09-30 /pmc/articles/PMC5038931/ /pubmed/27729948 http://dx.doi.org/10.5770/cgj.19.229 Text en © 2016 Author(s). Published by the Canadian Geriatrics Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No-Derivative license (http://creativecommons.org/licenses/by-nc-nd/2.5/ca/), which permits unrestricted non-commercial use and distribution, provided the original work is properly cited.
spellingShingle Original Research
Wong, Carolyn
Hogan, David B.
Care Transitions: Using Narratives to Assess Continuity of Care Provided to Older Patients after Hospital Discharge
title Care Transitions: Using Narratives to Assess Continuity of Care Provided to Older Patients after Hospital Discharge
title_full Care Transitions: Using Narratives to Assess Continuity of Care Provided to Older Patients after Hospital Discharge
title_fullStr Care Transitions: Using Narratives to Assess Continuity of Care Provided to Older Patients after Hospital Discharge
title_full_unstemmed Care Transitions: Using Narratives to Assess Continuity of Care Provided to Older Patients after Hospital Discharge
title_short Care Transitions: Using Narratives to Assess Continuity of Care Provided to Older Patients after Hospital Discharge
title_sort care transitions: using narratives to assess continuity of care provided to older patients after hospital discharge
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5038931/
https://www.ncbi.nlm.nih.gov/pubmed/27729948
http://dx.doi.org/10.5770/cgj.19.229
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