Patient and healthcare provider knowledge, attitudes and barriers to handover and healthcare communication during chronic disease inpatient care in India: a qualitative exploratory study.
Adult
Chronic Disease
/ therapy
Communication
Continuity of Patient Care
/ trends
Female
Health Knowledge, Attitudes, Practice
Health Personnel
/ education
Humans
India
Inpatients
/ psychology
Interprofessional Relations
Interviews as Topic
Male
Middle Aged
Patient Handoff
/ trends
Qualitative Research
international health services
public health
qualitative research
quality in health care
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
11 11 2019
11 11 2019
Historique:
entrez:
14
11
2019
pubmed:
14
11
2019
medline:
31
10
2020
Statut:
epublish
Résumé
1) To investigate patient and healthcare provider (HCP) knowledge, attitudes and barriers to handover and healthcare communication during inpatient care. 2) To explore potential interventions for improving the storage and transfer of healthcare information. Qualitative study comprising 41 semi-structured, individual interviews and a thematic analysis using the Framework Method with analyst triangulation. Three public hospitals in Himachal Pradesh and Kerala, India. Participants included 20 male (n=10) and female (n=10) patients with chronic non-communicable disease (NCD) and 21 male (n=15) and female (n=6) HCPs. Purposive sampling was used to identify patients with chronic NCDs (cardiovascular disease, chronic respiratory disease, diabetes or hypertension) and HCPs. Patient themes were (1) Handover and healthcare communication during chronic NCD inpatient care is currently suboptimal. Structured information exchange systems and HCP training are required to improve continuity and safety of care during critical transitions such as referral and discharge. Our findings suggest that patient-held booklets may also assist in enhancing handover and patient-centred practices.
Identifiants
pubmed: 31719070
pii: bmjopen-2018-028199
doi: 10.1136/bmjopen-2018-028199
pmc: PMC6858202
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e028199Subventions
Organisme : Medical Research Council
ID : MR/M00287X/1
Pays : United Kingdom
Organisme : Wellcome Trust
Pays : United Kingdom
Informations de copyright
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Ann Intern Med. 2012 Sep 18;157(6):417-28
pubmed: 22986379
Eur J Public Health. 2016 Feb;26(1):60-4
pubmed: 26136462
J R Soc Med. 2003 May;96(5):219-22
pubmed: 12724430
Int J Emerg Med. 2008 Dec;1(4):321-5
pubmed: 19384649
J Gen Intern Med. 2003 Aug;18(8):646-51
pubmed: 12911647
Global Health. 2014 Dec 11;10:81
pubmed: 25498459
BMJ. 1992 Nov 14;305(6863):1181-4
pubmed: 1467719
BMJ Qual Saf. 2019 Sep;28(9):729-740
pubmed: 31028098
BMC Med Res Methodol. 2013 Sep 18;13:117
pubmed: 24047204
PLoS One. 2018 Sep 27;13(9):e0204607
pubmed: 30261044
Glob Pediatr Health. 2016 May 18;3:2333794X16649884
pubmed: 27336022
J Eval Clin Pract. 2013 Feb;19(1):76-9
pubmed: 21999337
Nig Q J Hosp Med. 2013 Oct-Dec;23(4):273-9
pubmed: 27276755
Glob Health Action. 2013 May 06;6:1-12
pubmed: 23651873
S Afr Med J. 2019 Feb 26;109(3):164-168
pubmed: 30834872
Online J Public Health Inform. 2011;3(2):null
pubmed: 23569604
J Family Med Prim Care. 2013 Apr;2(2):145-8
pubmed: 24479068
Bull World Health Organ. 2012 May 1;90(5):365-72
pubmed: 22589570
PLoS One. 2018 Dec 5;13(12):e0207511
pubmed: 30517130
Asian J Neurosurg. 2016 Jan-Mar;11(1):54-9
pubmed: 26889281
BMJ. 2017 Oct 9;359:j4328
pubmed: 28993308
J Clin Nurs. 2014 Jul;23(13-14):1927-36
pubmed: 24164249
Indian J Med Ethics. 2012 Oct-Dec;9(4):277-81
pubmed: 23099605
BMJ. 2006 Feb 4;332(7536):269-70
pubmed: 16455721
Can J Diabetes. 2015 Dec;39(6):457-66
pubmed: 26454683
Ann Intern Med. 2003 Feb 4;138(3):161-7
pubmed: 12558354
Bull World Health Organ. 1993;71(5):535-48
pubmed: 8261557
Patient Educ Couns. 2018 Jul;101(7):1193-1206
pubmed: 29422231
Fam Pract. 1996 Dec;13(6):522-5
pubmed: 9023528
Cad Saude Publica. 2017 Mar 30;33(2):e00043016
pubmed: 28380122
J Gen Intern Med. 2002 Mar;17(3):186-92
pubmed: 11929504
Indian J Med Sci. 2004 Jun;58(6):233-8
pubmed: 15226574
Int J Surg. 2015 Mar;15:74-8
pubmed: 25659222