An alternate level of care plan: Co-designing components of an intervention with patients, caregivers and providers to address delayed hospital discharge challenges.
Canada
co-design
delayed hospital discharge
patient engagement
qualitative
transitions in care
Journal
Health expectations : an international journal of public participation in health care and health policy
ISSN: 1369-7625
Titre abrégé: Health Expect
Pays: England
ID NLM: 9815926
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
16
03
2020
revised:
13
05
2020
accepted:
07
06
2020
pubmed:
1
7
2020
medline:
19
8
2021
entrez:
1
7
2020
Statut:
ppublish
Résumé
To engage with patients, caregivers and care providers to co-design components of an intervention that aims to improve delayed hospital discharge experiences. This is a qualitative study, which entailed working groups and co-design sessions utilizing World Café and deliberative dialogue techniques to continually refine the intervention. Our team engaged with 61 participants (patients, caregivers and care providers) in urban and rural communities across Ontario, Canada. A 7-member Patient and Caregiver Advisory Council participated in all stages of the research. Key challenges experienced during a delayed discharge by patients, caregivers and care providers were poor communication and a lack of care services. Participants recommended a communication guide to support on-going conversation between care providers, patients and caregivers. The guide included key topics to cover and questions to ask during initial and on-going conversations to manage expectations and better understand the priorities and goals of patients and caregivers. Service recommendations included getting out of bed and dressed each day, addressing the psycho-social needs of patients through tailored activities and having a storyboard at the bedside to facilitate on-going engagement. Our findings outline ways to meaningfully engage patients and caregivers during a delayed hospital discharge. Combining this with a minimal basket of services can potentially facilitate a better care experience and outcomes for patients, their care providers and families.
Identifiants
pubmed: 32602628
doi: 10.1111/hex.13094
pmc: PMC7696114
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1155-1165Subventions
Organisme : Canadian Institutes of Health Research:
ID : 157054
Organisme : Ontario Strategy for Patient Oriented Research (SPOR) SUPPORT Unit EMPOWER Award
Organisme : Sinai Health System
Organisme : Toronto-Central Local Health Integration Network
Informations de copyright
© 2020 The Authors Health Expectations published by John Wiley & Sons Ltd.
Références
Soc Sci Med. 2012 Dec;75(11):1938-45
pubmed: 22938912
Int J Geriatr Psychiatry. 2014 Feb;29(2):160-8
pubmed: 23661304
Aust Health Rev. 2017 Mar;41(1):54-62
pubmed: 27028335
Healthc Manage Forum. 2002 Winter;Suppl:15-20
pubmed: 12632677
J Hosp Med. 2015 Dec;10(12):804-7
pubmed: 26406116
BMC Health Serv Res. 2011 Oct 31;11:291
pubmed: 22040281
J Trauma Acute Care Surg. 2014 Jan;76(1):191-5
pubmed: 24368378
J Eval Clin Pract. 2018 Dec;24(6):1279-1281
pubmed: 28205360
Healthc Q. 2017;20(2):44-47
pubmed: 28837014
Health Expect. 2019 Oct;22(5):863-873
pubmed: 31099969
BMC Palliat Care. 2017 Jul 3;17(1):2
pubmed: 28673300
Can Fam Physician. 2009 Aug;55(8):786
pubmed: 19675260
Healthc Q. 2016;19(1):42-8
pubmed: 27133607
Can J Nurs Res. 2013 Dec;45(4):12-29
pubmed: 24617277
J Health Serv Res Policy. 2006 Jan;11(1):52-8
pubmed: 16378533
Healthc Policy. 2013 Aug;9(1):26-34
pubmed: 23968671
Healthc Manage Forum. 2018 Jul;31(4):121-125
pubmed: 29390888
Ann Acad Med Singap. 2010 Jun;39(6):435-41
pubmed: 20625618
Psychol Health. 2020 Jan;35(1):36-69
pubmed: 31321995
J Clin Nurs. 2016 Nov;25(21-22):3102-3112
pubmed: 27477624
BMC Health Serv Res. 2017 May 2;17(1):318
pubmed: 28464878
Geriatr Gerontol Int. 2016 Mar;16(3):314-21
pubmed: 25752922
Int J Qual Health Care. 2017 Oct 1;29(6):752-768
pubmed: 29025093
Health Expect. 2020 Oct;23(5):1155-1165
pubmed: 32602628
J Gen Intern Med. 2012 Oct;27(10):1361-7
pubmed: 22618581
Care Manag J. 2015;16(3):159-69
pubmed: 26363159
Health Expect. 2018 Feb;21(1):41-56
pubmed: 28898930
J Hosp Med. 2015 Sep;10(9):623-6
pubmed: 26126812
BMC Geriatr. 2018 Jan 25;18(1):23
pubmed: 29370769
Health Res Policy Syst. 2016 Apr 21;14:31
pubmed: 27098267
BMJ Open. 2018 Aug 5;8(8):e022285
pubmed: 30082361
Int J Integr Care. 2019 Jul 23;19(3):4
pubmed: 31367203
Patient Educ Couns. 2019 Oct;102(10):1774-1785
pubmed: 31351787
Patient Educ Couns. 2018 Jul;101(7):1302-1305
pubmed: 29602511
Health Serv Manage Res. 2005 Nov;18(4):244-57
pubmed: 16259672
Can J Psychiatry. 2015 Apr;60(4):181-8
pubmed: 26174218
BMC Health Serv Res. 2019 Dec 4;19(1):935
pubmed: 31801590
Aust Health Rev. 2013 Feb;37(1):66-9
pubmed: 23199628
Rev Saude Publica. 2014 Apr;48(2):314-21
pubmed: 24897053
BMJ Open. 2013 Jan 03;3(1):
pubmed: 23293244
J Health Serv Res Policy. 2019 Jan;24(1):29-36
pubmed: 30103632
J Multidiscip Healthc. 2013 Dec 02;6:423-34
pubmed: 24324337
Implement Sci. 2018 Jul 26;13(1):98
pubmed: 30045735
Can Geriatr J. 2014 Sep 05;17(3):88-94
pubmed: 25232367
Patient Prefer Adherence. 2019 Apr 26;13:617-626
pubmed: 31114175
Educ Prim Care. 2011 Sep;22(5):337-8
pubmed: 22005493
BMC Health Serv Res. 2012 Nov 20;12:410
pubmed: 23167656