What Patients Want: A Qualitative Study of Patients' Perspectives on Optimizing the Hospital Discharge Process.

The Canadian journal of hospital pharmacy Pub Date : 2024-05-08 eCollection Date: 2024-01-01 DOI:10.4212/cjhp.3545
Shun Angel Luo, Karen Dahri, Jacqueline Kwok, Colleen Inglis, Jenny Hong, Michael Legal
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Abstract

Background: Poor discharge planning can lead to increases in adverse drug events, hospital readmissions, and costs. Prior research has identified the pharmacist as an integral part of the discharge process.

Objectives: To gain patients' perspectives on the discharge process and what they would like pharmacists to do to ensure a successful discharge.

Methods: Twenty patients discharged from tertiary care hospitals were interviewed after discharge. A phenomenological approach was used to conduct this qualitative study.

Results: Five main themes were identified from the patient interviews: interactions with health care professionals, importance of discharge documentation, importance of seamless care, comprehensive and patient-specific medication counselling, and patients' preference for involvement and communication at all stages of hospital stay.

Conclusions: Although participants generally reported positive interactions with health care providers at discharge, several areas for improvement were identified, particularly in terms of communication, discharge documentation, and continuity of care. A list of recommendations aligning with patient preferences is provided for clinicians.

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病人想要什么?病人对优化出院流程看法的定性研究》。
背景:出院计划不周会导致不良药物事件、再次入院和费用的增加。先前的研究已确定药剂师是出院过程中不可或缺的一部分:目的:了解患者对出院流程的看法,以及他们希望药剂师做些什么来确保患者顺利出院:对 20 名从三级医院出院的患者进行了出院后访谈。研究采用现象学方法进行定性研究:从患者访谈中发现了五大主题:与医护人员的互动、出院文件的重要性、无缝护理的重要性、全面和针对患者的用药咨询以及患者希望在住院的各个阶段都能参与其中并进行沟通:尽管参与者普遍反映在出院时与医护人员进行了积极的互动,但也发现了一些需要改进的地方,尤其是在沟通、出院文件记录和持续护理方面。我们为临床医生提供了一份符合患者偏好的建议清单。
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