Identifying and Prioritizing Recommendations to Optimize Transitions Across the Care Journey for Hip Fractures: Results From a Mixed-methods Concept Mapping Study in Ontario, Canada 1130

Abstract

Objectives

To create a list of actionable and prioritized recommendations to improve care transitions for individuals with hip fracture from the perspectives of persons with lived experience, care partners, health care providers, and decision-makers.

Design

Mixed methods, concept mapping study.

Setting

Ontario, Canada.

Participants

Participants included persons who had experienced a hip fracture, care partners, health care providers, and decision-makers. All participants were required to be ≥18 and speak English. Persons with lived experience were required to have received care for a hip fracture in Ontario; care partners were required to have provided care for an individual who experienced a hip fracture; health care providers and decision-makers were required to have provided care in a paid capacity for individuals with hip fracture or to influence policy or procedures relating to hip fracture. We used a multipronged purposive sampling strategy to recruit participants.

Interventions

Not applicable.

Main Outcome Measures

Perspectives of key stakeholders on what is needed to improve care transitions for hip fracture.

Results

The final cluster map selected by participants was an 8-cluster map, with the following cluster labels: (1) access to inpatient services and supports across the care continuum; (2) informed and collaborative discharge planning; (3) access to transitional and outpatient services; (4) communication, education and knowledge acquisition; (5) support for care partners; (6) person-centered care; (7) physical, social, and cognitive activities and supports; and (8) provider knowledge, skills, roles and behaviors. Provider knowledge, skills, roles and behaviors was rated by participants as the most important cluster.

Conclusions

Our study findings highlight the importance of person-centered care, with active involvement of persons with lived experience and their care partners throughout the care journey. This study provides insights for future interventions and quality improvement initiatives for enhancing transitions in care among hip fracture populations.

Disclosures

none.