2026-04-13T01:25:11Zhttps://recercat.cat/oai/request

oai:recercat.cat:2072/4634802024-11-04T04:24:17Zcom_2072_98col_2072_378192

00925njm 22002777a 4500 dc Hesselink, Gijs author Flink, Maria author Olsson, Mariann author Barach, Paul author Dudzik-Urbaniak, Ewa author Orrego, Carola author Toccafondi, Giulio author Kalkman, Cor author Johnson, Julie K. author Schoonhoven, Lisette author Vernooij-Dassen, Myrra author Wollersheim, Hub author 2012 Background: Advocates for quality and safety have called for healthcare that is patient-centred and decision-making that involves patients. Objective: The aim of the paper is to explore the barriers and facilitators to patient-centred care in the hospital discharge process. Methods: A qualitative study using purposive sampling of 192 individual interviews and 26 focus group interviews was conducted in five European Union countries with patients and/or family members, hospital physicians and nurses, and community general practitioners and nurses. A modified Grounded Theory approach was used to analyse the data. Results: The barriers and facilitators were classified into 15 categories from which four themes emerged: (1) healthcare providers do not sufficiently prioritise discharge consultations with patients and family members due to time restraints and competing care obligations; (2) discharge communication varied from instructing patients and family members to shared decision-making; (3) patients often feel unprepared for discharge, and postdischarge care is not tailored to individual patient needs and preferences; and (4) pressure on available hospital beds and community resources affect the discharge process. Conclusions: Our findings suggest that involvement of patients and families in the preparations for discharge is determined by the extent towhich care providers arewilling and able to accommodate patients' and families' capabilities, needs and preferences. Future interventions should be directed at healthcare providers' attitudes and their organisation's leadership, with afocus on improving communication among care providers, patients and families, and between hospital and community care providers. http://hdl.handle.net/2072/463480 Adult Chronic Disease Cross-Cultural Comparison Decision Making Efficiency, Organizational European Union Family Focus Groups Health Knowledge, Attitudes, Practice Health Personnel Health Services Needs and Demand Humans Interviews as Topic Patient Discharge Patient Handoff Patient-Centered Care Patients Qualitative Research Are patients discharged with care? A qualitative study of perceptions and experiences of patients, family members and care providers