Social isolation affected 18% of patients and 10% of caregivers during the first 30 days post-discharge, with caregivers reporting a 60% decline in social activities and 50% decreased energy.
Cross-Sectional (n=111)
Yes
Social determinants of health, particularly social isolation, and significant caregiver burden are prevalent during transitions from inpatient rehabilitation to home, highlighting the need for targeted interdisciplinary interventions.
Transitions from inpatient rehabilitation to home critically affect patient recovery and caregiver well-being. Social determinants of health (SDoH) shape these outcomes yet remain underexamined in rehabilitation settings. The objective of this study was to examine the prevalence of SDoH on patient and caregiver experiences during the first 30 days following discharge from a multi-site inpatient rehabilitation facility in the southeastern United States and explore patterns of patient satisfaction and caregiver burden that can influence care transitions. A prospective cross-sectional descriptive study surveyed 61 patients and 50 caregivers using validated instruments assessing SDoH, communication, discharge preparedness, and caregiver burden. Social isolation, affecting 18% of patients and 10% of caregivers, was the most prevalent challenge. Additional challenges include health literacy and transportation barriers. Caregivers experienced substantial burden: 60% decline in social activities, 50% decreased energy, and 40.9% negative physical health effects. However, 58.1% reported strengthened patient relationships. This study identifies the importance of care continuity and SDoHs after inpatient rehabilitation. Interdisciplinary interventions focused on these key challenges are essential for improving outcomes.
Hamadi et al. (Mon,) conducted a cross-sectional in Discharge from inpatient rehabilitation (n=111). Social determinants of health (SDoH) was evaluated on Prevalence of SDoH challenges and caregiver burden. Social isolation affected 18% of patients and 10% of caregivers during the first 30 days post-discharge, with caregivers reporting a 60% decline in social activities and 50% decreased energy.