Key result
Collaborative Patient Care Circles support safe care transitions and address hospital readmission challenges.
Why the study?
Reducing hospital readmissions depends on ensuring safe care transitions, which requires a better understanding of challenges experienced by key stakeholders.
A well-coordinated collaborative support system, termed the Patient Care Circle, is fundamental to ensuring safe care transitions and reducing hospital readmissions.
May inform transition protocols; leaves open whether Patient Care Circles reduce readmissions.
BACKGROUND: Reducing hospital readmissions depends on ensuring safe care transitions, which requires a better understanding of the challenges experienced by key stakeholders. OBJECTIVE: Develop a descriptive framework illustrating the interconnected roles of patients, providers, and caregivers in relation to readmissions. DESIGN: Multimethod qualitative study with 4 focus groups and 43 semistructured interviews. Multiple perspectives were included to increase the trustworthiness (internal validity) and transferability (external validity) of the results. Data were analyzed using grounded theory to generate themes associated with readmission. SETTING/PATIENTS: General medicine patients with same-site 30-day readmissions, their family members, and multiple care providers at a large urban academic medical center. RESULTS: A keynote generated from the multiperspective responses was that care transitions were optimized by a well-coordinated multidiscipline support system, described as the Patient Care Circle. In addition, issues pertaining to readmissions were identified and classified into 5 main themes emphasizing the necessity of a coordinated support network: (1) teamwork, (2) health systems navigation and management, (3) illness severity and health needs, (4) psychosocial stability, and (5) medications. CONCLUSION: A well-coordinated collaborative Patient Care Circle is fundamental to ensuring safe care transitions.
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Lee et al. (2013) studied Hospital readmissions. Patient Care Circle (coordinated multidiscipline support system) was evaluated on Themes associated with readmission. A well-coordinated collaborative Patient Care Circle is fundamental to ensuring safe care transitions and addressing challenges related to hospital readmissions.
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