文章基本信息

标题：Older patients' experiences during care transition
本地全文：下载
作者：Else Cathrine Rustad ; Bodil Furnes ; Berit Seiger Cronfalk 等
期刊名称：Patient Preference and Adherence
印刷版ISSN：1177-889X
电子版ISSN：1177-889X
出版年度：2016
卷号：10
页码：769-779
DOI：10.2147/PPA.S97570
出版社：Dove Medical Press Ltd
摘要：Background: A fragmented health care system leads to an increased demand for continuity of care across health care levels. Research indicates age-related differences during care transition, with the oldest patients having experiences and needs that differ from those of other patients. To meet the older patients’ needs and preferences during care transition, professionals must understand their experiences. Objective: The purpose of the study was to explore how patients ≥80 years of age experienced the care transition from hospital to municipal health care services. Methods: The study has a descriptive, explorative design, using semistructured interviews. Fourteen patients aged ≥80 participated in the study. Qualitative content analysis was used to describe the individuals’ experiences during care transition. Results: Two complementary themes emerged during the analysis: “Participation depends on being invited to plan the care transition” and “Managing continuity of care represents a complex and challenging process”. Discussion: Lack of participation, insufficient information, and vague responsibilities among staff during care transition seemed to limit the continuity of care. The patients are the vulnerable part of the care transition process, although they possess important resources, which illustrate the importance of making their voice heard. Older patients are therefore likely to benefit from more intensive support. A tailored, patient-centered follow-up of each patient is suggested to ensure that patient preferences and continuity of care to adhere to the new situation.
关键词：care transition; older patients; continuity of care; participation; communication