Optimized Transition from Inpatient Stroke Rehabilitation to Home Care - Current Practice and Analysis of Factors Influencing Transition
To identify factors influencing the current transition practice and to generate aspects to improve transition. Expert interviews and group discussions with health care professionals; a scoping review and a standardized interview with stroke patients 6 weeks after discharge via telephone. 14 expert i...
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| Vydané v: | Die Rehabilitation Ročník 58; číslo 1; s. 39 |
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| Hlavní autori: | , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | German |
| Vydavateľské údaje: |
Germany
01.02.2019
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| ISSN: | 1439-1309, 1439-1309 |
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| Abstract | To identify factors influencing the current transition practice and to generate aspects to improve transition.
Expert interviews and group discussions with health care professionals; a scoping review and a standardized interview with stroke patients 6 weeks after discharge via telephone.
14 expert interviews and 3 group discussions (n=18) were conducted. Factors influencing transition at home were communication of professionals between and within settings, social support and role behavior of stroke patients. The interviews (n=110) revealed realization of recommendations towards consultations of medical specialists of 37%, and of outpatient therapies up to 86%. The scoping review included 7 systematic reviews, 21 randomised trials and 5 controlled trials to patient education, information and counselling, Early Supported Discharge models, stroke liaison services, team conferences and integrated care pathways.
A structured approach is needed which has to consider the complexity of the transition process. |
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| AbstractList | To identify factors influencing the current transition practice and to generate aspects to improve transition.OBJECTIVETo identify factors influencing the current transition practice and to generate aspects to improve transition.Expert interviews and group discussions with health care professionals; a scoping review and a standardized interview with stroke patients 6 weeks after discharge via telephone.METHODSExpert interviews and group discussions with health care professionals; a scoping review and a standardized interview with stroke patients 6 weeks after discharge via telephone.14 expert interviews and 3 group discussions (n=18) were conducted. Factors influencing transition at home were communication of professionals between and within settings, social support and role behavior of stroke patients. The interviews (n=110) revealed realization of recommendations towards consultations of medical specialists of 37%, and of outpatient therapies up to 86%. The scoping review included 7 systematic reviews, 21 randomised trials and 5 controlled trials to patient education, information and counselling, Early Supported Discharge models, stroke liaison services, team conferences and integrated care pathways.RESULTS14 expert interviews and 3 group discussions (n=18) were conducted. Factors influencing transition at home were communication of professionals between and within settings, social support and role behavior of stroke patients. The interviews (n=110) revealed realization of recommendations towards consultations of medical specialists of 37%, and of outpatient therapies up to 86%. The scoping review included 7 systematic reviews, 21 randomised trials and 5 controlled trials to patient education, information and counselling, Early Supported Discharge models, stroke liaison services, team conferences and integrated care pathways.A structured approach is needed which has to consider the complexity of the transition process.CONCLUSIONA structured approach is needed which has to consider the complexity of the transition process. To identify factors influencing the current transition practice and to generate aspects to improve transition. Expert interviews and group discussions with health care professionals; a scoping review and a standardized interview with stroke patients 6 weeks after discharge via telephone. 14 expert interviews and 3 group discussions (n=18) were conducted. Factors influencing transition at home were communication of professionals between and within settings, social support and role behavior of stroke patients. The interviews (n=110) revealed realization of recommendations towards consultations of medical specialists of 37%, and of outpatient therapies up to 86%. The scoping review included 7 systematic reviews, 21 randomised trials and 5 controlled trials to patient education, information and counselling, Early Supported Discharge models, stroke liaison services, team conferences and integrated care pathways. A structured approach is needed which has to consider the complexity of the transition process. |
| Author | Clewing, Carsten Wohlfarth, Kai Hamzei, Farsin Kirchner-Heklau, Uta Müller, Melanie Müller, Tobias Saal, Susanne Strobel, Susanne |
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| Snippet | To identify factors influencing the current transition practice and to generate aspects to improve transition.
Expert interviews and group discussions with... To identify factors influencing the current transition practice and to generate aspects to improve transition.OBJECTIVETo identify factors influencing the... |
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| SubjectTerms | Delivery of Health Care - methods Germany Home Care Services - organization & administration Humans Inpatients Patient Discharge Stroke Stroke Rehabilitation |
| Title | Optimized Transition from Inpatient Stroke Rehabilitation to Home Care - Current Practice and Analysis of Factors Influencing Transition |
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