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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Bibliographic Details
Published in:Die Rehabilitation Vol. 58; no. 1; p. 39
Main Authors: Saal, Susanne, Kirchner-Heklau, Uta, Müller, Tobias, Wohlfarth, Kai, Hamzei, Farsin, Müller, Melanie, Strobel, Susanne, Clewing, Carsten
Format: Journal Article
Language:German
Published: Germany 01.02.2019
Subjects:
Delivery of Health Care - methods
Germany
Home Care Services - organization & administration
Humans
Inpatients
Patient Discharge
Stroke
Stroke Rehabilitation
Germany
ISSN:1439-1309, 1439-1309
Online Access:Get more information
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Summary: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.
Bibliography:ObjectType-Article-1
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ISSN:1439-1309
1439-1309
DOI:10.1055/s-0043-124347