ArticleHealth expectations : an international journal of public participation in health care and health policy2015
Heart failure and chronic obstructive pulmonary disease multimorbidity at hospital discharge transition: a study of patient and carer experience.
Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06897410 (Reforça't), which is not on this map. Cited by 19 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Reforça't: A Randomized Community Clinical Trial With a Social and Healthcare Approach to Improve Functional Outcomes in Patients With Chronic Cardiac, Respiratory, or Mixed Conditions After Hospital Discharge
Who cites it
19 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Medication experience of aged patients and their family caregivers during transitions of care: a qualitative meta-synthesis.International journal of qualitative studies on health and well-being · 2025Pooled it
- Experiences with hospital-to-home transitions: perspectives from patients, family members and healthcare professionals. A systematic review and meta-synthesis of qualitative studies.Disability and rehabilitation · 2025Pooled it
- Total uncertainty: a systematic review and thematic synthesis of experiences of uncertainty in older people with advanced multimorbidity, their informal carers and health professionals.Age and ageing · 2022Pooled it
- Tailored or adapted interventions for adults with chronic obstructive pulmonary disease and at least one other long-term condition: a mixed methods review.The Cochrane database of systematic reviews · 2021Pooled it
- The impact of discharge letter content on unplanned hospital readmissions within 30 and 90 days in older adults with chronic illness - a mixed methods study.BMC geriatrics · 2024Trial
- Patient-Centered Televisit for Chronic Obstructive Pulmonary Disease Discharge Transitions: User-Centered Design Study.JMIR human factors · 2025Article
- Uncertainty Dilemma and Service Demands During the Discharge Transition Period for Elderly Patients with Comorbidities: A Qualitative Study.Patient preference and adherence · 2025Article
- Experiences of hospital care for people with multiple long-term conditions: a scoping review of qualitative research.BMC medicine · 2024Article
- Informal carers' support needs, facilitators and barriers in the transitional care of older adults: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Improving continuity of care of patients with respiratory disease at hospital discharge.Breathe (Sheffield, England) · 2020Article
- Framework for patient, family-centred care within an Australian Community Hospital: development and description.BMJ open quality · 2020Review
- Exploring transitions in care from pulmonary rehabilitation to home for persons with chronic obstructive pulmonary disease: A descriptive qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Benefits, risks and impacts on quality of life of medications used in multimorbid older adults: a Delphi study.International journal of clinical pharmacy · 2020Article
- Being in control of Parkinson's disease: A qualitative study of community-dwelling patients' coping with changes in care.The European journal of general practice · 2018Article
- COPD transitions in health and self-management: service users' experiences from everyday life.International journal of chronic obstructive pulmonary disease · 2018Article
- A novel organizational model to face the challenge of multimorbid elderly patients in an internal medicine setting: a case study from Parma Hospital, Italy.Internal and emergency medicine · 2016Article
- Admission Decision-Making in Hospital Emergency Departments: The Role of the Accompanying Person.Global qualitative nursing researchArticle
- Factors associated with care transition experiences among individuals with complex needs: A prospective study.Journal of multimorbidity and comorbidityArticle
- The Experience of Transitional Care for Non-Medically Complex Older Adults and Their Family Caregivers.Global qualitative nursing researchArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundCare for patients with multimorbidity represents a major challenge not only for patients and carers but to health-care systems. Hospital discharge transition is a critical point at which challenges for multimorbidity may amplify.
objectivesThe main objective of the study was to explore the experiences of heart failure (HF) and chronic obstructive pulmonary disease (COPD) multimorbid patients and their carers on hospital discharge. Secondary objectives included identification of gaps in the health care of multimorbidity and optimal solutions from patients and carers' perspectives.
designMixed methods were applied to collect data using patient self-completion questionnaire from an adapted version of the American Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey and in-depth interviews.
settingParticipants were recruited from two cardiology and respiratory wards at a large regional hospital in England, and all had a multimorbidity diagnosis of COPD and HF. RESULTS AND
conclusionsFindings revealed that patients experienced difficulties in their communication with health-care professionals and there were specific challenges with information about medication. Qualitative descriptions revealed that experiences fell into two main categories: (i) information transfer to patients with multimorbidity in terms of issues with medication and clarity of information on diagnosis and (ii) communication and continuity of care after discharge. Respondents highlighted gaps in the management of patients with multimorbidity of HF and COPD at the critical time of care transition. They suggested the need for a comprehensive, coordinated and integrated approach to incorporate patients, carers and staff preferences for treatment on discharge from hospital.
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