ArticleJournal of hospital medicine2019
Patient, Caregiver, and Clinician Perspectives on Expectations for Home Healthcare after Discharge: A Qualitative Case Study.
Article in Journal of hospital medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The trial behind it
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Who cites it
8 citing papers in PubMed, 8 citations in OpenAlex.
- Navigating Postacute Care Options for Patients After Hospital Discharge: A Review.JAMA internal medicine · 2026Review
- NegotiAge: Development and pilot testing of an artificial intelligence-based family caregiver negotiation program.Journal of the American Geriatrics Society · 2024Article
- Palliative Care across Settings: Perspectives from Inpatient, Primary Care, and Home Health Care Providers and Staff.The American journal of hospice & palliative care · 2023Article
- 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
- Patient Interaction Involving Older Adults: Provider vs. Caregiver Expectations.Geriatrics (Basel, Switzerland) · 2022Article
- Conflicts Experienced by Caregivers of Older Adults With the Health-Care System.Journal of patient experience · 2020Article
- Emerging Challenges and Opportunities for Home Health Care in the Time of COVID-19.Journal of the American Medical Directors Association · 2020Article
- The Experience of a Neurocritical Care Admission and Discharge for Patients and Their Families: A Qualitative Analysis.The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses · 2020Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundPatients discharged from the hospital with skilled home healthcare (HHC) services have multiple comorbidities, high readmission rates, and multiple care needs. In prior work, HHC nurses described that patients often express expectations for services beyond the scope of skilled HHC.
objectiveThe objective of this study is to evaluate and compare expectations for HHC from the patient, caregiver, and HHC perspectives after hospital discharge. DESIGN/
participantsThis was a descriptive qualitative case study including HHC patients, caregivers, and clinicians. Patients were discharged from an academic medical center between July 2017 and February 2018.
resultsThe sample (N = 27) included 11 HHC patients, eight caregivers, and eight HHC clinicians (five nurses and three physical therapists). Patient mean age was 66 years and the majority were female, white, and had Medicare. We observed main themes of clear and unclear expectations for HHC after discharge. Clear expectations occur when the patient and/or caregiver have expectations for HHC aligned with the services received. Unclear expectations occur when the patient and/or caregiver expectations are uncertain or misaligned with the services received. Patients and caregivers with clear expectations for HHC frequently described prior experiences with skilled HHC or work experience within the healthcare field. In most cases with unclear expectations, the patient and caregiver did not have prior experience with HHC.
conclusionsTo improve HHC transitions, we recommend actively engaging both patients and caregivers in the hospital and HHC settings to provide education about HHC services, and assess and address additional care needs.
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