Evidence map›Paper›PMID 31462486›Full record

ArticleBMJ open2019

Hospital physicians' views on discharge and readmission processes: a qualitative study from Norway.

Malin Knutsen Glette, Tone Kringeland, Olav Røise, Siri Wiig

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
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  14. Discharge processes and medicines communication from the patient perspective: A qualitative study at an internal medicines ward in Norway.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  15. Article
  16. Article
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  18. A retrospective review of speech-language therapy services provided to adult inpatients at a central-level hospital in Gauteng, South Africa.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2020
    Article
  19. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Malin Knutsen GletteDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences - Haugesund Campus, Haugesund, Norway Malinknutsen.glette@hvl.no.ORCID 0000-0002-3822-0581
Tone KringelandDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences - Haugesund Campus, Haugesund, Norway.
Olav RøiseFaculty of Health Sciences, SHARE - Centre for Resilience in Healthcare, University of Stavanger, Stavanger, Norway.
Siri WiigFaculty of Health Sciences, SHARE - Centre for Resilience in Healthcare, University of Stavanger, Stavanger, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore hospital physicians' views on readmission and discharge processes in the interface between hospitals and municipalities.

designQualitative case study.

settingThe Norwegian healthcare system.

participantsFifteen hospital physicians (residents and consultants) from one hospital, involved in the treatment and discharge of patients.

resultsThe results of this study showed that patients were being discharged earlier, with more complex medical conditions, than they had been previously, and that discharges sometimes were perceived as premature. Insufficient capacity at the hospital resulted in pressure to discharge patients, but the primary healthcare service of the area was not always able to assume care of these patients. Communication between levels of the healthcare service was limited. The hospital stay summary was the most important, and sometimes only, form of communication between levels. The discharge process was described as complicated and was affected by healthcare personnel, by patients themselves and by aspects of the primary healthcare service. Early hospital discharges, poor communication between healthcare services and inadequacies in the discharge process were perceived to affect hospital readmissions.

conclusionThe results of this study provide a better understanding of hospital physicians' views on the discharge and hospital readmission processes in the interface between the hospital and the primary healthcare service. The study also identifies discrepancies in governmental requirements, reform regulations and current practices in municipalities and hospitals.

Indexed as

Attitude of Health PersonnelDecision MakingPatient DischargePatient ReadmissionCommunicationDelivery of Health CareHumansInterviews as TopicNorwayPhysiciansQualitative Researchcoordinationhospital dischargehospital readmissionsquality of care

Identifiers

PMID31462486
PMCPMC6720230

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.