ArticleHealth expectations : an international journal of public participation in health care and health policy2020
An alternate level of care plan: Co-designing components of an intervention with patients, caregivers and providers to address delayed hospital discharge challenges.
Article in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Transitional care programs for older adults moving from hospital to home in Canada: A systematic review of text and opinion.PloS one · 2024Pooled it
- An Environmental Scan of Alternate Level of Care (ALC) Policies in Ontario, Canada.Canadian geriatrics journal : CGJ · 2026Article
- The use of deliberative dialogue in health services research: a scoping review.Research involvement and engagement · 2026Review
- Delayed discharges in older adults with mental illness and/or dementia in hospital: a scoping review.BMC health services research · 2026Article
- Technology and Inpatient Care: Addressing Communication Barriers and Social Isolation.Journal of patient experience · 2026Article
- Observational
- "Why do i have to get naked to have a sandwich made?": The social problem of aging and cultural shift needed to facilitate aging in place.BMC geriatrics · 2025Article
- The Intersection of Gender, Culture and Society for Caregivers of Older Adults Ageing in Place in Ontario, Canada.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Developing a decision support tool to predict delayed discharge from hospitals using machine learning.BMC health services research · 2025Article
- "Doing extra work and not getting extra help": the burden of work generated to manage the "no visitors" policy during the COVID-19 pandemic in Ontario, Canada.Frontiers in public health · 2025Article
- Effectiveness of the Sub-Acute Care for Frail Elderly (SAFE) Transitional Care Unit on Short-Term Functional Independence in Frail Older Patients Discharged from Hospital.Canadian geriatrics journal : CGJ · 2024Article
- Approach to working with at-risk patients expressing a desire for discharge.Canadian family physician Medecin de famille canadien · 2024Article
- Development of the EVIBEC Learning Outcomes Framework to support the delivery of evidence-based practice curricula in health care professional programmes: a codesign approach.BMC medical education · 2024Review
- Setting the balance of care for older adults at risk of hospitalization and delayed discharge: A mixed-methods research protocol.PloS one · 2024Article
- Burden of delayed discharge on acute hospital medical wards: A retrospective ecological study in Rome, Italy.PloS one · 2024Observational
- Article
- Co-designing implementation strategies to promote remote physical activity programs in frail older community-dwellers.Frontiers in public health · 2023Article
- A qualitative study exploring hospital-based team dynamics in discharge planning for patients experiencing delayed care transitions in Ontario, Canada.BMC health services research · 2022Article
- Programmes to support transitions in community care for children with complex care needs: a scoping review.BMJ open · 2022Article
- Methods to Generate Innovative Research Ideas and Improve Patient and Public Involvement in Modern Epidemiological Research: Review, Patient Viewpoint, and Guidelines for Implementation of a Digital Cohort Study.Journal of medical Internet research · 2021Review
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveTo engage with patients, caregivers and care providers to co-design components of an intervention that aims to improve delayed hospital discharge experiences.
designThis is a qualitative study, which entailed working groups and co-design sessions utilizing World Café and deliberative dialogue techniques to continually refine the intervention. SETTING AND
participantsOur team engaged with 61 participants (patients, caregivers and care providers) in urban and rural communities across Ontario, Canada. A 7-member Patient and Caregiver Advisory Council participated in all stages of the research.
resultsKey challenges experienced during a delayed discharge by patients, caregivers and care providers were poor communication and a lack of care services. Participants recommended a communication guide to support on-going conversation between care providers, patients and caregivers. The guide included key topics to cover and questions to ask during initial and on-going conversations to manage expectations and better understand the priorities and goals of patients and caregivers. Service recommendations included getting out of bed and dressed each day, addressing the psycho-social needs of patients through tailored activities and having a storyboard at the bedside to facilitate on-going engagement. DISCUSSION AND
conclusionsOur findings outline ways to meaningfully engage patients and caregivers during a delayed hospital discharge. Combining this with a minimal basket of services can potentially facilitate a better care experience and outcomes for patients, their care providers and families.
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Registered trials
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.