Evidence map›Paper›PMID 39051626›Full record

ArticleJournal of hospital medicine2024

Postdischarge needs identified by an automated text messaging program: A mixed-methods study.

Aiden Ahn, Anna U Morgan, Robert E Burke, Katherine Honig, Judith A Long, Nancy McGlaughlin, Carlondra Jointer, David A Asch, Eric Bressman

Abstract read
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Article in Journal of hospital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Aiden AhnDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Anna U MorganDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Robert E BurkeDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Katherine HonigDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Judith A LongDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Nancy McGlaughlinPenn Primary Care, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA.
Carlondra JointerPenn Primary Care, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA.
David A AschDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Eric BressmanDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-4688-0747

Funding

UnitedHealth Group
6 · The paper itself

Abstract

backgroundText messaging has emerged as a popular strategy to engage patients after hospital discharge. Little is known about how patients use these programs and what types of needs are addressed through this approach.

objectiveThe goal of this study was to describe the types and timing of postdischarge needs identified during a 30-day automated texting program.

methodsThe program ran from January to August 2021 at a primary care practice in Philadelphia. In this mixed-methods study, two reviewers conducted a directed content analysis of patient needs expressed during the program, categorizing them along a well-known transitional care framework. We describe the frequency of need categories and their timing relative to discharge.

resultsA total of 405 individuals were enrolled; the mean (SD) age was 62.7 (16.2); 64.2% were female; 47.4% were Black; and 49.9% had Medicare insurance. Of this population, 178 (44.0%) expressed at least one need during the 30-day program. The most frequent needs addressed were related to symptoms (26.8%), coordinating follow-up care (20.4%), and medication issues (15.7%). The mean (SD) number of days from discharge to need was 10.8 (7.9); there were no significant differences in timing based on need category.

conclusionsThe needs identified via an automated texting program were concentrated in three areas relevant to primary care practice and within nursing scope of practice. This program can serve as a model for health systems looking to support transitions through an operationally efficient approach, and the findings of this analysis can inform future iterations of this type of program.

Indexed as

Patient DischargeText MessagingAgedFemaleHumansMaleMiddle AgedPhiladelphiaPrimary Health Care

Identifiers

PMID39051626
PMCPMC11613675

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LicenceCC BY-NC
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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.