Evidence map›Paper›PMID 40784772›Full record

ArticleBMJ open2025

Hospital discharge communication problems in 10 high-income nations: a secondary analysis of an international health policy survey.

Preshit Nemdas Ambade, Zach Hoffman, Kaamya Mehra, Munira Gunja, Minseo Yi, Breagh H MacKinnon, Neil J MacKinnon

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

7 authors.

Preshit Nemdas AmbadeCollege of Medicine, Central Michigan University, Mount Pleasant, Michigan, USA.
Zach HoffmanAugusta University, Augusta, Georgia, USA zhoffma1@augusta.edu.ORCID http://orcid.org/0000-0002-4895-5055
Kaamya MehraMedical College of Georgia, Augusta, Georgia, USA.
Munira GunjaCommonwealth Fund, New York, New York, USA.
Minseo YiAugusta University, Augusta, Georgia, USA.
Breagh H MacKinnonUniversity of Georgia, Athens, Georgia, USA.
Neil J MacKinnonCollege of Medicine, Central Michigan University, Mount Pleasant, Michigan, USA.ORCID http://orcid.org/0000-0001-8111-6651

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe aimed to determine the prevalence of hospital discharge communication problems in adults of 10 high-income nations and the associated factors.

designSecondary analysis of cross-sectional survey data.

setting2023 Commonwealth Fund International Health Policy Survey for Adults, including data from residents of Australia, Canada, France, Germany, the Netherlands, New Zealand, Sweden, Switzerland, the UK and the USA.

participants3763 survey respondents aged 18 and older who reported hospitalisation at least one time in the past 2 years. PRIMARY AND SECONDARY OUTCOME MEASURES: Our primary outcome measure is poor discharge communication (PDC), which is a composite variable comprising three questions regarding the provision of written information, follow-up arrangement and discussion of medications at time of discharge.

resultsThe overall PDC rate was 17.1%, with the highest in Germany (19.7%) and the lowest in the Netherlands (9.2%). No follow-up arrangement was the most commonly reported problem (22.8%). Respondents who concerned about social service needs and mental health issues were more likely to report PDC.

conclusionsProviders should consider factors which impact PDC at hospital discharge and tailor communication appropriately. Hospitals, communities and countries should work towards policies that address underlying issues related to social determinants of health, including support for lower-income patients, improved treatment access for patients with physical and mental health conditions, and food and housing stability.

Indexed as

CommunicationDeveloped CountriesHealth PolicyPatient DischargeAdolescentAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedYoung AdultHealth policyMENTAL HEALTHPublic health

Identifiers

PMID40784772
PMCPMC12336563

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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.