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Clarifying differences in viewpoints between multiple healthcare professionals during discharge planning assessments when discharging patients from a long-term care hospital to home.
Evaluation and Program Planning ( IF 1.5 ) Pub Date : 2020-07-01 , DOI: 10.1016/j.evalprogplan.2020.101848
Kimiko Mizuma 1 , Marie Amitani 1 , Midori Mizuma 2 , Suguru Kawazu 3 , Robert A Sloan 3 , Rie Ibusuki 4 , Toshiro Takezaki 4 , Tetsuhiro Owaki 1
Affiliation  

Comprehensive discharge planning provided by interprofessional collaboration is critical for discharging patients from hospitals to home. For effective interprofessional discharge planning, the evaluation that clarifies the differences in assessment viewpoints between various healthcare professionals is needed. This study aimed to clarify the assessment viewpoints of multiple healthcare professional groups when discharging patients from a long-term care hospital (LTCH) to home. We reviewed 102 medical records from an LTCH in Japan, extracted descriptions of discharge planning assessments written by 3 doctors, 13 nurses, 3 physical therapists, 13 care workers, and 2 social workers, linked these to the International Classification of Functioning, Disability and Health, and conducted the statistical analysis. Doctors and nurses significantly focused on “Body Functions”. Physical therapists and care workers significantly focused on “Activities and Participation”. Social workers significantly focused on “Environmental Factors”. We also identified the factors less or missing from assessments in the clinical field of the LTCH. Our findings could be contributed as a base of knowledge to foster a better understanding of different healthcare professionals’ assessment viewpoints. The further development of comprehensive discharge planning assessment tools, service programs, and research on discharge planning methods that could contribute to effective interprofessional discharge planning is needed.



中文翻译:

在将患者从长期护理医院出院回家时,在出院计划评估期间澄清多个医疗保健专业人员之间的观点差异。

跨专业合作提供的综合出院计划对于患者从医院到家的出院至关重要。为了有效的跨专业出院计划,需要通过评估来澄清不同医疗保健专业人员之间评估观点的差异。本研究旨在阐明多个医疗保健专业群体在将患者从长期护理医院 (LTCH) 出院回家时的评估观点。我们审查了日本 LTCH 的 102 份病历,提取了由 3 名医生、13 名护士、3 名物理治疗师、13 名护理人员和 2 名社会工作者撰写的出院计划评估的描述,并将这些与国际功能、残疾和健康分类联系起来,并进行了统计分析。身体机能”。物理治疗师和护理人员非常注重“活动和参与”。社会工作者特别关注“环境因素”。我们还确定了 LTCH 临床领域评估中较少或缺失的因素。我们的发现可以作为知识的基础,以促进更好地理解不同医疗保健专业人员的评估观点。需要进一步开发综合出院计划评估工具、服务计划和出院计划方法研究,以促进有效的跨专业出院计划。

更新日期:2020-07-01
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