'I didn't want to go home' patient-identified modifiable risk factors associated with hospital readmission: a qualitative study.

IF 2.4 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology & Health Pub Date : 2024-08-20 DOI:10.1080/08870446.2024.2391912

Holly Wilson, Liesje Donkin, Jeff Harrison, Kim Brackley, Anecita Gigi Lim, Amy Hai Yan Chan

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引用次数: 0

Abstract

Background: Hospital readmissions are costly for patients, their families and healthcare systems. Identifying and addressing risk factors can reduce the number of people who experience readmission. Few studies have explored modifiable risk factors such as health beliefs from patients' perspective to explore the complexity of risk factors for readmission. This study aimed to identify modifiable readmission risk factors from the perspectives of patients who have experienced readmission and their families.

Methods: Adults (≥18 years) readmitted within 30 days of discharge to a general medical or surgical ward at a large urban hospital in New Zealand were invited to participate in a semi-structured interview to explore their readmission experience. Interviews were conducted during the readmission and were analysed using inductive thematic analysis.

Results: A total of 30 participants were interviewed. Six themes relating to readmission were identified: inadequate communication between health professionals and patients, misalignment between patient illness perceptions and treatment, unclear or missing information, poor health literacy, poor medication mismanagement, and health system factors.

Conclusions: These findings highlight the importance of considering patient experiences, such as their expectations, illness and treatment beliefs, to reduce readmissions. Ensuring communication is patient centred and quality professional-patient relationships could reduce readmissions.

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我不想回家"：一项定性研究，由患者确定的与再入院相关的可调整风险因素。

背景：再次入院对患者、患者家属和医疗系统来说都是代价高昂的。识别并解决风险因素可以减少再次入院的人数。很少有研究从患者的角度探讨健康信念等可改变的风险因素，以探索再入院风险因素的复杂性。本研究旨在从经历过再入院的患者及其家属的角度出发，找出可改变的再入院风险因素：方法：邀请在新西兰一家大型城市医院普通内科或外科病房出院后30天内再次入院的成人（≥18岁）参加半结构化访谈，探讨他们的再次入院经历。访谈在再入院期间进行，采用归纳式主题分析法进行分析：结果：共有 30 名参与者接受了访谈。结果：共访谈了 30 名参与者，确定了与再入院相关的六个主题：医疗专业人员与患者之间沟通不足、患者对疾病的认知与治疗不一致、信息不明确或缺失、健康知识匮乏、药物管理不善以及医疗系统因素：这些研究结果凸显了考虑患者经历（如他们的期望、疾病和治疗信念）对减少再入院的重要性。确保以患者为中心的沟通和高质量的专业人员与患者之间的关系可以减少再入院率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychology & Health Multiple-

CiteScore

7.30

自引率

3.00%

发文量

期刊介绍： Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.