Care transitions from the hospital to home for patients with mobility impairments: patient and family caregiver experiences.


Journal Article

PURPOSE: Our study described patient and caregiver experiences with care transitions following hospital discharge to home for patients with mobility impairments receiving physical and occupational therapy. METHODS: The study was a qualitative longitudinal interview study. Interviews were conducted at 2 weeks, 1 month, and 2 months post discharge. Participants were men, Caucasian, between 70 and 88 years old, and had either a medical or surgical diagnosis. RESULTS: Breakdowns in communication in four domains impacted continuity of care and patient recovery: (a) Poor communication between patients and providers regarding ongoing care at home, (b) Whom to contact post discharge, (c) Provider response to phone calls following discharge, and (d) Provider-provider communication. DISCUSSION AND CONCLUSIONS: Improved systems are needed to address patient concerns after discharge from the hospital, specifically for patients with mobility impairments. Better communication between patients, hospital providers, and home care providers is needed to improve care coordination, facilitate recovery at home, and prevent potential adverse outcomes.

Full Text

Duke Authors

Cited Authors

  • Dossa, A; Bokhour, B; Hoenig, H

Published Date

  • November 2012

Published In

Volume / Issue

  • 37 / 6

Start / End Page

  • 277 - 285

PubMed ID

  • 23212952

Pubmed Central ID

  • 23212952

International Standard Serial Number (ISSN)

  • 0278-4807

Digital Object Identifier (DOI)

  • 10.1002/rnj.047


  • eng

Conference Location

  • United States