A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital

Spencer, Rachel; Punia, Harjot Singh

doi:10.1016/j.pec.2020.12.010

Cited by 9 publications

(9 citation statements)

References 31 publications

(35 reference statements)

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“…To the best of our knowledge, this is the first study to experimentally test the benefit of an automated texting program on postdischarge outcomes among primary care patients. 21 The mechanism through which this compound program prevents use of acute care is likely complex, but we theorize that more frequent check-ins and a lower friction medium for patient-initiated outreach lead to earlier identification of needs and a greater likelihood that issues will be escalated to and handled by the primary care practice than another setting. 22 Figure This study builds on a growing body of literature around the utility of automated hovering and text message-based strategies to support patients in the transition from hospital to home.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of an Automated Text Message–Based Program to Reduce Use of Acute Health Care Resources After Hospital Discharge

et al. 2022

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ImportancePosthospital contact with a primary care team is an established pillar of safe transitions. The prevailing model of telephone outreach is usually limited in scope and operationally burdensome.ObjectiveTo determine whether a 30-day automated texting program to support primary care patients after hospital discharge is associated with reductions in the use of acute care resources.Design, Setting, and ParticipantsThis cohort study used a difference-in-differences approach at 2 academic primary care practices in Philadelphia from January 27 through August 27, 2021. Established patients of the study practices who were 18 years or older, were discharged from an acute care hospitalization, and received the usual transitional care management telephone call were eligible for the study. At the intervention practice, 604 discharges were eligible and 430 (374 patients, of whom 46 had &gt;1 discharge) were enrolled in the intervention. At the control practice, 953 patients met eligibility criteria. The study period, including before and after the intervention, ran from August 27, 2020, through August 27, 2021.ExposurePatients received automated check-in text messages from their primary care practice on a tapering schedule during the 30 days after discharge. Any needs identified by the automated messaging platform were escalated to practice staff for follow-up via an electronic medical record inbox.Main Outcomes and MeasuresThe primary study outcome was any emergency department (ED) visit or readmission within 30 days of discharge. Secondary outcomes included any ED visit or any readmission within 30 days, analyzed separately, and 30- and 60-day mortality. Analyses were based on intention to treat.ResultsA total of 1885 patients (mean [SD] age, 63.2 [17.3] years; 1101 women [58.4%]) representing 2617 discharges (447 before and 604 after the intervention at the intervention practice; 613 before and 953 after the intervention at the control practice) were included in the analysis. The adjusted odds ratio (aOR) for any use of acute care resources after implementation of the intervention was 0.59 (95% CI, 0.38-0.92). The aOR for an ED visit was 0.77 (95% CI, 0.45-1.30) and for a readmission was 0.45 (95% CI, 0.23-0.86). The aORs for death within 30 and 60 days of discharge at the intervention practice were 0.92 (95% CI, 0.23-3.61) and 0.63 (95% CI, 0.21-1.85), respectively.Conclusions and RelevanceThe findings of this cohort study suggest that an automated texting program to support primary care patients after hospital discharge was associated with significant reductions in use of acute care resources. This patient-centered approach may serve as a model for improving postdischarge care.

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Section: Discussionmentioning

confidence: 99%

Evaluation of an Automated Text Message–Based Program to Reduce Use of Acute Health Care Resources After Hospital Discharge

et al. 2022

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“…Most randomized clinical trials on TC were performed in Europe and America. Effects were inspected from the patient perspective [ 7 , 15 , 17 ]. Researchers emphasized family members’ need for TC, but most studies did not assess their perspectives on the effectiveness of TC [ 16 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

“…Communication is a critical factor affecting older adults’ transition post-hospitalization [ 5 , 6 , 17 , 20 ]. However, communication skills training (CST) or tools designed for healthcare providers (HCPs) specifically to perform TC was not found [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…Based on the transitions framework for gerontological nursing [ 26 , 27 ] and suggestions from a TC literature review [ 5 , 6 , 17 , 20 ], this study designed, implemented, and assessed the effectiveness of an intervention (online TC CST [OTCCST] and TC) through the perspectives of HCPs, older patients, and their family members. This study aimed to 1) test the effectiveness of the OTCCST in improving HCP communication confidence while providing TC and 2) evaluate the effectiveness of the intervention (OTCCST and TC) on improving patient QoL and activities of daily living (ADL), reducing rehospitalization counts, and decreasing family member caregiving burden.…”

Section: Introductionmentioning

confidence: 99%

“…Communication is a critical factor affecting older adults' transition post-hospitalization [5,6,17,20]. However, communication skills training (CST) or tools designed for healthcare providers (HCPs) specifically to perform TC was not found [17]. Previously, CST mainly focused on issues, such as cancer truth-telling [21][22][23], shared decision-making [24], advance care planning, and do-not-resuscitate orders [25].…”

Section: Introductionmentioning

confidence: 99%

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Improving transitional care through online communication skills training

et al. 2022

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Background As the aging population is increasing significantly, the communication skills training (CST) on transitional care (TC) is insufficient. Aims This study aimed to test the effectiveness of an intervention (the online TC CST [OTCCST] and TC) through the perspectives of healthcare providers (HCPs), older patients, and family members. Methods A total of 38 HCPs caring for older patients were randomized to the experimental ( n = 18) or control groups ( n = 20), and 84 pairs of patients and family members were enrolled (experimental: n = 42 vs. control: n = 42). The primary outcome was HCP communication confidence; while secondary outcomes included patient quality of life (QoL), activities of daily living (ADL), rehospitalization counts, and family caregiving burden. Data were collected from HCPs using a scale measuring confidence in communicating with patients. Patient outcomes were assessed using the McGill QoL Questionnaire-Revised and Barthel Index. Family members were assessed with the Caregiver Burden Inventory. Rehospitalization counts were tracked for 3 months post-discharge. Data were analyzed using multiple regression analysis. Results Experimental group HCPs showed a significant improvement in communication confidence over the control group ( p = 0.0006). Furthermore, experimental group patients had significantly fewer rehospitalization counts within 3-month post-discharge ( p < 0.05). However, no significant group differences were found in patient QoL and ADL nor in family caregiver burden. Conclusion The OTCCST can effectively improve HCP communication confidence, and the combination of OTCCST and TC can reduce rehospitalization counts for older patients. The OTCCST allows HCPs to learn asynchronously at their convenience, ideal for continuing education, especially during the COVID-19 pandemic. Supplementary Information The online version contains supplementary material available at 10.1007/s40520-022-02251-4.

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Research trends in readiness for hospital discharge between 2002 and 2021: A bibliometric analysis

Zhang,

Wang,

Zhu

et al. 2023

Nursing Open

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AimThis study aimed to undertake a bibliometric analysis to provide comprehensive information in demonstrating the current status and outline the overall trends in the area of readiness for hospital discharge (RHD).DesignA bibliometric and visual analysis of RHD literature was undertaken.MethodsArticles were retrieved from the Web of Science network from 2002 to 2021. VOSviewer was used to identify the co‐authorship network of countries/institutions, co‐authorship and co‐citation analysis of authors, and co‐citation analysis of references and citation analysis of documents. CiteSpace was used to identify the keyword co‐occurrence network and perform cluster analysis, detecting the keywords with citation bursts and speculated frontiers in this research field.ResultsA total of 512 articles were included in the final analysis. Key findings are: (1) There has been a continuous but somewhat fluctuating rise in the number of publications. (2) 56.05% of publications come from the USA with Marquette University making the highest contribution. (3) Most publications (17, 3.32%) in RHD research were from the Journal of Clinical Nursing, and Anaesthesia and Analgesia had the highest number of citations (584 citations). (4) Weiss ME (25, 4.88%) was the most productive author whose articles have been the most highly cited (646 citations). (5) Cited references from Weiss ME (2007) also made the largest contribution to co‐citations, and the most cited reference was from Jack BW (2009) (1022 citations). (6) The 20 most frequent keywords and keywords with the strongest citation bursts were retrieved. There were seven research hotspots, and three emerging research frontiers were explored.ConclusionsThe bibliometric analysis of material published in the last 20 years indicates that there have been statistically significant gains in comprehensive information on RHD, including the knowledge mapping of the countries, institutions, authors, references and keywords. The hotspots and frontiers, which have been explored can give guidance to researchers as to new angles and directions to take.Implications for Nursing Management The effects of the implementation of ERAS on RHD‐related risk for adverse post‐discharge outcomes in surgical patients will be of increasing concern for healthcare professionals. It is important for patients and their relatives to be confident that on discharge they are sufficiently ready for hospital discharge to enable them to safely and smoothly make the transition to home. Improving the level of RHD in discharged patients can help nurse managers and researchers measure the effectiveness of discharge planning services.

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A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital

Cited by 9 publications

References 31 publications

Evaluation of an Automated Text Message–Based Program to Reduce Use of Acute Health Care Resources After Hospital Discharge

Evaluation of an Automated Text Message–Based Program to Reduce Use of Acute Health Care Resources After Hospital Discharge

Improving transitional care through online communication skills training

Research trends in readiness for hospital discharge between 2002 and 2021: A bibliometric analysis

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