Care Transitions from the Hospital to Home for Patients with Mobility Impairments: Patient and Family Caregiver Experiences
Article first published online: 29 JUN 2012
Published 2012. This article is US Government work and is in the public domain in the USA
Volume 37, Issue 6, pages 277–285, November/December 2012
How to Cite
Dossa, A., Bokhour, B. and Hoenig, H. (2012), Care Transitions from the Hospital to Home for Patients with Mobility Impairments: Patient and Family Caregiver Experiences. Rehabilitation Nursing, 37: 277–285. doi: 10.1002/rnj.047
- Issue published online: 4 DEC 2012
- Article first published online: 29 JUN 2012
- continuity of care;
- Transitional care
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.
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.
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.