‘I didn’t want to go home’ Patient-identified Modifiable Risk Factors Associated With Hospital Readmission: A Qualitative Study
Date
Authors
Wilson, Holly
Donkin, Liesje
Harrison, Jeff
Brackley, Kim
Lim, Anecita Gigi
Chan, Amy Hai Yan
Supervisor
Item type
Journal Article
Degree name
Journal Title
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Volume Title
Publisher
Informa UK Limited
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.Description
Keywords
Hospital readmissions, health beliefs, health literacy, hospital discharge, medication adherence, 4203 Health Services and Systems, 4205 Nursing, 42 Health Sciences, Prevention, Clinical Research, Health Services, Patient Safety, 8.1 Organisation and delivery of services, 7.1 Individual care needs, 7.3 Management and decision making, Generic health relevance, 3 Good Health and Well Being, 1302 Curriculum and Pedagogy, 1701 Psychology, Clinical Psychology, 4206 Public health, 5203 Clinical and health psychology, 5205 Social and personality psychology
Source
Psychology & Health, ISSN: 0887-0446 (Print); 1476-8321 (Online), Informa UK Limited, 41(1), 76-95. doi: 10.1080/08870446.2024.2391912
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© 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.