Seeking support after hospitalisation for injury: a nested qualitative study of the role of primary care

Background: In the UK, studies suggest that the transition from hospital to home after an injury can be a difficult time and many patients report feeling inadequately prepared. Patients often use primary care services after hospital discharge. These consultations provide opportunities to consider pr...

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Main Authors: Christie, Nicola, Beckett, Kate, Earthy, Sarah, Kellezi, Blerina, Sleney, Jude, Barnes, Jo, Jones, Trevor, Kendrick, Denise
Format: Article
Published: Royal College of General Practitioners 2016
Subjects:
Online Access:https://eprints.nottingham.ac.uk/34421/
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author Christie, Nicola
Beckett, Kate
Earthy, Sarah
Kellezi, Blerina
Sleney, Jude
Barnes, Jo
Jones, Trevor
Kendrick, Denise
author_facet Christie, Nicola
Beckett, Kate
Earthy, Sarah
Kellezi, Blerina
Sleney, Jude
Barnes, Jo
Jones, Trevor
Kendrick, Denise
author_sort Christie, Nicola
building Nottingham Research Data Repository
collection Online Access
description Background: In the UK, studies suggest that the transition from hospital to home after an injury can be a difficult time and many patients report feeling inadequately prepared. Patients often use primary care services after hospital discharge. These consultations provide opportunities to consider problems that patients experience and to facilitate recovery. Little is known, however, about how patients and service providers view care after hospital discharge and the role played by primary care services, specifically GPs. Aim: To identify good practice and unmet needs in respect of post-discharge support for injured patients. Design and setting: Qualitative study using semi-structured interviews at four sites (Bristol, Leicester/Loughborough, Nottingham, and Surrey). Method: Qualitative interviews with 40 service providers and 45 hospitalised injured patients. Results: Although there were examples of well-managed hospital discharges, many patients felt they were not provided with the information they needed about their injury, what to expect in terms of recovery, pain control, return to work, psychological problems, and services to help meet their needs. They also described difficulty accessing services such as physiotherapy or counselling. Service providers identified problems with communication between secondary and primary care, lack of access to physiotherapy, poor communication about other services that may help patients, GP service and resource constraints, and difficulties in providing information to patients concerning likely prognosis. Conclusion: Discharge from hospital after an injury can be problematic for patients. Changes in both secondary and primary care are required to resolve this problem.
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spelling nottingham-344212020-05-04T17:24:34Z https://eprints.nottingham.ac.uk/34421/ Seeking support after hospitalisation for injury: a nested qualitative study of the role of primary care Christie, Nicola Beckett, Kate Earthy, Sarah Kellezi, Blerina Sleney, Jude Barnes, Jo Jones, Trevor Kendrick, Denise Background: In the UK, studies suggest that the transition from hospital to home after an injury can be a difficult time and many patients report feeling inadequately prepared. Patients often use primary care services after hospital discharge. These consultations provide opportunities to consider problems that patients experience and to facilitate recovery. Little is known, however, about how patients and service providers view care after hospital discharge and the role played by primary care services, specifically GPs. Aim: To identify good practice and unmet needs in respect of post-discharge support for injured patients. Design and setting: Qualitative study using semi-structured interviews at four sites (Bristol, Leicester/Loughborough, Nottingham, and Surrey). Method: Qualitative interviews with 40 service providers and 45 hospitalised injured patients. Results: Although there were examples of well-managed hospital discharges, many patients felt they were not provided with the information they needed about their injury, what to expect in terms of recovery, pain control, return to work, psychological problems, and services to help meet their needs. They also described difficulty accessing services such as physiotherapy or counselling. Service providers identified problems with communication between secondary and primary care, lack of access to physiotherapy, poor communication about other services that may help patients, GP service and resource constraints, and difficulties in providing information to patients concerning likely prognosis. Conclusion: Discharge from hospital after an injury can be problematic for patients. Changes in both secondary and primary care are required to resolve this problem. Royal College of General Practitioners 2016-01-01 Article PeerReviewed Christie, Nicola, Beckett, Kate, Earthy, Sarah, Kellezi, Blerina, Sleney, Jude, Barnes, Jo, Jones, Trevor and Kendrick, Denise (2016) Seeking support after hospitalisation for injury: a nested qualitative study of the role of primary care. British Journal of General Practice, 66 (642). e24-e31. ISSN 1478-5242 General Practitioners Injury Patient Discharge Primary Healthcare http://bjgp.org/content/66/642/e24.long doi:10.3399/bjgp15X688141 doi:10.3399/bjgp15X688141
spellingShingle General Practitioners
Injury
Patient Discharge
Primary Healthcare
Christie, Nicola
Beckett, Kate
Earthy, Sarah
Kellezi, Blerina
Sleney, Jude
Barnes, Jo
Jones, Trevor
Kendrick, Denise
Seeking support after hospitalisation for injury: a nested qualitative study of the role of primary care
title Seeking support after hospitalisation for injury: a nested qualitative study of the role of primary care
title_full Seeking support after hospitalisation for injury: a nested qualitative study of the role of primary care
title_fullStr Seeking support after hospitalisation for injury: a nested qualitative study of the role of primary care
title_full_unstemmed Seeking support after hospitalisation for injury: a nested qualitative study of the role of primary care
title_short Seeking support after hospitalisation for injury: a nested qualitative study of the role of primary care
title_sort seeking support after hospitalisation for injury: a nested qualitative study of the role of primary care
topic General Practitioners
Injury
Patient Discharge
Primary Healthcare
url https://eprints.nottingham.ac.uk/34421/
https://eprints.nottingham.ac.uk/34421/
https://eprints.nottingham.ac.uk/34421/