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What makes a “successful” or “unsuccessful” discharge letter? Hospital clinician and General Practitioner assessments of the quality of discharge letters ...
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What makes a “successful” or “unsuccessful” discharge letter? Hospital clinician and General Practitioner assessments of the quality of discharge letters ...
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What makes a “successful” or “unsuccessful” discharge letter? Hospital clinician and General Practitioner assessments of the quality of discharge letters
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In: BMC Health Serv Res (2021)
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What makes a “successful” or “unsuccessful” discharge letter? Hospital clinician and General Practitioner assessments of the quality of discharge letters
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GP perspectives on hospital discharge letters: an interview and focus group study
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In: BJGP Open (2020)
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Adult patient perspectives on receiving hospital discharge letters: a corpus analysis of patient interviews
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In: BMC Health Serv Res (2020)
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Improving HIV/AIDS consultations in Malawi : how interactional sociolinguistics can contribute
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Adult patient perspectives on receiving hospital discharge letters : a corpus analysis of patient interviews
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GP perspectives on hospital discharge letters : an interview and focus group study
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A critical reflection of current trends in discourse analytical research on leadership across disciplines. A call for a more engaging dialogue
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A critical reflection of current trends in discourse analytical research on leadership across disciplines. A call for a more engaging dialogue
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That match was “a bit like losing your virginity”. Failed humour, face and identity construction in TV interviews with professional athletes and coaches
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Improving best practice for patients receiving hospital discharge letters : a realist review
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Abstract:
Objective To understand how different outcomes are achieved from adult patients receiving hospital discharge letters from inpatient and outpatient settings. Design Realist review conducted in six main steps: (1) development of initial theory, (2) searching, (3) screening and selection, (4) data extraction and analysis, (5) data synthesis and (6) programme theory (PT) refinement. Eligibility criteria Documents reporting evidence that met criteria for relevance to the PT. Documents relating solely to mental health or children aged <18 years were excluded. Analysis Data were extracted and analysed using a realist logic of analysis. Texts were coded for concepts relating to context, mechanism, outcome configurations (CMOCs) for the intervention of patients receiving discharge letters. All outcomes were considered. Based on evidence and our judgement, CMOCs were labelled ‘positive’ or ‘negative’ in order to clearly distinguish between contexts where the intervention does and does not work. Results 3113 documents were screened and 103 were included. Stakeholders contributed to refining the PT in step 6. The final PT included 48 CMOCs for how outcomes are affected by patients receiving discharge letters. ‘Patient choice’ emerged as a key influencer to the success (or not) of the intervention. Important contexts were identified for both ‘positive’ CMOCs (eg, no new information in letter) and ‘negative’ CMOCs (eg, letter sent without verifying patient contact details). Two key findings were that patient understanding is possibly greater than clinicians perceive, and that patients tend to express strong preference for receiving letters. Clinician concerns emerged as a barrier to wider sharing of discharge letters with patients, which may need to be addressed through organisational policies and direction. Conclusions This review forms a starting point for explaining outcomes associated with whether or not patients receive discharge letters. It suggests several ways in which current processes might be modified to support improved practice and patient experience.
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Keyword:
P Philology. Linguistics; RA0421 Public health. Hygiene. Preventive Medicine
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URL: http://wrap.warwick.ac.uk/118330/
https://doi.org/10.1136/bmjopen-2018-027588
http://wrap.warwick.ac.uk/118330/1/e027588.full.pdf
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