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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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Abstract:
BACKGROUND: UK government guidelines and initiatives emphasise equity in delivery of care, shared decision-making, and patient-centred care. This includes sharing information with patients as partners in health decisions and empowering them to manage their health effectively. In the UK, general practitioners (GPs) routinely receive hospital discharge letters; while patients receiving copies of such letters is seen as “good practice” and recommended, it is not standardised. The effects and consequences of whether or not this happens remains unclear. The aim of this study (one of three forming the Discharge Communication Study) was to explore patient perspectives on receiving discharge letters and their views on how this could be improved in order to optimise patient experience and outcomes. METHODS: Semi-structured interviews were conducted with a diverse sample of 50 patients recruited from 17 GP surgeries within the West Midlands, UK. All participants were adults with a recent episode of general hospital inpatient or outpatient care. Data were audio recorded, transcribed and analysed using mixed methods corpus linguistics techniques. RESULTS: Participants reported inconsistent access to discharge letters. Most wanted to receive a copy of their discharge letter although some expressed reservations. Perceived benefits included: increased understanding of their condition and treatment, reduced anxiety, and increased satisfaction. Consequences where participants had not received letters included: letter inaccuracies being overlooked, missed follow up actions, failure to fully remember diagnosis, treatment, or self-management or recommendations, and confusion and anxiety at what occurred and what will happen next. Participants felt the usefulness of receiving copies of letters could be increased by: including a patient information section, avoidance of acronyms, and jargon or technical terms explained with lay language. CONCLUSIONS: Most patients value receiving copies of hospital discharge letters, and should be consistently offered them. Patients’ preferences for letter receipt could be logged in their health records. To enable positive outcomes letters should have a clear and accessible format that reflects the priorities and information needs of patients. Patients appear not to be receiving or being offered copies of letters consistently despite UK policies and guidelines supporting this practice; this suggests a need for greater standardisation of practice.
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Research Article
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URL: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294646/
http://www.ncbi.nlm.nih.gov/pubmed/32539716
https://doi.org/10.1186/s12913-020-05250-1
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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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Adapting self for private and public audiences: The enactment of leadership identity by New Zealand rugby coaches in huddles and interviews
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Adapting self for private and public audiences : the enactment of leadership identity by New Zealand rugby coaches in huddles and interviews
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