Hospital – primary care articulation in care transition: both sides of the process

Mauro, Adriéli Donati; Cucolo, Danielle Fabiana; Perroca, Márcia Galan

doi:10.1590/1980-220x-reeusp-2021-0145

Cited by 5 publications

(3 citation statements)

References 13 publications

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“…In times of sudden public health events or disasters, primary healthcare institutions are the first responders, capable of swiftly providing emergency and urgent medical services. [10] For chronic disease patients, primary healthcare institutions offer regular follow-up and management services, helping stabilize their conditions and reducing the burden on advanced medical facilities. [11,12] In some countries’ healthcare systems, emphasizing the strengthening of primary healthcare services is a crucial strategy to enhance overall system efficiency and service levels.…”

Section: Discussionmentioning

confidence: 99%

Complaint management system and patient satisfaction in grassroots hospitals

Li,

Chen,

Lou

2024

Medicine

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Primary healthcare institutions face limitations in medical resources, leading to concerns from patients and their families regarding the quality of medical services, resulting in complaints against these institutions. This study aims to analyze the causes of complaints and implement improvement measures to enhance the service quality of primary healthcare institutions, increase satisfaction among patients and their families, and reduce the number of complaints. Relevant data were collected, and verified complaints were categorized based on departments, administrative office, and category. Pearson Chi-square test, Spearman correlation analysis, as well as univariate logistic regression were employed to analyze factors influencing patient satisfaction. A complaint-handling process was established, and regulations pertaining to complaints were formulated. Pearson Chi-square test results indicated a significant correlation between satisfaction and departments (P = .016) and administrative office (P = .022). Spearman correlation analysis revealed a significant correlation between satisfaction and departments (ρ = 0.157, P = .017) and administrative office (ρ = 0.151, P = .021). Univariate logistic regression analysis demonstrated a significant correlation between satisfaction and other related complaints in administrative office (OR = 3.321, 95% CI = 1.196–9.218, P = .021). Complaints related to departments and administrative offices are significantly correlated with satisfaction. After the implementation of a complaint management system in primary healthcare institutions, there is a notable improvement in service quality, enhanced patient experience, increased satisfaction, and a reduction in hospital complaints.

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Section: Discussionmentioning

confidence: 99%

Complaint management system and patient satisfaction in grassroots hospitals

Li,

Chen,

Lou

2024

Medicine

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“…Care plan is one of the main interventions at the time of hospital discharge, leading to clear, objective and effective communication among the professional, the patient and the family (24,25) . Despite the significance of organizing care guidelines in a systematic plan, the guidance on care at home takes place primarily verbally and spontaneously.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the significance of organizing care guidelines in a systematic plan, the guidance on care at home takes place primarily verbally and spontaneously. Furthermore, in many cases, these guidelines are complex, and should involve aspects such as drug therapy, prevention of exacerbations, food, and general care (17,25) , emphasizing the need for a formalized care plan.…”

Section: Discussionmentioning

confidence: 99%

Quality of transitional care of children with chronic diseases: a cross-sectional study

Cechinel-Peiter

Lanzoni

Mello

et al. 2022

Rev. esc. enferm. USP

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Objective: To analyze which factors may be associated with the quality-of-care transition of children with chronic diseases from the hospital to their home. Method: A cross-sectional, quantitative study, carried out in two hospitals in Southern Brazil, from February to September 2019. Participants included 167 family members of children with chronic disease. Data collection took place through a demographic questionnaire, and the use of the Brazilian version of the Care Transitions Measure (CTM-15). Results: The average score for the quality of care transition was 90.1 (sd = 19.5) (0–100). Factor 1, “Health management preparation”, was the one with the highest self-perceived average, 92.3 (sd = 11.6), while Factor 4, “Care plan”, had the lowest average, 86.3 (sd = 21.3). The quality of care transition was higher for patients living in municipalities belonging to health regions other than the hospital’s. Conclusion: The quality of care transition for children with chronic diseases, perceived by the children’s family members, in the discharge process from the hospital to home, was considered high. Living in a health region other than the hospital’s region was associated with better perception of the quality of care transition.

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Nursing Actions for Continuity of Care in Primary Health Care: A Validation Study

Mauro

Cucolo

Perroca

2023

Texto contexto - enferm.

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Objective: to map and validate, together with specialists, actions to be performed by the Primary Health Care nurse for the continuity of care to the user, after hospital discharge. Method: validation study with qualitative/quantitative approach. The nursing actions were mapped through two focus groups with 11 nurses; one in a Basic Health Unit and 10 in Family Health Strategies in the municipality of Catanduva, SP, Brazil (qualitative stage) and complemented by other sources. The analysis of the reports occurred through the use of content analysis. The Delphi technique was adopted for content validation by 11 experts with a pre-established consensus of 0.80 and calculation of the content validity index (quantitative stage). The data was collected between December 2019 and March 2022. Results: nine categories emerged related to the active search for the user/family; scheduling and conducting home visits; matrix support; organization of follow-up; training of caregivers/family members; coordination of the health team; strengthening of professional/patient/family relationships and participation in educational and evaluative actions. The mapping of the actions generated 18 items. There were two rounds of the Delphi Technique. In the first, the content validity index ranged from 0.73 to 1.0 and, in the next, from 0.90 to 1.0. Conclusion: the validation of 17 of the proposed actions can guide the practice of nurses and contribute to the monitoring and strengthening of continued care and in a network centered on the strengths of users/families/community.

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Hospital – primary care articulation in care transition: both sides of the process

Cited by 5 publications

References 13 publications

Complaint management system and patient satisfaction in grassroots hospitals

Complaint management system and patient satisfaction in grassroots hospitals

Quality of transitional care of children with chronic diseases: a cross-sectional study

Nursing Actions for Continuity of Care in Primary Health Care: A Validation Study

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