The Effect of a Care Transition Intervention on the Patient Experience of Older Multi-Lingual Adults in the Safety Net: Results of a Randomized Controlled Trial

Abstract

An inpatient standalone transition-of-care intervention did not improve patient discharge experience. Older multi-lingual and cognitively impaired populations may require higher-intensity interventions post-hospitalization to improve discharge experience outcomes.

Interventions to improve hospital patient satisfaction with healthcare providers and systems: a systematic review

“…Another pre-post assessment of a communication skills training programme for hospitalists also did not improve Communication with Doctors or Overall Hospital Rating 7. A randomised controlled trial for a nurse-led, language-concordant, hospital-based care transition programme that did not improve any of the Communication domains or Discharge Information domains;13 similarly, a pre-post assessment of changing care management from a unit-based model to a service-based one did not affect HCAHPS score for Recommend the Hospital 9. Finally, two studies did not report p values.…”

Hospital transition care for the elderly: an integrative review

“…Furthermore, during planning and performance of transitional care, effective communication between the elderly/family and the health professional is essential, so that failures in this stage do not result in re-hospitalizations. Efficient communication is based on planning, which aims at continuing education for the elderly and their family in the context of treatment, maintenance of medication and guidance of support networks, allowing a better experience after discharge, reducing the burden at home (22) .…”

“…It is also up to the professional to work through home visits two weeks after leaving. This type of care assesses the impact of adequate planning on discharge (22) .…”

“…Communication between health professionals, patients and family members at hospital discharge is associated with better health outcomes and lower costs. For these and other reasons, quality improvement agencies promote the inclusion of family caregivers in the health-patient-hospitalization team, already providing care after hospital discharge (12,17,19,(16)(17)(18)(19)(20)(21)(22)24) . It is worth emphasizing that with the insertion of family members, they are subject to stress and other symptoms, and therefore measures must be taken to assess the caregiver's tension, while establishing a partnership with the team that initiates care transition (24) .…”

Capsule Commentary on Chan et al., The Effect of a Care Transition Intervention on the Patient Experience of Older, Multi-lingual Adults in the Safety Net: Results of a Randomized Controlled Trial

“…One factor Chan et al do not address is social support. 2 A similar article with a negative intervention result 3 found that social support may be a key factor in determining patient readiness to accept and use intervention help.…”