Transitional Care from Hospital to Cardiac Rehabilitation During COVID-19: The Perspectives of Older Adults and Their Healthcare Providers

被引：0
作者：
Flores-Sandoval, Cecilia [1 ]
Orange, Joseph B. [1 ,2 ,3 ]
Ryan, Bridget L. [4 ,5 ]
Adams, Tracey L. [6 ]
Suskin, Neville [7 ,8 ,9 ]
McKelvie, Robert [8 ,9 ]
Elliott, Jacobi [10 ]
Sibbald, Shannon L. [1 ,7 ,11 ,12 ,13 ,14 ,15 ]
机构：
[1] Western Univ, Fac Hlth Sci, London, ON, Canada
[2] Western Univ, Fac Hlth Sci, Sch Commun Sci & Disorders, London, ON, Canada
[3] Western Univ, Canadian Ctr Act & Aging, London, ON, Canada
[4] Ctr Studies Family Med, Dept Family Med, London, ON, Canada
[5] Ctr Studies Family Med, Dept Epidemiol & Biostat, London, ON, Canada
[6] Western Univ, Dept Sociol, London, ON, Canada
[7] Western Univ, Schulich Sch Med & Dent, Dept Family Med, London, ON, Canada
[8] St Josephs Hosp, Cardiac Rehabil & Secondary Prevent Program, London, ON, Canada
[9] St Josephs Hlth Care, London, ON, Canada
[10] Lawson Hlth Res Inst, London, ON, Canada
[11] Western Univ, Sch Hlth Studies, London, ON, Canada
[12] Western Univ, Interfac Program Publ Hlth, London, ON, Canada
[13] Western Univ, Fac Hlth Sci, London, ON, Canada
[14] Western Univ, Dept Family Med, London, ON, Canada
[15] Western Univ, Schulich Sch Med & Dent, Schulich Interfac Program Publ Hlth, London, ON, Canada
来源：
JOURNAL OF PATIENT EXPERIENCE | 2023年 / 10卷
关键词：
older adults; transitional care; cardiac rehabilitation; patient engagement; COVID-19;
D O I：
10.1177/23743735231213757
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Transitional care to cardiac rehabilitation during the pandemic was a complex process for older adults, with additional challenges for decision-making and participation. This study aimed to explore the perspectives of older adults and health providers on transitional care from the hospital to cardiac rehabilitation, focusing on patient participation in decision-making. A qualitative exploratory design was used. Semi-structured interviews were conducted with 15 older adults and 6 healthcare providers. Document analysis and reflexive journaling were used to support triangulation of findings. Six themes emerged from the data, related to insufficient follow-up from providers, the importance of patients' emotional and psychological health and the support provided by family members, the need for information tailored to patients' needs and spaces for participation in decision-making, as well as challenges during COVID-19, including delayed medical procedures, rushed discharge and isolating hospital stays. The findings of this study indicated a number of potential gaps in the provision of transitional care services as reported by older adults who had a cardiovascular event, often during the first few weeks post hospital discharge.
引用
收藏
页数：7
相关论文
共 28 条
  • [1] Communication and Coordination Processes Supporting Integrated Transitional Care: Australian Healthcare Practitioners' Perspectives
    Allen, Jacqueline
    Hutchinson, Alison M.
    Brown, Rhonda
    Livingston, Patricia M.
    [J]. INTERNATIONAL JOURNAL OF INTEGRATED CARE, 2020, 20 (02):
  • [2] [Anonymous], 2020, Diversity in Patient Engagement Learning Exchange: Linking Lessons Learned
  • [3] Ashbourne J, 2015, INT J INTEGR CARE, V15
  • [4] Use of participatory visual narrative methods to explore older adults' experiences of managing multiple chronic conditions during care transitions
    Backman, Chantal
    Stacey, Dawn
    Crick, Michelle
    Cho-Young, Danielle
    Marck, Patricia B.
    [J]. BMC HEALTH SERVICES RESEARCH, 2018, 18
  • [5] Member Checking: A Tool to Enhance Trustworthiness or Merely a Nod to Validation?
    Birt, Linda
    Scott, Suzanne
    Cavers, Debbie
    Campbell, Christine
    Walter, Fiona
    [J]. QUALITATIVE HEALTH RESEARCH, 2016, 26 (13) : 1802 - 1811
  • [6] Improving the quality of transitional care for persons with complex care needs
    Boockvar, K
    Vladeck, BC
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2004, 52 (05) : 855 - 856
  • [7] Making health care responsive to the needs of older people
    Bridges, Jackie
    Pope, Catherine
    Braithwaite, Jeffrey
    [J]. AGE AND AGEING, 2019, 48 (06) : 785 - 788
  • [8] Canadian Institute for Health Information, 2022, Cardiac Care
  • [9] Carpenter C., 2008, Qualitative research for occupational and physical therapists: A practical guide, pp, P21
  • [10] Chovanec K, 2021, PROF CASE MANAG, V26, P11, DOI 10.1097/NCM.0000000000000467
123