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Effects of a safe transition programme for discharged patients with high unmet needs

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  • Eui Geum Oh
  • Jeong Hyun Kim
  • Hyun Joo Lee

Abstract

Aims and objectives To examine the effects of the Patient‐Oriented Safe Transition programme on 30‐day unplanned readmissions and emergency department visits, medical costs, caregiver burden and patient health‐related quality of life. Background With the success of hospitals' quality improvement efforts, the number of discharged patients has been increasing. Successful management of discharged patients is needed in order to reduce unplanned readmissions and to improve patient health outcomes. Design A nonequivalent control group pretest–posttest design. Methods This study was conducted by following TREND guideline. Eighty‐three patients were assigned to either the intervention (n = 40) or control (n = 43) group. The intervention group received individual discharge planning by case managers and home visits by homecare nurses followed by telephone calls throughout the month following discharge. The outcome variables measured were 30‐day unplanned readmissions and emergency department visits, medical costs, caregiver burden and patient health‐related quality of life. Data were analysed by paired t test, multivariate analysis of variance and repeated‐measure analysis of variance. Results The baseline characteristics of the two groups were homogeneous with respect to gender, age, length of hospital stay and medical conditions. In the intervention group, the caregiver burden decreased 30 days after discharge, whereas the control group increased (F = 12.888, p = 0.001). The patient physical (p = 0.005) and mental (p

Suggested Citation

  • Eui Geum Oh & Jeong Hyun Kim & Hyun Joo Lee, 2019. "Effects of a safe transition programme for discharged patients with high unmet needs," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(11-12), pages 2319-2328, June.
    • Handle: RePEc:wly:jocnur:v:28:y:2019:i:11-12:p:2319-2328
    DOI: 10.1111/jocn.14831
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    References listed on IDEAS

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    1. Des Jarlais, D.C. & Lyles, C. & Crepaz, N., 2004. "Improving the Reporting Quality of Nonrandomized Evaluations of Behavioral and Public Health Interventions: The TREND Statement," American Journal of Public Health, American Public Health Association, vol. 94(3), pages 361-366.
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