A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital |
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| Authors: | Rachel Ann Spencer Harjot Singh Punia |
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| Affiliation: | 1. School of Foreign Languages and Literature, Shandong University, Jinan, China;2. School of Foreign Languages, Yantai University, Yantai, China;3. School of Translation Studies/Center for Medical Humanities in the Developing World, Qufu Normal University, Rizhao, China;4. Center for Clinical Neurolinguistics, Shandong University, Jinan, China;5. Department of Foreign Languages and Literatures, Wenjing College, Yantai Univeristy, Yantai, China;6. Department of Obstetrics and Gynaecology, Rizhao Maternal and Child Health Hospital, Rizhao, China;1. Department of Management and Marketing, Faculty of Business, Hong Kong Polytechnic University, Kowloon, Hong Kong;2. JinShiYuan Consultant Co., Beijing, China;1. Institute for Medical Education, University of Bern, Switzerland;2. Office of the Dean, Faculty of Medicine, University of Zurich, Switzerland;3. Unit of Development and Research in Medical Education, Faculty of Medicine, University of Geneva, Switzerland;4. Medical Education Unit, Faculty of Biology and Medicine, University of Lausanne, Switzerland;5. Office of Student Affairs, Faculty of Medicine, University of Basel, Switzerland;6. Institute of Anaesthesiology University Hospital Zurich, Zurich, Switzerland;7. Office of Educational Affairs, Faculty of Medicine, University of Rostock, Ernst-Heydemann-Str. 8, 18057, Rostock, Germany;1. Department of Oncology, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark;2. Center for Shared Decision Making, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark;3. Institute of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark;4. Department of Internal Medicine, Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark;5. Department of Internal Medicine, The Lung Cancer Diagnostic Organization, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark |
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| Abstract: | ObjectiveTransitions from hospital to home are high-risk episodes. Communication problems between patients/carers and their primary healthcare providers are a central part of the risk. This literature review aimed to identify any existing tools or information (including secondary care instruments) that would facilitate designing new communication instruments for primary care to manage and mitigate risk at discharge.MethodFive databases (Pubmed, Embase, Cinahl, Web of Science and Cochrane) were searched using a three stem approach (primary/transitional care, discharge period, communication). A dual reviewer system was used, following PRISMA guidelines.ResultsFrom 61 full text articles a total of ten tools were found, 25 articles contained other useful content, 19 further tools were found in grey literature. Most material originated from the USA and described hospital-based transitional care interventions.ConclusionNo ready-made patient/provider communication tool for the post-discharge period in primary care was found. Future communication tools should enhance education and engagement of patients so they feel able to initiate communication.Practice implicationsCollating post-discharge communication material is of importance to improving the safety of care transitions and will enable creation of new tools specifically designed for primary care. These tools will improve patient activation (‘the knowledge, skills and confidence a person has in managing their own health and care’) with the ultimate aim of reducing error and harm in primary care through improved communication of healthcare decisions. |
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| Keywords: | Health care transition Patient discharge Health literacy Health communication Teach-back communication Patient safety Primary health care General practice |
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