Our study aimed to identify, critically appraise, and summarize these studies in a qualitative meta-synthesis. to form a basis for the development of a transitional integrated allied healthcare pathway for patients with complex care needs after hospital discharge.
We performed a systematic review of qualitative studies. Medline, CINAHL and Embase were systematically searched to identify eligible articles from inception to June 2024. Qualitative studies were included and critically appraised using the Critical Appraisal Skills Program. Insufficient-quality papers were excluded. A thematic synthesis approach was used to derive analytical themes and subthemes following 1) open coding by two independent researchers and 2) discussing codes during reflexivity meetings with several members of the research team.
Ninety-eight studies were appraised, of which 53 were included. We reached thematic saturation, four themes were constructed: 1) care coordination and continuity, 2) communication, 3) patient and family involvement, and 4) individualized support and information exchange. For patients and families, tailored information and support are prerequisites for a seamless transition and an optimal recovery trajectory after hospital discharge. It is imperative that healthcare professionals communicate effectively within and across care settings to ensure multidisciplinary collaboration and care continuity.
This study revealed both positive and negative experiences of patients, family members, and professionals, as well as barriers and facilitators regarding hospital-to-home transitions across various care settings, countries, and populations. These findings could be supportive to researchers and healthcare professionals when (re)designing transitional care interventions to ensure care continuity after hospital discharge. Novel research methods, such as implementation research, can be used to investigate how best to implement measures addressing the barriers and facilitators identified in this study.
Optimizing hospital-to-home transitions may be achieved by improving interprofessional communication, with the focus on structured and multidisciplinary interaction between professionals from different settings.
Clarity is required for healthcare professionals concerning their roles and responsibilities during hospital-to-home transitions.
Information regarding the hospital-to-home transition and continuity of allied healthcare must be presented in a way that is easily understandable for both patients and their family members.
Experiences
allied healthcare
