Selecting a Skilled Nursing Facility for Postacute Care: Individual and Family Perspectives.
Selecting a Skilled Nursing Facility for Postacute Care: Individual and Family Perspectives.
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DOI：
10.1111/jgs.14988
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发表时间：
2017-11
影响因子：
6.3
通讯作者：
Mor V
中科院分区：
文献类型：
--
作者：
Gadbois EA;Tyler DA;Mor V
本研究旨在描述患者在出院规划和专业护理设施（SNF）选择过程中的经验。半结构化访谈，侧重于出院规划和护理设施的选择，包括如何选择设施，谁参与，以及决策中哪些因素是重要的。在美国五个城市的14个SNF。98名新入院的、以前居住在社区的SNF患者和/或其家庭成员。半结构化访谈定性编码，以确定潜在的主题。大多数受访者报告说，只收到一份名单，SNF的名称和地址从出院计划，医院工作人员参与最少。患者选择SNF最常受到离家近和既往设施经验的影响。大多数答复者报告说对他们的安置感到满意，尽管许多人说，如果有建议，他们愿意前往另一个SNF。许多人报告说，他们感到匆忙和毫无准备，说他们不知道在哪里或如何获得帮助。SNF安置是一个紧张的过渡，发生在患者身体脆弱且出院计划者的指导有限的情况下。因此，大多数病人选择设施的基础上，它的位置，也许是因为他们没有提供其他信息。鉴于CMS的建议的变化，出院计划过程中，这项研究突出了为患者和家庭照顾者提供高质量的数据和帮助解释它的价值。
This research seeks to describe patients' experiences during the hospital discharge planning and skilled nursing facility (SNF) selection process. Semi-structured interviews, focusing on discharge planning and nursing facility selection, including how facilities were chosen, who was involved, and what factors were important in decision-making. 14 SNFs in five cities across the United States. 98 newly-admitted, previously community-dwelling SNF patients and/or their family members. Semi-structured interviews were qualitatively coded to identify underlying themes. Most respondents reported receiving only a list of SNF names and addresses from discharge planners and that hospital staff were minimally involved. Patients' choice of SNF was most often influenced by proximity to home and prior experience with the facility. Most respondents reported being satisfied with their placement, although many stated that they would have been willing to travel further to another SNF were it recommended. Many reported feeling rushed and unprepared, stating that they did not know where or how to get help. SNF placement is a stressful transition, occurring when patients are physically vulnerable and with limited guidance from discharge planners. Therefore, most patients select a facility based on its location, perhaps because they are provided with no other information. Given CMS's proposed changes to the discharge planning process, this research highlights the value of providing patients and family caregivers with both quality data and assistance in interpreting it.
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影响因子：
5.7
作者：
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通讯作者：
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